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2021, Number 1

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RIC 2021; 100 (1)

Clinical-epidemiological profile of severe community-acquired pneumonia in pregnant women

Elias-Sierra R, Bordelois-Abdo MS, Choo-Ubals T, Martínez-Urgellés A

Language: Spanish
References: 24
Page: 1-13
PDF size: 395.56 Kb.


ABSTRACT

Introduction: pneumonia acquired in the community during pregnancy has not been characterized in the Hospital General Docente “Dr. Agostinho Neto”. Objective: to characterize this type of pneumonia in pregnant women admitted to the aforementioned hospital during 2015-2019. Method: a descriptive, retrospective and applied study was carried out. Indicators related to morbidity and mortality, biological and gestational age, origin, comorbidity, stay and status at the time discharge of the pregnant women were studied; as well as clinical-epidemiological variables related to pneumonia. Data were summarized using frequency analysis. Results: 67 pregnant women with this condition were admitted (9.1% and 0.24% with respect to the total number of maternal patients and the total number of patients admitted to the unit for all causes, respectively). They were mostly between 20 and 29 years of age (92.5%) and between 28 and 42 weeks of gestation (59.7%); 89.5% came from urban areas and 31.3% presented comorbidity. The typical clinical-radiological form was the most common (92.5%); the most common causative germ was Streptococcus pneumoniae (41.8%); 100% were treated with antiviral antimicrobial drugs, cephalosporins and macrolides; 73.1% evolved satisfactorily. One patient passed away. Conclusions: community-acquired pneumonia during pregnancy was characterized in patients from the Hospital General Docente “Dr. Agostinho Neto” in Guantánamo during the period 2015-2019, which makes it possible to recognize that this condition does not constitute a health problem, but it impacts on the maternal morbidity profile since it is the first cause of admission of pregnant women due to non-obstetric diseases.


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