Tratamento da cólica infantil – uma revisão baseada na evidência

Abstract

TREATMENT OF INFANTILE COLIC: AN EVIDENCE-BASED REVIEWObjectives: The aim is to review the effectiveness of therapeutic interventions in infantile colic, since it is a frequent reason for consultation, its treatment is challenging, and it is a source of frustration for parents and health care professionals. Data sources: National Guideline Clearinghouse, Canadian Medical Association Practice Guidelines Infobase, NICE, Cochrane, DARE, Bandolier and MEDLINE. Methods of review:We searched for meta-analysis (MA), systematic reviews (SR), randomised controlled trials (RCT), clinical guidelines, and other original studies published in Portuguese, English and Spanish between January 2006 and October 2016, using the MeSH term 'infantile colic'. The Jadad Scale was used to assess the quality of clinical trials and the Strength of Recommendation Taxonomy Scale (SORT) for assigning the level of evidence and strength of recommendation. Results: Of the 185 articles obtained, 17 met the inclusion criteria (four MA, seven SR, three RCT and three guidelines). Almost all articles evaluated crying time as the primary outcome. Hydrolysed formulas have demonstrated efficacy, but should not be used indiscriminately. The evidence is more consistent about the use of probiotics (L. reuteri DSM 17938), which showed a reduction in the daily mean crying time, either in preventive or therapeutic regimen. Simethicone, that is frequently used, did not show benefits. In complementary therapies, there is some evidence in favor of the use of fennel-based herbal medicine. Conclusions: There are some strategies that seem to present benefit in the treatment of infantile colic, however the evidence is poor and inconsistent. Further studies with larger samples and standardised diagnostic criteria are needed. Since it is a selflimiting process, in the absence of robust evidence on the effectiveness of treatments, expectant management may be a strategy to consider.

Repercussões das boas práticas neonatais a partir do perfil assistencial ao parto

“…Como forma de alívio da dor podem ser empregados diversos tipos de métodos não farmacológicos. O uso medicamentoso ainda não conta com evidência científica que justifique seu uso como forma de tratamento (Moreira, 2019).…”

Orientações de enfermagem no cuidado ao lactente com choro excessivo: revisão integrativa

“…Causas psicossociais, como tensão familiar, ansiedade parental ou interação inadequada também são veementemente defendidas (MOREIRA AC, et al, 2019). Atrelado ao fato dos cuidadores muitas vezes não saberem lidar com a situação, têm-se os riscos para a depressão materna, estresse parental e prejuízos ao neonato a curto, médio e a longo prazo, como distúrbios do sono, problemas no relacionamento familiar, e até mesmo distúrbios psicológicos em vidas futuras de bebês com cólica como perturbações do sono, as capacidades de processamento sensorial, falta de concentração, hiperatividade e birras (HOLM LV, et al, 2018).…”