[Rickets prophylaxis under current recommendations].
OBJECTIVE
We analysed the compliance of current recommendations concerning rickets prevention in Poland.


METHODS
The study group consisted of 65 infants hospitalised because of emergency problems. In each case, the medical history included prophylaxis of rickets and feeding pattern. In most cases (80%) we measured calcium, phosphate, and alkaline phosphatase in the serum.


RESULTS
Vitamin D3 was overdosed in 70% of infants. 14% of children were diagnosed as rachitic in outpatient department before hospitalisation, but neither the clinical symptoms nor the laboratory test confirmed the diagnosis. This confirms the observation, that rickets is diagnosed too often, usually on the basis of isolated craniotabes in young infants.


CONCLUSIONS
In the context of changing recommendations for prophylaxis of rickets, we recommend more careful prescribing of vitamin D3 preparations.
Borkowska
Anna
A
Klinika Pediatrii, Gastroenterologii i Onkologii, Dziecieca Akademia Medyczna, 80-803 Gdańsk, Poland.
Tyl
Joanna
J
Plata-Nazar
Katarzyna
K
D062787:Drug Overdose; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D007228:Infant Nutrition Disorders / Q000139:chemically induced / Q000188:drug therapy*; D007227:Infant Nutritional Physiological Phenomena; D007229:Infant Welfare; D007231:Infant, Newborn; D008297:Male; D012279:Rickets / Q000517:prevention & control*; D014807:Vitamin D / Q000008:administration & dosage* / Q000009:adverse effects*
D014807:Vitamin D