Echevarría RA

Language: Spanish
References: 23
Page:
PDF size: 158.53 Kb.

ABSTRACT

Introduction: The respiratory infections and particularly pneumonias constitutes a health problem on the Psychiatry Hospital of Havana´s patients due to they are the first mortalityc ause, according to a study carried out on this center during the years2000-2004.
Methods: To start of the year 2005 , it began a prospective and descriptive research with the aim to determine the morbidmortality due to acute respiratory infections since the beginning of the year 2005 up to the end of 2013: The was constituted by the total of patients that presented an acute respiratory infection during the studied period. As resume measures, there were used rates and relative frequencies.
Results: The results of the 9 years study showed a mobility due to respiratory infection and pneumonia as follows: 218, 280, 269, 232, 174, 342, 243, 190, 199 affected patients. The mortality is showed as follows: 37,36,15,33,86,16,7,6, and 2 diseased patients for the rates of mortality: 15,9,16,17,12.1,49.4,4,.6, 2.8,3.1,and 2 x 103, respectively. The greatest infection by Exitus Letalis occurred on male patients, meanwhile the high number of death occurred on elders of both sex. The 13% of atypical way of upset were identified. The standard permanence on in an intercurrence ward was of 21 for the necessary care. The germs detected through sputum culture shown a predominance of Negative Gram. These 9 years of study shows a presence of a decrease on mortality caused by pneumonia. A great number of cases of upset of the disease, either atypical or typical and the required time for treatment also decreased.

REFERENCES

1. WHO. The top 10 causes of death. Geneva: World Health Organization. 2013 disponible en:http://www.who.int/mediacentre/factsheets/fs310/en/index.html)

2. MINSAP. Principales causas de muerte en todas las edades. Anuario Estadístico de salud; cuadro 14. Cuba 2013.

3. Barrios Grillo E, Díaz Tamayo-Saco M, González González MA, Dueñas Mojena D. Mortalidad por bronconeumonía en el enfermo mental. 9º Congreso Virtual Hispanoamericano de Anatomía Patológica.htm mayo 2007 Nº 773. Comunicación libre disponible en www.conganat.sld.cu

4. Dueñas D. Morbimortalidad por Infección Respiratoria Aguda en el Hospital Psiquiátrico de La Habana. (2000-2004) Tesis para optar por el título de Máster en Enfermedades Infecciosas. FCMEC. Instituto Superior de Ciencias Médicas de la Habana; 2007.

5. Echevarría A. Prevención de la Neumonía en el Paciente Psiquiátrico. Fundamentos para una Estrategia Rev. Hosp. Psiquiátrico de la Habana 2008, 5(3).

6. Ziemssen T, Kern S. Psychoneuroimmunology - Cross-talk between the immune and nervous systems.J Neurol. 2007 May;254 Suppl 2:II8-II11.

7. Ivanova SA, Semke VY, Vetlugina TP, Rakitina NM, Kudyakova TA, Simutkin GG Signs of apoptosis of immunocompetent cells in patients with depression. Neurosci Behav Physiol. 2007 Jun; 37(5):527-30.

8. Carter CJ. Schizophrenia Susceptibility Genes Directly Implicated in the Life Cycles of Pathogens: Schizophrenia Cytomegalovirus, Influenza, Herpes simplex, Rubella, and Toxoplasma gondii. Schizophr Bull. 2008 [consultado 28 Julio 2008];Jun 13. Disponible en: Schizophreniabulletin.oxfordjournals.org/cgi/pmidluckup?view=long&pmid=18552348

9. INFOMED. SERVICIOS. AL DIA. Nexo entre enfermedad mental y sistema inmune cobra fuerza 19 de febrero de 2013

10. Ulrich E, Schaible SH, Kaufmann E. Malnutrition and Infection: Complex Mechanisms and Global Impacts. Disponible en www.PLoS Medicine htm. 2007 May acceso 5 junio 2007.

11. Serra-Prat M. et al.: Oropharyngeal dysphagia as a risk factor for malnutrition and lower respiratory tract infection in independently living older persons: a population-based prospective study.Age Ageing. 2012; 41(3):376-81

12. Panda A, Arjona A, Sapey E et al. Human innate immunosenescence: causes and consequences for immunity in old age. Trends Immunol.2009; 30(7), 325-33.

13. Nikolich-Zugich J. Age-associated T-cell clonal expansions (TCE) in vivo - implications for pathogen resistance: cellular immunosenescence - T cells. In: Handbook on Immunosenescence: Basic Understanding and Clinical Applications. Springer, The Netherlands 2009, 219-33.

14. Weiskopf D, Weinberger B, Grubeck-Loebenstein B. The aging of the immune system. Transpl. Int.2009; 22(11), 1041-1050.

15. Gibson KL, Wu YC, Barnett Y et al. B-cell diversity decreases in old age and is correlated with poor health status. Aging Cell2009; 8, 18-25.

16. Pop-Vicas A, Gravenstein S. Influenza in the elderly: a mini-review. Gerontology 2011; 57(5), 397-404.

17. Broder JMD, Lie D MSEd. 12 comorbitities help predict COPD mortality risk. CME realased 05/14/2012 [acceso 28 Jun 2012]. Disponible en:www.medscape.com/ [acceso ]06/28/2012

18. Echevarría A. Neumonía nosocomial en el Hospital Psiquiátrico de la Habana 2005-2007. Tesis para optar por el Titulo de Master en Enfermedades Infecciosas. FCMEC. Instituto Superior de Ciencias Medicas de la Habana .2008.

19. Grupo de trabajo GESEPOC. Hacia un nuevo enfoque en el tratamiento de la EPOC. La Guía Española de la EPOC (GESEPOC). Arch Bronconeumol. 2011; 47:379-81.

20. del Puerto- Nevado L, Perez-Rial S , Gorón –Matinez , Peces-Barba G. papel de la inflamación en la etiopatogenia de la EPOC. Arch Bornconeumol. 2010;46(supl):2-7.

21. Fragapane E, Gasparini R, Schioppa F, Laghi-Pasini F, Montomoli E, Banzhoff A. A heterologous MF59-adjuvanted H5N1 prepandemic influenza booster vaccine induces a robust, cross-reactive inmune response in adults and the elderly. Clin. Vaccine Immunol.2010; 17(11), 1817–1879.

22. Spellberg B, Bartlett J G, Gilbert D N, The Future of Antibiotics and Resistance N Engl J Med 2013; 368:299-302.

23. Infectious Diseases Society of America. White paper: recommendations on the conduct of superiority and organism-specific clinical trials of antibacterial agents for the treatment of infections caused by drug-resistant bacterial pathogens. Clin Infect Dis 2012;55:1031-46