{"id":1775745,"date":"2026-02-11T15:02:21","date_gmt":"2026-02-11T12:02:21","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1775745"},"modified":"2026-02-11T15:02:21","modified_gmt":"2026-02-11T12:02:21","slug":"dupa-mai-bine-de-un-deceniu-de-criza-pediatria-a-crescut-mare","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1775745","title":{"rendered":"Dup\u0103 mai bine de un deceniu de criz\u0103, Pediatria a crescut mare!"},"content":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeghttps:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg&#8221;]<\/p>\n<div id=\"content\" class=\"site-content container\">\n<div id=\"main-content-row\" class=\"tie-row main-content-row\">\n<div class=\"main-content tie-col-md-8 tie-col-xs-12\" role=\"main\">\n<article id=\"the-post\" class=\"container-wrapper post-content tie-standard\">\n<header class=\"entry-header-outer\">\n<nav id=\"breadcrumb\"><a href=\"https:\/\/infotulcea.ro\/\"> Home<\/a><em class=\"delimiter\">\/<\/em><a href=\"https:\/\/infotulcea.ro\/categorie\/sanatate\/\">S\u0103n\u0103tate<\/a><em class=\"delimiter\">\/<\/em><span class=\"current\">Dup\u0103 mai bine de un deceniu de criz\u0103, Pediatria a crescut mare!<\/span><\/nav>\n<div class=\"entry-header\"><span class=\"post-cat-wrap\"><a class=\"post-cat tie-cat-49\" href=\"https:\/\/infotulcea.ro\/categorie\/sanatate\/\">S\u0103n\u0103tate<\/a><a class=\"post-cat tie-cat-29\" href=\"https:\/\/infotulcea.ro\/categorie\/stirea-zilei\/\">\u015etirea zilei<\/a><\/span><\/p>\n<h1 class=\"post-title entry-title\">\n\t\t\tDup\u0103 mai bine de un deceniu de criz\u0103, Pediatria a crescut mare!\t\t<\/h1>\n<div class=\"single-post-meta post-meta clearfix\"><span class=\"author-meta single-author no-avatars\"><span class=\"meta-item meta-author-wrapper meta-author-9\"><span class=\"meta-author\"><a href=\"https:\/\/infotulcea.ro\/author\/redactia-2\/\" class=\"author-name tie-icon\" title=\"Redactia\">Redactia<\/a><\/span><\/span><\/span><span class=\"date meta-item tie-icon\">11 februarie 2026<\/span><\/p>\n<div class=\"tie-alignright\"><span class=\"meta-comment tie-icon meta-item fa-before\">0<\/span><span class=\"meta-views meta-item \"> 465 <\/span><span class=\"meta-reading-time meta-item\"> 4 minutes read<\/span><\/div>\n<\/div>\n<\/div>\n<\/header>\n<div class=\"entry-content entry clearfix\">\n<p><strong>\u00cen urm\u0103 cu mai bine de un deceniu, Sec\u021bia de Pediatrie a Spitalului Jude\u021bean de Urgen\u021b\u0103 Tulcea era, pentru p\u0103rin\u021bii din jude\u021b, motiv de protest. Campania \u201d<em><a href=\"https:\/\/www.romania-actualitati.ro\/stiri\/romania\/spitalul-din-tulcea-are-nevoie-de-medici-pediatri-id91700.html\">Tulcea vrea Pediatrie!<\/a><\/em>\u201d \u2013 un strig\u0103t de ajutor al unor p\u0103rin\u021bi revolta\u021bi \u2013 a ar\u0103tat \u00een urm\u0103 cu 12 ani c\u00e2t de mic era jude\u021bul Tulcea pe harta S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia. Au fost ani de zile \u00een care aceast\u0103 sec\u021bie s-a \u00eenc\u0103p\u0103\u021b\u00e2nat s\u0103 existe chiar \u0219i cu un singur medic, \u0219i chiar \u0219i atunci c\u00e2nd g\u0103rzile acestuia erau asigurate de la domiciliu, prin telefon, \u00een coordonare cu asistentele medicale. Numai mam\u0103 (sau tat\u0103) s\u0103 nu fii atunci c\u00e2nd drumul la UPU se transforma \u00eentr-un calvar iar dup\u0103 ore de a\u0219teptare, \u021bi se spunea c\u0103 trebuie s\u0103 pleci mai departe, la Constan\u021ba, Gala\u021bi sau Bucure\u0219ti. Apuse \u0219i de trist\u0103 amintire vremuri \u2026<\/strong><\/p>\n<p><b><source sizes=\"(max-width: 1080px) 100vw, 1080px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg.webp 1080w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-768x576.jpeg.webp 768w\" \/><\/b><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-38305 size-full\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg\" alt