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Síndrome da morte súbita infantil

Última revisão: 22 Sep 2025
Última atualização: 19 May 2023

Resumo

Definição

Анамнез и осмотр

Ключевые диагностические факторы

  • presença de fatores de risco
Полная информация

Другие диагностические факторы

  • ausência de doença metabólica
  • ausência de irritabilidade, letargia
  • ausência de febre, tosse ou congestão nasal
  • ausência de trauma
Полная информация

Факторы риска

  • posição de lado, de bruços ou inclinado no último sono
  • compartilhar o leito/dormir com o bebê
  • ambiente/superfície macia para dormir
  • tabagismo materno
  • aumento do número de fumantes na residência
  • fumar no mesmo quarto em que a criança dorme
  • alimentação com fórmula
  • não uso de chupeta
  • nascimento prematuro
  • uso/abuso materno de substâncias
  • família monoparental
  • idade materna mais baixa
  • baixo nível de cuidados pré-natais
  • baixo nível educacional materno
  • condição socioeconômica baixa
  • ausência de vacinação
Полная информация

Диагностические исследования

Исследования, проведение которых нужно рассмотреть

  • hemocultura
  • cultura do líquido cefalorraquidiano
  • urocultura
  • bioquímica sérica
  • bioquímica da urina
  • registro fotográfico
  • radiografia do esqueleto
  • patologia anatômica
  • exame bioquímico (humor vítreo)
  • biópsia muscular
Полная информация

Алгоритм лечения

Острый

cuidadores e família

Составители

Авторы

Rachel Y. Moon, MD, FAAP

Professor of Pediatrics

University of Virginia School of Medicine

Charlottesville

VA

Раскрытие информации

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).

Выражение благодарностей

Dr Rachel Y. Moon would like to gratefully acknowledge Dr John W. Berkenbosch, a previous contributor to this topic.

Раскрытие информации

JWB declares that he has no competing interests.

Рецензенты

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

Раскрытие информации

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

Раскрытие информации

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.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

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.Полный текст  Аннотация

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.Полный текст  Аннотация

The Lullaby Trust. Evidence base. Mar 2019 [internet publication].Полный текст

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.Полный текст  Аннотация

UNICEF UK. The Baby Friendly Initiative.​ Полный текст

Palusci VJ, Council on Child Abuse and Neglect, Kay AJ, et al. Identifying Child Abuse Fatalities During Infancy. Pediatrics. 2019 Sep;144(3):.Полный текст  Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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