Eficacia del ultrasonido abdominal y de tórax en el síndrome febril por dengue y su evolución Hospital de Niños Dr. Roberto Gilbert Elizalde durante el período enero 2012 - enero 2013
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El Dengue constituye una enfermedad reemergente, considerado un problema de saneamiento doméstico de difícil control, debido en primer lugar a la capacidad del vector de adaptarse a las mínimas condiciones para su desarrollo y en segundo lugar a la necesidad de contar con el apoyo de la comunidad en toda su expresión, con el fin de obtener impacto en las actividades de prevención y control. En las investigaciones actuales se han utilizados múltiples métodos de diagnósticos que parten desde la prueba del torniquete, antígeno específico para dengue y estudios complementarios como la radiografía. En la actualidad contamos con el ultrasonido (Ecografía) que ofrece múltiples ventajas el cual permite identificar los hallazgos ultrasonográficos abdominales y torácicos. El objetivo del trabajo es ofrecer este recurso de utilidad como el ultrasonido para poder identificar los hallazgos ultrasonográficos abdominales y torácicos en el síndrome febril por dengue y sus complicaciones. El estudio de ultrasonido constituye en la actualidad un método de imágenes de alto valor diagnóstico, sencillo, fiable, que complementa el examen físico y las pruebas de laboratorio. Se trata de un estudio descriptivo, de serie de casos, durante el período 2012 - 2013, llevado a cabo en el Hospital del Niño “Dr. Roberto Gilbert Elizalde”. Se establecieron criterios de la muestra por medio de fórmulas, fueron estudiados 151 pacientes con dengue confirmado, que fueron observados durante el período de estancia hospitalaria, con la finalidad de establecer la eficacia del ultrasonido abdominal y tórax, siendo la ascitis el signo más común (n=17) (15,4%); liquido pericolecístico el de peor pronóstico (n=16) (14,5%); hepatomegalia (n=15) (13,6%); derrame pleural (n=10) (9%); esplenomegalia (n=15) (13,6%). engrosamiento de la pared vesicular (n=16) (14,5%); distensión vesicular (n=13) (11,8%). El ultrasonido es una herramienta útil y valiosa para detectar precozmente la gravedad y evolución de la enfermedad así como para confirmar casos sospechosos de Dengue. .
Dengue is a reemerging disease, considered a problem of domestic sanitation difficult to control, due primarily to the ability of the vector to adapt to the minimum conditions for their development and secondly the need for support from the community in all its expressions, in order to obtain impact on prevention and control. In the current research they have used multiple diagnostic methods that depart from the tourniquet test, and dengue antigen specific additional studies such as radiography. Currently we have ultrasound (ultrasound) which offers many benefits which identifies the abdominal and thoracic ultrasound findings. The objective of this work is to offer useful resource as ultrasound to identify the abdominal and thoracic ultrasound findings in dengue fever syndrome and its complications. The ultrasound study is currently a method of high diagnostic images, simple, reliable value, supplementing physical examination and laboratory tests. This is a descriptive study of series of cases during the period 2012-2013, carried out in the Children's Hospital "Dr. Roberto Gilbert Elizalde". Criteria shown by formulas were established, were studied 151 patients with confirmed dengue, which were observed during the hospital stay, in order to establish the efficacy of abdominal ultrasound and chest, with ascites the most common sign ( n = 17) (15.4%); liquid pericholecystic the worst prognosis (n = 16) (14.5%); hepatomegaly (n = 15) (13.6%); pleural effusion (n = 10) (9%); splenomegaly (n = 15) (13.6%). gallbladder wall thickening (n = 16) (14.5%); vesicular distension (n = 13) (11.8%). Ultrasound is a useful and valuable for early detection of the severity and progression of the disease and to confirm suspected cases of Dengue tool.
Dengue is a reemerging disease, considered a problem of domestic sanitation difficult to control, due primarily to the ability of the vector to adapt to the minimum conditions for their development and secondly the need for support from the community in all its expressions, in order to obtain impact on prevention and control. In the current research they have used multiple diagnostic methods that depart from the tourniquet test, and dengue antigen specific additional studies such as radiography. Currently we have ultrasound (ultrasound) which offers many benefits which identifies the abdominal and thoracic ultrasound findings. The objective of this work is to offer useful resource as ultrasound to identify the abdominal and thoracic ultrasound findings in dengue fever syndrome and its complications. The ultrasound study is currently a method of high diagnostic images, simple, reliable value, supplementing physical examination and laboratory tests. This is a descriptive study of series of cases during the period 2012-2013, carried out in the Children's Hospital "Dr. Roberto Gilbert Elizalde". Criteria shown by formulas were established, were studied 151 patients with confirmed dengue, which were observed during the hospital stay, in order to establish the efficacy of abdominal ultrasound and chest, with ascites the most common sign ( n = 17) (15.4%); liquid pericholecystic the worst prognosis (n = 16) (14.5%); hepatomegaly (n = 15) (13.6%); pleural effusion (n = 10) (9%); splenomegaly (n = 15) (13.6%). gallbladder wall thickening (n = 16) (14.5%); vesicular distension (n = 13) (11.8%). Ultrasound is a useful and valuable for early detection of the severity and progression of the disease and to confirm suspected cases of Dengue tool.
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PEDIATRIA, DENGUE, ULTRASONOGRAFIA ABDOMINAL, TORAX, HOSPITAL DE NIÑOS DR. ROBERTO GILBERT ELIZALDE, CANTON GUAYAQUIL, ECUADOR, FIEBRE, EVOLUCION CLINICA