width=\"1080\" height=\"810\"><\/p>\n<p>Sec\u021bia Pediatrie a Spitalului Jude\u021bean Tulcea func\u021bioneaz\u0103 acum, la \u00eenceput de 2026, cu patru medici pediatri \u2013 <em><strong>Nizami Daniela M\u0103d\u0103lina, Vasile Mihaela, Benga Monica \u0219i Retea Monica<\/strong><\/em> \u2013 \u0219i zece asistente medicale, coordonate de asistenta-\u0219ef\u0103 Gabriela C\u0103put\u0103. Pe sec\u021bie au mai r\u0103mas doar 25 de paturi \u00een contextul \u201d<em>perioadelor de avarie<\/em>\u201d ale sec\u021biei dar \u0219i a sc\u0103derii dramatice a natalit\u0103\u021bii la nivel jude\u021bean, oglinda fidel\u0103 de situa\u021biei de la nivel na\u021bional.<\/p>\n<p><strong>Dr. Daniela M\u0103d\u0103lina Nizami<\/strong> a dus acest r\u0103zboi la un moment dat singur\u0103 \u0219i vede cel mai bine diferen\u021ba \u00eentre ceea ce a fost \u0219i ceea ce este acum Pediatria.<\/p>\n<source sizes=\"(max-width: 500px) 100vw, 500px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-768x576.jpeg.webp 768w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449.jpeg.webp 1080w\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38298 alignleft\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-500x375.jpeg\" alt width=\"500\" height=\"375\">\u201e<em>La \u00eenceputul activit\u0103\u021bii mele la Tulcea eram singurul pediatru de pe sec\u021bie. Acum suntem patru. Se poate spune c\u0103 sec\u021bia Pediatrie este func\u021bional\u0103! Din acest punct de vedere este o schimbare important\u0103! Totu\u0219i, mai sunt destule lucruri ce pot fi \u00eembun\u0103t\u0103\u021bite, are leg\u0103tur\u0103 \u0219i cu linia de gard\u0103 de la UPU, c\u0103 tot a fost subiect de dezbatere \u00een \u0219edin\u021ba Consiliului Jude\u021bean, \u00eens\u0103 acolo s-a spus un jum\u0103tate de adev\u0103r \u0219i nu este corect . \u0218tim ce avem de f\u0103cut, am g\u0103sit solu\u021bii \u0219i \u00eempreun\u0103 cu conducerea spitalului vom face lucrurile s\u0103 mearg\u0103 mai bine<\/em>\u201d<\/p>\n<p>\u00cen prezent, linia de gard\u0103 pe sec\u021bie este asigurat\u0103 de cei patru medici. Pentru UPU, sprijinul vine \u0219i din partea unor medici din Constan\u021ba, cu competen\u021b\u0103 \u00een pediatrie, care efectueaz\u0103 g\u0103rzi la UPU a Spitalului din Tulcea. Nu toate zilele din lun\u0103 sunt acoperite dup\u0103 ora 15.00 cu medici simultan \u0219i pe sec\u021bie, \u0219i la UPU, \u00eens\u0103 situa\u021bia este incomparabil mai bun\u0103 dec\u00e2t \u00een urm\u0103 cu zece ani.\u00a0Desigur, nu ar trebui s\u0103 ne mire normalitatea, dar \u2026<\/p>\n<p><strong>P\u0103rin\u021bii pot s\u0103 \u00ee\u0219i lase copiii \u00een siguran\u021b\u0103 c\u00e2nd medicii recomand\u0103 internarea<\/strong><\/p>\n<p>Paradoxal, \u00een prezent, una dintre provoc\u0103ri nu mai este lipsa personalului, ci reticen\u021ba p\u0103rin\u021bilor fa\u021b\u0103 de internare. Mul\u021bi se prezint\u0103 la UPU cu copiii bolnavi, \u00eens\u0103 atunci c\u00e2nd li se recomand\u0103 internarea, o refuz\u0103, invoc\u00e2nd motive legate de serviciu sau alte responsabilit\u0103\u021bi.\u00a0Medicii atrag aten\u021bia c\u0103 acest comportament poate duce la agravarea st\u0103rii copilului.<\/p>\n<source sizes=\"(max-width: 500px) 100vw, 500px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-768x576.jpeg.webp 768w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451.jpeg.webp 1080w\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38302 alignright\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-500x375.jpeg\" alt width=\"500\" height=\"375\">\u201e<em>Prima gard\u0103 \u00een pediatrie ar trebui s\u0103 fie medicul de familie! La UPU nu se ajunge doar pentru muci \u00een nas, scuza\u021bi expresia! P\u0103rin\u021bii ar trebui s\u0103 primeasc\u0103 acolo, la medicul de familie, care e prima noastr\u0103 linie de gard\u0103, un minim set de instruc\u021biuni clare. Dac\u0103 situa\u021bia este grav\u0103 \u0219i se ajunge la medicul din UPU iar acesta recomand\u0103 internarea, copilul ar trebui l\u0103sat sub supraveghere medical\u0103 c\u00e2t este nevoie. Cu toate acestea avem multe cazuri \u00een care p\u0103rin\u021bii vin la UPU doar pentru tratament.