2021, Number 279
Antimicrobial therapy for community-acquired pneumonia at ''Lucía Íñiguez Landín'' Surgical Clinical Hospital
Language: Spanish
References: 17
Page: 1-6
PDF size: 205.18 Kb.
ABSTRACT
Introduction: the mental disorders represent 11% of all the illnesses in the world, if measures are not adopted, this proportion will rise to 14% in 2020. Objective: to describe clinical and demographically the schizophrenia in psychiatry service’ patient. Material and Method: it was carried out an observational, descriptive and cross sectional study, in psychiatry service’ patient of the Hospital “Comandante Pinares", San Cristobal, Artemisa, during 2019. Universe: 79 patients, being worked with the entirety of the cases. The study of the clinical histories allowed the obtaining of the information that gave exit to the studied variables. They were used for their presentation methods of descriptive statistic. The medical ethics was respected. Results: the patients prevailed between 25 and 34 years of age (30,4%), half age 37,4 years old, standard deviation of 12,2; and masculine (51,9%). The main clinical manifestations were disintegration of the thought (91,3%) and disorganized behavior (84,8%). The paranoid form (59,5%) was the most representative. The main used neuroleptic was the haloperidol (72,2 %) and the trifluorperacine (48,1%). 55,7% had a fairly favorable clinical evolution. Conclusions: the patients between 25 and 34 years of age and masculine are prone to make sick of paranoid schizophrenia presenting as cardinal symptoms the disintegration of the thought and the disorganized behavior. The treatment with neuroleptics like haloperidol and trifluorperacine allows that the same ones have fairly favorable evolution.REFERENCES
Menéndez R, Cilloniz C, España PP, Almirall J, Uranga A, Menéndez R, et. al. Neumonía adquirida en la comunidad. Normativa de la Sociedad Española de Neumología y Cirugía Torácia (SEPAR). Actualización 2020. Arco Bronconeumol [Internet]. 2020 marzo [Citado 13 julio 2020]; 56(S1): 1-10 [Aprox. 10 p.]. Disponible en: https://doi. org/10.1016/j.arbres.2020.01.014
Adrie C, Schwebel C, Garrouste- Orgeas M, Vignoud L, Planquette B, Azoulay E, et. al. Uso inicial de uno o dos antibióticos para pacientes críticos con neumonía adquirida en la comunidad: impacto en la supervivencia y la resistencia bacteriana. Critical Care [Internet]. 2013 noviembre [Citado 13 julio 2020]; 17(R265) [Aprox. 12 p.]. Disponible en: http://ccforum.com/ content/17/6/R265
Peyrani P, Mandell L, Torres A, Tillotson GS. La carga de la neumonía bacteriana adquirida en la comunidad en la era de la resistencia a los antibióticos. Expert Review of Respiratory Medicine. [Internet]. 2018 [Citado 13 julio 2020]; 13(2): 139-152 [Aprox. 13 p.]. Disponible en: https://doi.org/10.1080/17476 348.2019.1562339
Martínez Sagasti F, González Gallego MA, Moneo González A. Monoterapia vs. terapia combinada en el tratamiento de las infecciones por bacterias gramnegativas multirresistentes. Rev Esp Quimioter [Internet]. 2016 [Citado 13 julio 2020]; 29(1): 43-46 [Aprox. 3 p.]. Disponible en: https://pesquisa. bvsalud.org/portal/resource/pt/ ibc-155920
Saldías F, Díaz O. Evaluación y manejo de la neumonía del adulto adquirida en la comunidad. Rev Med Clin Condes. [Internet]. 2014 [Citado 13 julio 2020]; 25(3): 553- 564 [Aprox. 11 p.]. Disponible en: https://www.clinicalascondes. cl/Dev_CLC/media/Imagenes/ PDF%20revista%20m%C3%A9dica/ 2014/3%20abril/17-Dr.Saldias. pdf
Almirall J, Bolibar I, Vidal J, Sauca G, Coll P, Niklasson B, et al. Epidemiology of community-acquired pneumonia in adults: a population- based study. Eur Respir J [Internet]. 2000 [Citado 13 julio 2020]; 15(4): 757-763 [Aprox. 6 p.]. Disponible en: https://doi.org/10.1034/ j.1399-3003.2000.15d21.x
Garnacho-Montero J, Barrero- García I, Gómez-Prieto MG, Martín- Loeches I. Neumonía severa adquirida en la comunidad: manejo actual y alternativas terapéuticas futuras. Expert Review of Anti-infective Therapy [Internet]. 2018 [Citado 13 julio 2020]; 16(9): 667- 677 [Aprox. 10 p.]. Disponible en: https://doi.org/10.1080/14787210 .2018.1512403
Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, et. al. Diagnóstico y tratamiento de adultos con neumonía adquirida en la comunidad. Guía oficial de práctica clínica de la American Thoracic Society and Infectios Diseases Sosiety of America. Am J Respir Crit Care Med [Internet] 2019 octubre [Citado 13 julio 2020]; 200(7): e45-67 [Aprox. 12 p.]. Disponible en: https://doi.org/10.1164/ rccm.201908-1581