Introduction: The evaluation and treatment of pain in hospitalized is still an important health problem. Objective: To know the prevalence, characteristics and approaches to pain management in children and adolescents hospitalized in the Pediatric Hospital of the Pereira Rossell Center (HP-CH-PR), a pediatric reference center in Uruguay. Patients and Method: Cross-sectional study, through survey and review of clinical records on 09/13/16. All hospitalized children under the age of 19 were included. Variables: age, gender, reason for admission, presence of cognitive disorder, the prevalence of pain at some time during hospitalization, in the last 24 hours and during the interview, cause of maximum pain, intensity, pharmacological and non-pharmacological treatment. Results: 97.4% (152/156) hospitalized children were included. Pain prevalence at some point during hospitalization: 51.3% (78/152, 95% CI: 43.2-59.3); in the previous 24 hours: 39.5% (60/152, 95% CI: 31.7-47.2); during the interview: 15.8% (24/152, 95% CI: 10-21.5). Intensity: mild 13/24, moderate-severe 11/24. Maximum pain referred during hospitalization: needle punctures 48.5% (38/78). They had some analgesic prescription 47.3% of them had some analgesic prescription. Inadequate interdose interval: 45.8%; adequate dose 98.9%; intravenous administration: 43.7%; contraindication to oral route: 40.5%. Conclusions: Regarding children and adolescents hospitalized, 39.5% reported pain 24 hours before being the interviewed and 15.8% reported pain during the interview. The maximum pain reported during hospitalization was due to needle punctures. Children in pain with inappropriate analgesic prescriptions are still detected.

En un internado indígenade San Rafaeldel Caraparaná, en la región amazónicacolomblana, se lleva a cabo un programa de control de la hepatitis fulminante por intermedio del Instituto Nacional de Salud (INS) y el Servicio de Salud del Amazonas.Se apllcó una encuesta de riesgo a 198 niños en edades comprendidas entre 8 y 15 años, quienes mostraban una prevalencia de infección del 61 %. Los factores de riesgo ligados a la infección por VHB en nuestro estudio fueron: contacto con un familiar ictérico (OR=3.1) y antecedente familiar de piodermitis (OR=2 22).Nuestros hallazgos ampllan los conocimientos sobre mecanismos de transmisión del virus de la hepatitis B en Colombia.

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