<\/em>\u201d, explic\u0103 dr. Nizami.<\/p>\n<p>Trebuie subliniat faptul c\u0103 intern\u0103rile de mai pu\u021bin de 24 de ore nu sunt decontate de Casa de Asigur\u0103ri de S\u0103n\u0103tate, ceea ce \u00eenseamn\u0103 pierderi pentru spital.\u00a0Dar mai important dec\u00e2t aspectul financiar este riscul medical: un copil c\u0103ruia p\u0103rin\u021bii \u00eei refuz\u0103 internarea sau externat peste doar c\u00e2teva ore, adic\u0103 atunci\u00a0 c\u00e2nd este stabilizat, poate deveni un caz grav!<\/p>\n<p><strong><em>Iar pentru cei care citesc acest articol mesajul medicilor este foarte clar: dac\u0103 este ceva minor, merge\u021bi la medicul de familie, \u00eens\u0103 dac\u0103 este ceva grav, r\u0103m\u00e2ne\u021bi interna\u021bi c\u00e2t recomand\u0103 medicul pediatru!<\/em><\/strong><\/p>\n<p><strong>Pediatria este legat\u0103 ombilical de toate celelalte sec\u021bii ale spitalului<\/strong><\/p>\n<p>Angajarea celor patru medici nu \u00eenseamn\u0103 c\u0103 problemele au disp\u0103rut complet, deoarece \u2013\u00a0 nu o s\u0103 crede\u021bi \u2013 Pediatria depinde \u00een mod direct de alte specialit\u0103\u021bi. F\u0103r\u0103 medic ORL \u00een tot spitalul, nu doar de gard\u0103, internarea unui copil cu afec\u021biuni ORL presupune asumarea unui risc suplimentar pentru fiecare dintre cei patru pediatri. F\u0103r\u0103 chirurg pediatru sau anestezist cu experien\u021b\u0103 \u00een copii mici, anumite cazuri nu pot fi gestionate \u00een siguran\u021b\u0103 \u0219i decizia de transfer la alt spital este singura solu\u021bie! De asemenea, Sec\u021bia de Boli Infec\u021bioase nu are alocate locuri pentru copiii mici, astfel c\u0103 majoritatea infec\u021biilor pediatrice sunt tratate pe Pediatrie, mai ales \u00een sezonul rece. Imagina\u021bi-v\u0103, \u00eentr-o sec\u021bie cu doar \u0219ase saloane \u0219i dou\u0103 rezerve, cum gestionezi o situa\u021bie cu 12-15 copii, to\u021bi cu \u00eenso\u021bitor (mam\u0103 sau tat\u0103), dintre care 6 sau 8 au grip\u0103, ai \u0219i adolescen\u021bi \u0219i m\u0103mici minore cu sugari \u2026<\/p>\n<p><strong>\u201eMiracolul\u201d nu se vede doar la Maternitate<\/strong><\/p>\n<p>Dup\u0103 ce <a href=\"https:\/\/infotulcea.ro\/miracolul-din-maternitatea-tulcea-din-topul-mortalitatii-infantile-la-unul-dintre-cele-sigure-locuri-in-care-sa-nasti-in-romania\/\">maternitatea din Tulcea<\/a> a trecut de la una dintre cele mai ridicate rate ale mortalit\u0103\u021bii infantile la unul dintre cele mai sigure locuri pentru a na\u0219te \u00een Rom\u00e2nia, schimbarea este vizibil\u0103 \u0219i la Pediatrie.\u00a0Copiii au parte acum de \u00eengrijire din partea a patru medici speciali\u0219ti, sprijini\u021bi de colegii care fac g\u0103rzi la UPU \u0219i au competen\u021b\u0103 \u00een pediatrie iar \u00een majoritatea zilelor din lun\u0103 e pediatru la primire \u2013 urgen\u021be la orice or\u0103. Dar poate cel mai mare miracol este acela c\u0103 ambulan\u021bele nu mai pleac\u0103 dec\u00e2t foarte rar spre spitalele din jude\u021bele limitrofe, Constan\u021ba \u0219i Gala\u021bi, sau poate chiar Bucure\u0219ti cu copii de la Tulcea \u0219i doar atunci c\u00e2nd acele cazuri dep\u0103\u0219esc\u00a0 competen\u021ba spitalului jude\u021bean de la Tulcea.