Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- prone, side, or inclined position at last sleep
- bed-sharing
- soft sleeping environment
- maternal cigarette smoking
- premature birth
- formula feeding
- non-use of pacifier
- maternal alcohol or drug use
Otros factores de diagnóstico
- absence of metabolic disease
- absence of irritability, lethargy
- absence of fever, cough, or nasal congestion
- absence of trauma
Factores de riesgo
- side, prone, or inclined position at last sleep
- bed-sharing/co-sleeping
- soft sleeping surface/environment
- maternal cigarette smoking
- increasing number of smokers in house
- smoking in same room as child
- formula feeding
- non-use of a pacifier
- premature birth
- maternal substance use/abuse
- single parent
- lower maternal age
- low level of prenatal care
- low level of maternal education
- low socioeconomic status
- lack of immunization
Pruebas diagnósticas
Pruebas diagnósticas que deben considerarse
- blood culture
- cerebrospinal fluid culture
- urine culture
- serum chemistry
- urine chemistry
- photographic record
- skeletal survey
- anatomic pathology
- vitreous chemistry
- muscle biopsy
Algoritmo de tratamiento
caregivers and family
Colaboradores
Autores
Rachel Y. Moon, MD, FAAP
Professor of Pediatrics
University of Virginia School of Medicine
Charlottesville
VA
Divulgaciones
RYM receives research grants from the National Institutes of Health and the American SIDS Institute on SIDS-related topics. RM is an unpaid board member of the International Society for the Prevention of Infant Death. RM lectures at various hospitals, public health departments, and universities about SIDS-related topics (usual honorarium $1000). RM has two published books about SIDS and receives royalties (<$200/year).
Agradecimientos
Dr Rachel Y. Moon would like to gratefully acknowledge Dr John W. Berkenbosch, a previous contributor to this topic.
Divulgaciones
JWB declares that he has no competing interests.
Revisores por pares
Peter Fleming, MB ChB, PhD
Professor of Infant Health & Developmental Physiology
FSID Research Unit
Institute of Child Life and Health
St Michaels Hospital
Bristol
UK
Declarações
PF is an author of a number of references cited in this topic.
Thomas Hegyi, MD
Professor and Vice-Chair
Department of Pediatrics
UMDNJ-Robert Wood Johnson Medical School
New Brunswick
NJ
Declarações
TH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Moon RY, Carlin RF, Hand I, et al. Sleep-related infant deaths: updated 2022 recommendations for reducing infant deaths in the sleep environment. Pediatrics. 2022 Jul 1;150(1):e2022057990.Texto completo Resumo
Moon RY, Carlin RF, Hand I, et al. Evidence base for 2022 updated recommendations for a safe infant sleeping environment to reduce the risk of sleep-related infant deaths. Pediatrics. 2022 Jul 1;150(1):e202205799.Texto completo Resumo
The Lullaby Trust. Evidence base. Mar 2019 [internet publication].Texto completo
Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018 Mar;66(3):516-54.Texto completo Resumo
UNICEF UK. The Baby Friendly Initiative.Texto completo
Palusci VJ, Council on Child Abuse and Neglect, Kay AJ, et al. Identifying child abuse fatalities during infancy. Pediatrics. 2019 Sep;144(3):e20192076.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Accidental suffocation or asphyxia
- Nonaccidental trauma or abusive injury, including Munchausen syndrome by proxy
- Respiratory syncytial virus
Mais Diagnósticos diferenciaisDiretrizes
- Sleep-related infant deaths: updated 2022 recommendations for reducing infant deaths in the sleep environment
- Evidence base for 2022 updated recommendations for a safe infant sleeping environment to reduce the risk of sleep-related infant deaths
Mais DiretrizesFolhetos informativos para os pacientes
Sudden infant death syndrome: how can I reduce the risk?
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