Infectologia Clinica Pediatrica NAPOLEON GONZALEZ SALDAÑA 8ed medilibros. Benito Rosas. Sorry, this document isn't available for viewing at this time. Quote. Postby Just» Tue Aug 28, am. Looking for libro de infectologia pediatria napoleon pdf creator. Will be grateful for any help! Top. Infectologia Clinica Pediatrica NAPOLEON GONZALEZ SALDAÑA 8ed medilibros. Benito Rosas. Uploaded by. Benito Rosas. connect to. INFECTOLOGIA.
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Download Infectologia Clinica Pediatrica NAPOLEON GONZALEZ SALDAÑA 8ed mencosulwiemudd.ga INFECTOLOGIA PEDIATRICA NAPOLEON EPUB - Infectologia Clinica Pediatrica NAPOLEON GONZALEZ SALDAÑA 8ed medilibros. Benito Rosas. Uploaded. Publications by authors named "Napoleon González Saldaña". Are you Epub Jul Servicio de Infectología, Instituto Nacional de Pediatría (INP).
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The average age in years was 2. The median age of the mother was 22 years IQR: 15 - The most frequent clinical antecedents were asthma, prematurity, exposure to smoke, presence of allergies and heart disease. The average stay was 6. In the general ward, the average stay was 5.
Cough, respiratory distress, rhinorrhea, abdominal pain and vomiting were the most frequent initial symptoms. Oxygen therapy was required in patients The most used antibiotic schemes were: penicillin Two deaths were recorded in the group, in which one had malnutrition and the other sepsis as a complication Table 3.
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The most frequent complication in the group of severe pneumonia was pleural effusion 5. Some patients presented several antecedents table 4. The most related to severity are: age less than 3 months OR: 4.
History of overcrowding, exposure to smoke or biomass and asthma didn't show differences between patients with severe and very severe pneumonia. The most frequent germ isolated was S. Four had a pleural effusion and two presented sepsis as complications too. The virological tests carried out, were positive so: 4.
Infectologia clinica pediatrica napoleon gonzalez saldaña 8ed medilibros.com
Tachypnea occurs due to activation of an inflammatory cascade induced by a germ that alters gas exchange at the alveolocapillary level; When it is not compensated, it evolves to chest retractions, nasal flaring, whining, signs of shock and ventilatory failure with a high risk of death. Shann, Spooner and Levental's studies showed that the tachypnea and chest wall indrawing as diagnostic signs established by the WHO have high predictive value in children less 2 years old.
However, in our study, Only Other findings such as cyanosis, oxygen therapy, complicated pneumonia or the presence of highly virulent germs such as S. Majorities of CAP are managed ambulatorily, but if there is any criterion of severity such as: respiratory distress, oxygen requirement, intolerance to the oral route, cyanosis, chest wall indrawing, to be less than 3 months old is considered hospital treatment.
The subjects studied had some of these conditions, because of that, they were classified as severe pneumonia In our study, ten of the patients classified in this category didn't present complications associated with shock or these supports. However, they were at risk of ventilatory failure requiring continuous monitoring, which explains their admission to the ICU In our study, complications from CAP were presented independently of their severity; the risk of complications in very severe CAP was higher, sepsis and atelectasis were more common in this group.
Pneumonia cases increase in the rainy season, due to the spread of respiratory pathogens from person to person, and the dryness of mucous membranes is facilitated, which alters their mucociliary function In , pneumonia cases occurred throughout the year, with peaks between June and July and in November, which could be associated with increased rains during these dates.
INFECTOLOGIA PEDIATRICA NAPOLEON EPUB
Although belonging to the male sex is associated with severity 33 , In our study there were no differences in relation to sex. Being younger than 3 months or premature, were common factors in these children and coincides with the risk of severity described in the literature. Breast milk is rich in secretory IgA that prevents the adherence of viruses and bacteria to the respiratory mucosa, so its exclusive consumption during the first 6 months of life is a protective factor 15 , In this sample, it was found that not having this condition tripled the risk of severity.
When severe malnutrition occurs, the immune response decreases, facilitating the development of severe CAP In our population, malnutrition doubled the risk of severity OR 2.
Comorbidities like sickle cell anemia, bronchopulmonary dysplasia, gastroesophageal reflux, asthma, cystic fibrosis, congenital heart disease or immunodeficiency are associated to complications and neuromuscular disease and epilepsy to aspiration pneumonia In our study, heart disease was associated with very severe pneumonia p 0. Active vaccination has been considered a significant resource to reduce morbidity and mortality by CAP Incomplete vaccination was associated with severe pneumonia in our population.
Environmental contamination and exposure to smoke or biomass, block the mucociliary response of the respiratory tract Overcrowding 12 facilitates nasopharyngeal colonization of germs, this and the late consultation 24 are associated with risk of severity. In our study, there were no differences between severe and very severe CAP when these factors were associated. It is known that it is difficult to determine the etiological agent of pneumonias in the world 19 , The most frequent isolated germ was S.
Despite the expectation that these cases had a history of incomplete vaccination for pneumococcus, only one met this criterion. This suggests that it is possible that the strain present in these cases isn't covered by the vaccine.
New studies should be carried out to establish the pneumococcal subtype in this population and correlate it with those present in the vaccine applied by the EPI.
It can be associated to risk factors that predispose to the development of severity. In our study, we found exclusive breastfeeding for under six months since birth, prematurity, heart disease, incomplete vaccination and blood cultures positive for S.
Working on measures that modify these risk factors could reduce complications, hospital staying and death, which in turn would reduce costs.
For this reason, the training of health personnel and the vulnerable population is essential. Global, regional, and national causes of under-5 mortality in an updated systematic analysis with implications for the Sustainable Development Goals. Sousa EL. Medisan[revista en internet] [citado junio ]; 15 2. Graham NM. The epidemiology of acute respiratory infections in children and adults: a global perspective.
Epidemiologic reviews. Community-acquired pneumonia in children: what's old?
What's new? Acta paediatrica. Community-Acquired Pneumonia: An Overview. Current infectious disease reports. Epidemiology and etiology of childhood pneumonia.
Bulletin of the World Health Organization. Epidemiology of pneumonia hospitali-zations in Spain, The Journal of infection.
Global, regional, and national causes of child mortality: an updated systematic analysis for with time trends since Global burden of childhood pneumonia and diarrhoea.Uploader: Tracy O'Keefe Brock, who has done nothing and is infectologia pediatria napoleon to respond, ensures that his irregularities barely refute or misinterpret.
Remember me Cough, respiratory distress, rhinorrhea, abdominal pain and vomiting were the most frequent initial symptoms. Asma Bronquial. Share your thoughts with other customers.
Ethical issues According to the resolution of , the then Ministry of Health, the study was categorized safe and approved by the Cartagena University's Medicine faculty's research department.
The most frequent clinical antecedents were asthma, prematurity, exposure to smoke, presence of allergies and heart disease. Active vaccination has been considered a significant resource to reduce morbidity and mortality by CAP The most frequent isolated germ was S. The Southeast Asian journal of tropical medicine and public health.
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