\u00a0 Iar aceasta este, poate, una dintre cele mai importante schimb\u0103ri ale ultimului deceniu\u2026<\/p>\n<\/div>\n<div id=\"post-extra-info\">\n<div class=\"theiaStickySidebar\">\n<div class=\"single-post-meta post-meta clearfix\"><span class=\"author-meta single-author no-avatars\"><span class=\"meta-item meta-author-wrapper meta-author-9\"><span class=\"meta-author\"><a href=\"https:\/\/infotulcea.ro\/author\/redactia-2\/\" class=\"author-name tie-icon\" title=\"Redactia\">Redactia<\/a><\/span><\/span><\/span><span class=\"date meta-item tie-icon\">11 februarie 2026<\/span><\/p>\n<div class=\"tie-alignright\"><span 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Contre \u00eentre candida\u0163ii PSD \u015fi PNL pe tema marilor investi\u0163ii POD \u015fi FALEZ\u0102\" href=\"https:\/\/infotulcea.ro\/a-inceput-contre-intre-candidatii-psd-si-pnl-pe-tema-marilor-investitii-pod-si-faleza\/\" class=\"post-thumb\"><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"220\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2020\/11\/pneleul-390x220.jpeg\" class=\"attachment-jannah-image-large size-jannah-image-large wp-post-image lazyload\" alt><img loading=\"lazy\" decoding=\"async\" width=\"390\" height=\"220\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2020\/11\/pneleul-390x220.jpeg\" class=\"attachment-jannah-image-large size-jannah-image-large wp-post-image\" alt><\/a><\/p>\n<h3 class=\"post-title\"><a href=\"https:\/\/infotulcea.ro\/a-inceput-contre-intre-candidatii-psd-si-pnl-pe-tema-marilor-investitii-pod-si-faleza\/\">A \u00eenceput! 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src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2025\/04\/banner-angajazate-1-500x305.jpg\" class=\"image wp-image-34317  attachment-medium size-medium\" alt><\/a><\/div>\n<\/div>\n<\/aside>\n<\/div>\n<\/div>\n<div class=\"entry-content entry clearfix\">\n<p><strong>\u00cen urm\u0103 cu mai bine de un deceniu, Sec\u021bia de Pediatrie a Spitalului Jude\u021bean de Urgen\u021b\u0103 Tulcea era, pentru p\u0103rin\u021bii din jude\u021b, motiv de protest. Campania \u201d<em><a href=\"https:\/\/www.romania-actualitati.ro\/stiri\/romania\/spitalul-din-tulcea-are-nevoie-de-medici-pediatri-id91700.html\">Tulcea vrea Pediatrie!<\/a><\/em>\u201d \u2013 un strig\u0103t de ajutor al unor p\u0103rin\u021bi revolta\u021bi \u2013 a ar\u0103tat \u00een urm\u0103 cu 12 ani c\u00e2t de mic era jude\u021bul Tulcea pe harta S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia. Au fost ani de zile \u00een care aceast\u0103 sec\u021bie s-a \u00eenc\u0103p\u0103\u021b\u00e2nat s\u0103 existe chiar \u0219i cu un singur medic, \u0219i chiar \u0219i atunci c\u00e2nd g\u0103rzile acestuia erau asigurate de la domiciliu, prin telefon, \u00een coordonare cu asistentele medicale. Numai mam\u0103 (sau tat\u0103) s\u0103 nu fii atunci c\u00e2nd drumul la UPU se transforma \u00eentr-un calvar iar dup\u0103 ore de a\u0219teptare, \u021bi se spunea c\u0103 trebuie s\u0103 pleci mai departe, la Constan\u021ba, Gala\u021bi sau Bucure\u0219ti. Apuse \u0219i de trist\u0103 amintire vremuri \u2026<\/strong><\/p>\n<p><b><source sizes=\"(max-width: 1080px) 100vw, 1080px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg.webp 1080w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455-768x576.jpeg.webp 768w\" \/><\/b><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-38305 size-full\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg\" alt width=\"1080\" height=\"810\"><\/p>\n<p>Sec\u021bia Pediatrie a Spitalului Jude\u021bean Tulcea func\u021bioneaz\u0103 acum, la \u00eenceput de 2026, cu patru medici pediatri \u2013 <em><strong>Nizami Daniela M\u0103d\u0103lina, Vasile Mihaela, Benga Monica \u0219i Retea Monica<\/strong><\/em> \u2013 \u0219i zece asistente medicale, coordonate de asistenta-\u0219ef\u0103 Gabriela C\u0103put\u0103. Pe sec\u021bie au mai r\u0103mas doar 25 de paturi \u00een contextul \u201d<em>perioadelor de avarie<\/em>\u201d ale sec\u021biei dar \u0219i a sc\u0103derii dramatice a natalit\u0103\u021bii la nivel jude\u021bean, oglinda fidel\u0103 de situa\u021biei de la nivel na\u021bional.<\/p>\n<p><strong>Dr. Daniela M\u0103d\u0103lina Nizami<\/strong> a dus acest r\u0103zboi la un moment dat singur\u0103 \u0219i vede cel mai bine diferen\u021ba \u00eentre ceea ce a fost \u0219i ceea ce este acum Pediatria.