ENT care of children and adolescents in the Brazilian public healthy system in three different municipalities.
The data base of ENT care in the Brazilian public health system (Sistema Unico de Saude - SUS) will help organize public health programs.


OBJECTIVE
The following items were investigated in patients aged up to 17 years attended in public health system outpatient units in the city of Mariana, in the ENT screening unit, UNIFESP-EPM, and in CISMISEL: 1) The main otorhinolaryngological diagnoses; 2) The most frequently required exams, drugs, and surgical procedures and their indications; 3) The jobs of parents; the number of siblings; and 4) A statistical analysis and comparison of data in each location.


METHODS
We undertook a prospective study and a statistical analysis of variables that were gathered during the first visit.


RESULTS
The age, the parents' salary, the number of siblings aged below 18 years, the presence of rhinitis, ears diseases, the exams, drugs and otological surgeries that were indicated were all statistically significant.


CONCLUSIONS
The most common diagnosis was mouth breathing. The most common surgery was adenotonsillectomy. The most frequently requested exam was a lateral cranial radiograph. The number of unemployed parents, their poor salaries, and the number of siblings make it difficult for these patients to be treated in any facility other than the public heath system.
UNIFESP-EPM. chengorl@ig.com.br
Cheng
C
T-Ping
Luc Louis Maurice
LL
Weckx
D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D001938:Brazil; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D010038:Otorhinolaryngologic Diseases / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D011446:Prospective Studies; D017150:Public Sector / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors