Grigovich I N
Vestn Khir Im I I Grek. 2001;160(3):35-8.
More than 50% of children with urgent surgical diseases are operated upon in district hospitals at the units for adults. Insufficient knowledge of particularities of surgery and intensive therapy in children of the doctors working mainly with adult patients is often responsible for errors and complications which often requires to transfer such patients to specialized hospitals for children. The author proposes a system of organizing measures based on regulation of the district medical prophylactic institutions according to the competence of specialists in problems of medicine in children and the equipment of the hospital as well as on the division of the patients by their age and degree of hemostasis disturbances. An experience with the regulation of surgical treatment to children in republic Karelia introduced since 1987 has shown that the proposed organization of medical treatment of children in district hospitals for adults proved to be effective.