<\/p>\n<source sizes=\"(max-width: 500px) 100vw, 500px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-768x576.jpeg.webp 768w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449.jpeg.webp 1080w\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38298 alignleft\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3449-500x375.jpeg\" alt width=\"500\" height=\"375\">\u201e<em>La \u00eenceputul activit\u0103\u021bii mele la Tulcea eram singurul pediatru de pe sec\u021bie. Acum suntem patru. Se poate spune c\u0103 sec\u021bia Pediatrie este func\u021bional\u0103! Din acest punct de vedere este o schimbare important\u0103! Totu\u0219i, mai sunt destule lucruri ce pot fi \u00eembun\u0103t\u0103\u021bite, are leg\u0103tur\u0103 \u0219i cu linia de gard\u0103 de la UPU, c\u0103 tot a fost subiect de dezbatere \u00een \u0219edin\u021ba Consiliului Jude\u021bean, \u00eens\u0103 acolo s-a spus un jum\u0103tate de adev\u0103r \u0219i nu este corect . \u0218tim ce avem de f\u0103cut, am g\u0103sit solu\u021bii \u0219i \u00eempreun\u0103 cu conducerea spitalului vom face lucrurile s\u0103 mearg\u0103 mai bine<\/em>\u201d<\/p>\n<p>\u00cen prezent, linia de gard\u0103 pe sec\u021bie este asigurat\u0103 de cei patru medici. Pentru UPU, sprijinul vine \u0219i din partea unor medici din Constan\u021ba, cu competen\u021b\u0103 \u00een pediatrie, care efectueaz\u0103 g\u0103rzi la UPU a Spitalului din Tulcea. Nu toate zilele din lun\u0103 sunt acoperite dup\u0103 ora 15.00 cu medici simultan \u0219i pe sec\u021bie, \u0219i la UPU, \u00eens\u0103 situa\u021bia este incomparabil mai bun\u0103 dec\u00e2t \u00een urm\u0103 cu zece ani.\u00a0Desigur, nu ar trebui s\u0103 ne mire normalitatea, dar \u2026<\/p>\n<p><strong>P\u0103rin\u021bii pot s\u0103 \u00ee\u0219i lase copiii \u00een siguran\u021b\u0103 c\u00e2nd medicii recomand\u0103 internarea<\/strong><\/p>\n<p>Paradoxal, \u00een prezent, una dintre provoc\u0103ri nu mai este lipsa personalului, ci reticen\u021ba p\u0103rin\u021bilor fa\u021b\u0103 de internare. Mul\u021bi se prezint\u0103 la UPU cu copiii bolnavi, \u00eens\u0103 atunci c\u00e2nd li se recomand\u0103 internarea, o refuz\u0103, invoc\u00e2nd motive legate de serviciu sau alte responsabilit\u0103\u021bi.\u00a0Medicii atrag aten\u021bia c\u0103 acest comportament poate duce la agravarea st\u0103rii copilului.<\/p>\n<source sizes=\"(max-width: 500px) 100vw, 500px\" type=\"image\/webp\" data-srcset=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-500x375.jpeg.webp 500w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-1024x768.jpeg.webp 1024w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-768x576.jpeg.webp 768w, https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451.jpeg.webp 1080w\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-38302 alignright\" src=\"https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3451-500x375.jpeg\" alt width=\"500\" height=\"375\">\u201e<em>Prima gard\u0103 \u00een pediatrie ar trebui s\u0103 fie medicul de familie! La UPU nu se ajunge doar pentru muci \u00een nas, scuza\u021bi expresia! P\u0103rin\u021bii ar trebui s\u0103 primeasc\u0103 acolo, la medicul de familie, care e prima noastr\u0103 linie de gard\u0103, un minim set de instruc\u021biuni clare. Dac\u0103 situa\u021bia este grav\u0103 \u0219i se ajunge la medicul din UPU iar acesta recomand\u0103 internarea, copilul ar trebui l\u0103sat sub supraveghere medical\u0103 c\u00e2t este nevoie. Cu toate acestea avem multe cazuri \u00een care p\u0103rin\u021bii vin la UPU doar pentru tratament.<\/em>\u201d, explic\u0103 dr. Nizami.<\/p>\n<p>Trebuie subliniat faptul c\u0103 intern\u0103rile de mai pu\u021bin de 24 de ore nu sunt decontate de Casa de Asigur\u0103ri de S\u0103n\u0103tate, ceea ce \u00eenseamn\u0103 pierderi pentru spital.\u00a0Dar mai important dec\u00e2t aspectul financiar este riscul medical: un copil c\u0103ruia p\u0103rin\u021bii \u00eei refuz\u0103 internarea sau externat peste doar c\u00e2teva ore, adic\u0103 atunci\u00a0 c\u00e2nd este stabilizat, poate deveni un caz grav!