P01.05 Growth And Pubertal Development In 6-14 Year Old Children Survey In The Province Of Foggia And Diagnostic Work-Up In The General Medical Setting

L. Iannantuoni1, A. Piscopiello1, C. Schiavone1, M. Zamboni1, G. D'Errico2, N. Costa2;
1Specific Training in General Medicine, FOGGIA, Italy, 2specific training in general medicine, FOGGIA, Italy.
Leonida Iannantuoni
specific training in general medicine
vincenzo acquaviva
Zip: 71121
Email: leo.iannantuoni@libero.it
Phone: +393476691821
To examine the problematic issues in health care of 6-14 year old children, evaluating their growth and pubertal development. To assess the necessity of specific training courses for the General Practitioner.
A sample of the 6-14 year old population in the Province of Foggia was distributed depending on the health care received by the General Medicine Doctor (GP) and by the Primary Care Paediatrician (PCP). The sample of children treated by the GP was evaluated according to the growth/pubertal development; 208 subjects then underwent an objective exam. Their height was compared with the genetic Target of their parents and the pubertal development with Tanner?s growth chart.
58 GPs took part in the survey. 81% of the doctors declares that they follow the pubertal development of the child, but only 29.8% uses Tanner?s growth chart. Only 14 doctors out of 58 have taken part in previous paediatric training courses and 78% of them is interested in taking part in new courses. The height of the children visited, was to 97ø for 6 (2.9%) of them, whereas 20 (9.6%) children diverged from the genetic Target. Therefore for 21 of them a diagnostic analysis for low-high stature was suggested and for 11 of them a 3-6 month follow-up was recommended to evaluate growth velocity. The genital stage takes place at the same time for all the boys except for 1, while for 17 of them pubic hair is not in accordance with the age. In 4 girls an anticipation of the development of breasts was noted, in 20 of them an alteration of the piliferous development and in three cases a diagnostic analysis was suggested, while in the others a 6 month follow-up was recommended. We obtained one diagnosis of GH deficiency and one of precocious puberty.
To create ad hoc training courses for the GPs, encouraging them to carry out the auxological measurement check-ups expected for the age phase in object in order to improve assistance and prevention.
Growth and pubertal development in 6-14 year old children survey in the province of Foggia and diagnostic work-up in the general medical setting