2016, Number 3
Clinical and epidemiological study of community-acquired pneumonia in children. Experience at the Hospital Ángeles Pedregal
Language: Spanish
References: 7
Page: 143-146
PDF size: 114.82 Kb.
ABSTRACT
Pneumonia is the leading cause of infectious etiology responsible for 15% of deaths worldwide in children under 5 years. To diagnose, we must consider initial clinical manifestations to initiate appropriate empirical treatment and prevent complications. The incidence has decreased in recent years through the use of immunizations, nutritional improvement and environmental sanitation. Objective: To define clinical and epidemiological characteristics of patients diagnosed with community acquired pneumonia in Pediatric Service in Hospital Angeles Pedregal in winter period 2014-2015. Patients and methods: Transversal, observational, analytical. The variables age, sex, initial symptoms, evolution, anatomical classification, antimicrobial therapy, hospital stay and associated complications were reviewed. Results: 25 patients studied during winter of 2014-2015 with diagnosis of CAP. The mean age was 5.4 years. The most affected were infants. The most common clinical manifestations were cough, tachypnea and fever. Chest radiography reports significant injury in 81%. Ceftriaxone was the most used antimicrobial. The mean average of hospital stay was 7.6 days, the clinical condition improved in 88%. Conclusions: Community acquired pneumonia is the third leading cause of hospitalization in the pediatric service, which remains a major cause of death in children under 5 years in developing countries.REFERENCES
Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011; 53 (7): e25-e76.
Consenso de la Sociedad Latinoamericana de Infectología Pediátrica (SLIPE) sobre Neumonía Adquirida en la Comunidad. Revista de Enfermedades Infecciosas en Pediatría. 2010; 24 (94): 1-23. [Consultar: Comité de infecciones respiratorias de la Sociedad Latinoamericana de Infectología Pediátrica] Disponible en: http://www.slipe.org/pdf/ConsensoNACninosSLIPE_8sept2010.pdf