<\/p>\n<p><strong><em>Iar pentru cei care citesc acest articol mesajul medicilor este foarte clar: dac\u0103 este ceva minor, merge\u021bi la medicul de familie, \u00eens\u0103 dac\u0103 este ceva grav, r\u0103m\u00e2ne\u021bi interna\u021bi c\u00e2t recomand\u0103 medicul pediatru!<\/em><\/strong><\/p>\n<p><strong>Pediatria este legat\u0103 ombilical de toate celelalte sec\u021bii ale spitalului<\/strong><\/p>\n<p>Angajarea celor patru medici nu \u00eenseamn\u0103 c\u0103 problemele au disp\u0103rut complet, deoarece \u2013\u00a0 nu o s\u0103 crede\u021bi \u2013 Pediatria depinde \u00een mod direct de alte specialit\u0103\u021bi. F\u0103r\u0103 medic ORL \u00een tot spitalul, nu doar de gard\u0103, internarea unui copil cu afec\u021biuni ORL presupune asumarea unui risc suplimentar pentru fiecare dintre cei patru pediatri. F\u0103r\u0103 chirurg pediatru sau anestezist cu experien\u021b\u0103 \u00een copii mici, anumite cazuri nu pot fi gestionate \u00een siguran\u021b\u0103 \u0219i decizia de transfer la alt spital este singura solu\u021bie! De asemenea, Sec\u021bia de Boli Infec\u021bioase nu are alocate locuri pentru copiii mici, astfel c\u0103 majoritatea infec\u021biilor pediatrice sunt tratate pe Pediatrie, mai ales \u00een sezonul rece. Imagina\u021bi-v\u0103, \u00eentr-o sec\u021bie cu doar \u0219ase saloane \u0219i dou\u0103 rezerve, cum gestionezi o situa\u021bie cu 12-15 copii, to\u021bi cu \u00eenso\u021bitor (mam\u0103 sau tat\u0103), dintre care 6 sau 8 au grip\u0103, ai \u0219i adolescen\u021bi \u0219i m\u0103mici minore cu sugari \u2026<\/p>\n<p><strong>\u201eMiracolul\u201d nu se vede doar la Maternitate<\/strong><\/p>\n<p>Dup\u0103 ce <a href=\"https:\/\/infotulcea.ro\/miracolul-din-maternitatea-tulcea-din-topul-mortalitatii-infantile-la-unul-dintre-cele-sigure-locuri-in-care-sa-nasti-in-romania\/\">maternitatea din Tulcea<\/a> a trecut de la una dintre cele mai ridicate rate ale mortalit\u0103\u021bii infantile la unul dintre cele mai sigure locuri pentru a na\u0219te \u00een Rom\u00e2nia, schimbarea este vizibil\u0103 \u0219i la Pediatrie.\u00a0Copiii au parte acum de \u00eengrijire din partea a patru medici speciali\u0219ti, sprijini\u021bi de colegii care fac g\u0103rzi la UPU \u0219i au competen\u021b\u0103 \u00een pediatrie iar \u00een majoritatea zilelor din lun\u0103 e pediatru la primire \u2013 urgen\u021be la orice or\u0103. Dar poate cel mai mare miracol este acela c\u0103 ambulan\u021bele nu mai pleac\u0103 dec\u00e2t foarte rar spre spitalele din jude\u021bele limitrofe, Constan\u021ba \u0219i Gala\u021bi, sau poate chiar Bucure\u0219ti cu copii de la Tulcea \u0219i doar atunci c\u00e2nd acele cazuri dep\u0103\u0219esc\u00a0 competen\u021ba spitalului jude\u021bean de la Tulcea.\u00a0 Iar aceasta este, poate, una dintre cele mai importante schimb\u0103ri ale ultimului deceniu\u2026<\/p>\n<\/div>\n<div class=\"articleBody\" data-key=\"articleBody\">\u00cen urm\u0103 cu mai bine de un deceniu, Sec\u021bia de Pediatrie a Spitalului Jude\u021bean de Urgen\u021b\u0103 Tulcea era, pentru p\u0103rin\u021bii din jude\u021b, motiv de protest. Campania \u201dTulcea vrea Pediatrie!\u201d &#8211; un strig\u0103t de ajutor al unor p\u0103rin\u021bi revolta\u021bi &#8211; a ar\u0103tat \u00een urm\u0103 cu 12 ani c\u00e2t de mic era jude\u021bul Tulcea pe harta S\u0103n\u0103t\u0103\u021bii din Rom\u00e2nia. Au fost ani de zile \u00een care aceast\u0103 sec\u021bie s-a \u00eenc\u0103p\u0103\u021b\u00e2nat s\u0103 existe chiar \u0219i cu un singur medic, \u0219i chiar \u0219i atunci c\u00e2nd g\u0103rzile acestuia erau asigurate de la domiciliu, prin telefon, \u00een coordonare cu asistentele medicale. Numai mam\u0103 (sau tat\u0103) s\u0103 nu fii atunci c\u00e2nd drumul la UPU se transforma \u00eentr-un calvar iar dup\u0103 ore de a\u0219teptare, \u021bi se spunea c\u0103 trebuie s\u0103 pleci