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2016, Number 1

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Rev Cubana Pediatr 2016; 88 (1)

Characterization of community-acquired severe pneumonia

Rodríguez CJM, Valerio CAM, Vega MD, Pacheco TL, Castillo OR, García SJB, Ortega PL

Language: Spanish
References: 30
Page: 55-66
PDF size: 114.39 Kb.


ABSTRACT

Introduction: acute respiratory infections, mainly pneumonias, are the main health problems in children aged under 5 years in developing countries.
Objective: to characterize the community-acquired severe pneumonia in the pneumonia management service.
Methods: a prospective, descriptive and cross-sectional study was conducted. There were selected those patients who were admitted to the pneumonia management service with community-acquired severe pneumonia and had been referred from the intensive care unit or the emergency service in the period of December 2005 to December 2010. One hundred and eighty seven patients in apparent healthy condition before the disease, who had been followed-up from the time of discharge from the hospital until their final medical discharge, were included in the research. A descriptive analysis of the clinical, radiological and therapeutic variables was made.
Results: of 187 patients, 76.4% were aged under 5 years, 53.5% were females. The most common risk factor was non-exclusive breastfeeding (91.6%) in the 1-4 year age group. Fever, polypnea and tirage were present in most of them. The right lung was the most affected in 57.7% of cases, but the left lung provided the highest number of complications (58.2%). The most common complications were pleural effusion and the pulmonary abscess in 40.6% and 10.2%, respectively. The single crystalline penicillin treatment was used in 36.7% of patients with good clinical progression with no further therapeutic changes.
Conclusions: all the patients has favorable recovery with the antibiotic treatments used.


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