Medical management: a model for giving medical aid to children with infectious-inflammatory diseases of the urinary system

Volodymyr Volodymyrovych Bezruk; Igor Dmytrovych Shkrobanets; Oleksii Serhiiovych Godovanets; Oleksandr Hryhorovych Buriak; Nataliya Oleksandrivna Popelyuk; Nina Ivanivna Voytkevich; Olena Victorivna Makarova; Oksana Ivanivna Yurkiv; Michael Ivanovych Sheremet; Oleksandr Vyacheslavovich Boilookyi; Mykhailo Mykhailovich Hresko; Mariya Ivanivna Velia; Svyatoslava Vasylivna Yurniuk; Bogdana Petrivna Seniuk; Maryna Dmytrivna Hresko

doi:10.25122/jml-2021-0104

Medical management: a model for giving medical aid to children with infectious-inflammatory diseases of the urinary system

J Med Life. 2021 Jul-Aug;14(4):504-510. doi: 10.25122/jml-2021-0104.

Authors

Volodymyr Volodymyrovych Bezruk¹, Igor Dmytrovych Shkrobanets², Oleksii Serhiiovych Godovanets¹, Oleksandr Hryhorovych Buriak¹, Nataliya Oleksandrivna Popelyuk¹, Nina Ivanivna Voytkevich³, Olena Victorivna Makarova⁴, Oksana Ivanivna Yurkiv⁴, Michael Ivanovych Sheremet⁵, Oleksandr Vyacheslavovich Boilookyi⁵, Mykhailo Mykhailovich Hresko⁵, Mariya Ivanivna Velia⁶, Svyatoslava Vasylivna Yurniuk⁶, Bogdana Petrivna Seniuk⁷, Maryna Dmytrivna Hresko⁸

Affiliations

¹ Department of Pediatrics, Neonatology and Perinatology Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine.
² Department of Medical and Organizational Management, National Academy of Medical Sciences of Ukraine, Kiev, Ukraine.
³ Department of Foreign Languages, Bukovinian State Medical University, Chernivtsi, Ukraine.
⁴ Department of Care for Patients and Higher Nursing Education, Bukovinian State Medical University, Chernivtsi, Ukraine.
⁵ Surgery Department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine.
⁶ Department of Pharmacy, Bukovinian State Medical University, Chernivtsi, Ukraine.
⁷ Department of Internal Medicine, Bukovinian State Medical University, Chernivtsi, Ukraine.
⁸ Department of Obstetrics and Gynecology, Bukovinian State Medical University, Chernivtsi, Ukraine.

Abstract

Increasing requirements of medical aid given to children with infectious-inflammatory diseases of the urinary system stipulate the necessity to improve its quality using evidence-based therapeutic-diagnostic and organization technologies. The aim of the work - to substantiate, develop the improved model of the specialized nephrology care for children with infectious inflammatory diseases of the urinary system at the regional level. The official statistical data have been studied (2006 to 2017); information-analytical and statistical methods have been used. A bacteriological study (2009-2016) of urine samples was carried out for 3089 children (0-17 years old) in the Chernivtsi region. They formed the foundation for substantiation and development of an improved functional-organizational model of the system. In addition to the existing and functionally changed elements contains new elements: regional/inter-regional center of specialized medical aid to children with infectious-inflammatory diseases of the urinary system. Implementation of the elements of the suggested improved model in a part of a rational approach in distribution of functions concerning medical observation of patients at the stages of giving medical aid enabled to make the period of hospitalization of nephrological patients 11,40% shorter and an average period of treatment of patients with infectious-inflammatory diseases of the urinary system 2,93% shorter.

Keywords: antibiotic resistance; children; quality of the medical care; urinary tract infections.

MeSH terms

Adolescent
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Urinary Tract Infections* / diagnosis
Urinary Tract Infections* / epidemiology
Urinary Tract Infections* / therapy