mai departe, la Constan\u021ba, Gala\u021bi sau Bucure\u0219ti. Apuse \u0219i de trist\u0103 amintire vremuri &#8230;<\/p>\n<p>Sec\u021bia Pediatrie a Spitalului Jude\u021bean Tulcea func\u021bioneaz\u0103 acum, la \u00eenceput de 2026, cu patru medici pediatri \u2013 Nizami Daniela M\u0103d\u0103lina, Vasile Mihaela, Benga Monica \u0219i Retea Monica \u2013 \u0219i zece asistente medicale, coordonate de asistenta-\u0219ef\u0103 Gabriela C\u0103put\u0103. Pe sec\u021bie au mai r\u0103mas doar 25 de paturi \u00een contextul \u201dperioadelor de avarie\u201d ale sec\u021biei dar \u0219i a sc\u0103derii dramatice a natalit\u0103\u021bii la nivel jude\u021bean, oglinda fidel\u0103 de situa\u021biei de la nivel na\u021bional.<\/p>\n<p>Dr. Daniela M\u0103d\u0103lina Nizami a dus acest r\u0103zboi la un moment dat singur\u0103 \u0219i vede cel mai bine diferen\u021ba \u00eentre ceea ce a fost \u0219i ceea ce este acum Pediatria.<\/p>\n<p>\u201eLa \u00eenceputul activit\u0103\u021bii mele la Tulcea eram singurul pediatru de pe sec\u021bie. Acum suntem patru. Se poate spune c\u0103 sec\u021bia Pediatrie este func\u021bional\u0103! Din acest punct de vedere este o schimbare important\u0103! Totu\u0219i, mai sunt destule lucruri ce pot fi \u00eembun\u0103t\u0103\u021bite, are leg\u0103tur\u0103 \u0219i cu linia de gard\u0103 de la UPU, c\u0103 tot a fost subiect de dezbatere \u00een \u0219edin\u021ba Consiliului Jude\u021bean, \u00eens\u0103 acolo s-a spus un jum\u0103tate de adev\u0103r \u0219i nu este corect . \u0218tim ce avem de f\u0103cut, am g\u0103sit solu\u021bii \u0219i \u00eempreun\u0103 cu conducerea spitalului vom face lucrurile s\u0103 mearg\u0103 mai bine\u201d<\/p>\n<p>\u00cen prezent, linia de gard\u0103 pe sec\u021bie este asigurat\u0103 de cei patru medici. Pentru UPU, sprijinul vine \u0219i din partea unor medici din Constan\u021ba, cu competen\u021b\u0103 \u00een pediatrie, care efectueaz\u0103 g\u0103rzi la UPU a Spitalului din Tulcea. Nu toate zilele din lun\u0103 sunt acoperite dup\u0103 ora 15.00 cu medici simultan \u0219i pe sec\u021bie, \u0219i la UPU, \u00eens\u0103 situa\u021bia este incomparabil mai bun\u0103 dec\u00e2t \u00een urm\u0103 cu zece ani.\u00a0Desigur, nu ar trebui s\u0103 ne mire normalitatea, dar &#8230;<\/p>\n<p>P\u0103rin\u021bii pot s\u0103 \u00ee\u0219i lase copiii \u00een siguran\u021b\u0103 c\u00e2nd medicii recomand\u0103 internarea<\/p>\n<p>Paradoxal, \u00een prezent, una dintre provoc\u0103ri nu mai este lipsa personalului, ci reticen\u021ba p\u0103rin\u021bilor fa\u021b\u0103 de internare. Mul\u021bi se prezint\u0103 la UPU cu copiii bolnavi, \u00eens\u0103 atunci c\u00e2nd li se recomand\u0103 internarea, o refuz\u0103, invoc\u00e2nd motive legate de serviciu sau alte responsabilit\u0103\u021bi.\u00a0Medicii atrag aten\u021bia c\u0103 acest comportament poate duce la agravarea st\u0103rii copilului.<\/p>\n<p>\u201ePrima gard\u0103 \u00een pediatrie ar trebui s\u0103 fie medicul de familie! La UPU nu se ajunge doar pentru muci \u00een nas, scuza\u021bi expresia! P\u0103rin\u021bii ar trebui s\u0103 primeasc\u0103 acolo, la medicul de familie, care e prima noastr\u0103 linie de gard\u0103, un minim set de instruc\u021biuni clare. Dac\u0103 situa\u021bia este grav\u0103 \u0219i se ajunge la medicul din UPU iar acesta recomand\u0103 internarea, copilul ar trebui l\u0103sat sub supraveghere medical\u0103 c\u00e2t este nevoie. Cu toate acestea avem multe cazuri \u00een care p\u0103rin\u021bii vin la UPU doar pentru tratament.\u201d, explic\u0103 dr. Nizami.<\/p>\n<p>Trebuie subliniat faptul c\u0103 intern\u0103rile de mai pu\u021bin de 24 de ore nu sunt decontate de Casa de Asigur\u0103ri de S\u0103n\u0103tate, ceea ce \u00eenseamn\u0103 pierderi pentru spital.\u00a0Dar mai important dec\u00e2t aspectul financiar este riscul medical: un copil c\u0103ruia p\u0103rin\u021bii \u00eei refuz\u0103 internarea sau externat peste doar c\u00e2teva ore, adic\u0103 atunci\u00a0 c\u00e2nd este stabilizat, poate deveni un caz grav!