SUMMARY OBJECTIVE: This study aimed to suggest a care protocol for foreign-body ingestion, address the clinical aspects, and identify the ingested object, severity, and professional conduct. METHODS: This is a qualitative study. We used books and original articles published in national and international journals (BIREME, SCIELO, LILACS, and MEDLINE/PubMed) in Portuguese, Spanish, and English. RESULTS: The ingestion of a radiolucent object should be evaluated radiographically and with endoscopy for cases with symptoms of impaction and radiolucent objects. Coins are the most commonly involved foreign bodies. In asymptomatic patients, it often requires only a conservative form of management. Ingestion of batteries, magnets, and sharp objects carries a high risk of serious clinical complications and should have an endoscopic or surgical approach. In view of this, each pediatric emergency service, based on these recommendations, has the possibility to develop an individual protocol to identify and remove the ingested foreign body. CONCLUSIONS: Protocol of care for foreign-body ingestion in children depends on the object ingested, time of ingestion, symptoms, and local epidemiological context. This study provides some suggestions for decision-making in the conduct of health professionals.

Resumo Dentre os gêneros de Asteraceae destaca-se Mikania que compreende ca. 450 espécies de distribuição principalmente neotropical. Mikania é considerado monofilético e pode ser facilmente reconhecido pelos capítulos com quatro flores e quatro brácteas involucrais subentendidos por uma bráctea subinvolucral. Este estudo objetivou realizar o levantamento florístico do gênero Mikania no Ceará, nordeste do Brasil. Foram analisadas amostras dos herbários ALCB, EAC, HCDAL, HUEFS, HVASF, IPA, K, P, NY e R, consultadas bibliografias especializadas e imagens disponíveis nas bases SpeciesLink, JSTOR e Herbário Virtual Reflora, além de coletas obtidas atraves de expedições a campo. Para o Ceará foram listadas oito espécies de Mikania, das quais três são novos registros. Mikania biformis é também nova ocorrência para a Região Nordeste. Mikania elliptica e M. ternata foram coletadas em ambientes de mata úmida; a primeira possuía registros apenas para a Bahia e Minas Gerais, em áreas de Caatinga e Cerrado, e a segunda, para a Bahia e regiões Sudeste e Sul do Brasil nos domínios do Cerrado e Mata Atlântica. As demais espécies (M. congesta, M. cordifolia, M. micrantha, M. psilostachya e M. vitifolia) são amplamente distribuídas no Brasil.

Abstract The genus Mikania is comprised of approximately 450 species, most of which, have neotropical distribution. Mikania is a monophyletic genus and can be easily recognized by the capitula with four phyllaries, four florets surrounded by a subinvolucral bract. This study aims to provide an inventory of Mikania in the Ceará state, northeast Brazil. The collections of the herbaria ALCB, EAC, HCDAL, HUEFS, HVASF, IPA, K, NY, P and R; data and images available on the websites SpeciesLink, JSTOR and Virtual Herbarium Reflora and specialized literature were analyzed, besides samples obtained through field expeditions. Mikania is represented in Ceará by eight species, of which three are new records for the state. Mikania biformis is also a new record in the Northeastern region. Mikania elliptica and M. ternata were collected in the rainforest areas. The former, until now was only recorded in the states of Bahia and Minas Gerais, in the Caatinga and Cerrado; while the latter, in Bahia and the South and Southeastern regions of Brazil, in the Cerrado and Mata Atlântica. The other species (M. congesta, M. cordifolia, M. micrantha, M. psilostachya and M. vitifolia) are widely distributed in Brazil.