<\/p>\n<p>Iar pentru cei care citesc acest articol mesajul medicilor este foarte clar: dac\u0103 este ceva minor, merge\u021bi la medicul de familie, \u00eens\u0103 dac\u0103 este ceva grav, r\u0103m\u00e2ne\u021bi interna\u021bi c\u00e2t recomand\u0103 medicul pediatru!<\/p>\n<p>Pediatria este legat\u0103 ombilical de toate celelalte sec\u021bii ale spitalului<\/p>\n<p>Angajarea celor patru medici nu \u00eenseamn\u0103 c\u0103 problemele au disp\u0103rut complet, deoarece &#8211;\u00a0 nu o s\u0103 crede\u021bi &#8211; Pediatria depinde \u00een mod direct de alte specialit\u0103\u021bi. F\u0103r\u0103 medic ORL \u00een tot spitalul, nu doar de gard\u0103, internarea unui copil cu afec\u021biuni ORL presupune asumarea unui risc suplimentar pentru fiecare dintre cei patru pediatri. F\u0103r\u0103 chirurg pediatru sau anestezist cu experien\u021b\u0103 \u00een copii mici, anumite cazuri nu pot fi gestionate \u00een siguran\u021b\u0103 \u0219i decizia de transfer la alt spital este singura solu\u021bie! De asemenea, Sec\u021bia de Boli Infec\u021bioase nu are alocate locuri pentru copiii mici, astfel c\u0103 majoritatea infec\u021biilor pediatrice sunt tratate pe Pediatrie, mai ales \u00een sezonul rece. Imagina\u021bi-v\u0103, \u00eentr-o sec\u021bie cu doar \u0219ase saloane \u0219i dou\u0103 rezerve, cum gestionezi o situa\u021bie cu 12-15 copii, to\u021bi cu \u00eenso\u021bitor (mam\u0103 sau tat\u0103), dintre care 6 sau 8 au grip\u0103, ai \u0219i adolescen\u021bi \u0219i m\u0103mici minore cu sugari &#8230;<\/p>\n<p>\u201eMiracolul\u201d nu se vede doar la Maternitate<\/p>\n<p>Dup\u0103 ce maternitatea din Tulcea a trecut de la una dintre cele mai ridicate rate ale mortalit\u0103\u021bii infantile la unul dintre cele mai sigure locuri pentru a na\u0219te \u00een Rom\u00e2nia, schimbarea este vizibil\u0103 \u0219i la Pediatrie.\u00a0Copiii au parte acum de \u00eengrijire din partea a patru medici speciali\u0219ti, sprijini\u021bi de colegii care fac g\u0103rzi la UPU \u0219i au competen\u021b\u0103 \u00een pediatrie iar \u00een majoritatea zilelor din lun\u0103 e pediatru la primire &#8211; urgen\u021be la orice or\u0103. Dar poate cel mai mare miracol este acela c\u0103 ambulan\u021bele nu mai pleac\u0103 dec\u00e2t foarte rar spre spitalele din jude\u021bele limitrofe, Constan\u021ba \u0219i Gala\u021bi, sau poate chiar Bucure\u0219ti cu copii de la Tulcea \u0219i doar atunci c\u00e2nd acele cazuri dep\u0103\u0219esc\u00a0 competen\u021ba spitalului jude\u021bean de la Tulcea.\u00a0 Iar aceasta este, poate, una dintre cele mai importante schimb\u0103ri ale ultimului deceniu&#8230;<\/p><\/div>\n<p>[analyse_source url=&#8221;https:\/\/infotulcea.ro\/dupa-mai-bine-de-un-deceniu-de-criza-pediatria-a-crescut-mare\/&#8221;]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeghttps:\/\/infotulcea.ro\/wp-content\/uploads\/2026\/02\/IMG_3455.jpeg&#8221;] Home\/S\u0103n\u0103tate\/Dup\u0103 mai bine de un deceniu de criz\u0103, Pediatria a crescut mare! S\u0103n\u0103tate\u015etirea zilei Dup\u0103 mai bine de un deceniu de criz\u0103, Pediatria a crescut mare! Redactia11 februarie 2026 0 465 4 minutes read \u00cen urm\u0103 cu mai bine de un deceniu, Sec\u021bia de Pediatrie a Spitalului Jude\u021bean de Urgen\u021b\u0103 Tulcea era, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[226,221],"class_list":["post-1775745","post","type-post","status-publish","format-standard","hentry","category-romania","tag-crawlmanager","tag-infotulcea-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1775745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1775745"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1775745\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1775745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1775745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1775745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}