Protocolo de atención para dengue clásico y grave Hospital Francisco Icaza Bustamante. Guayaquil
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El dengue es un problema de salud pública que debe ser atendido de forma
coherente y con mucha responsabilidad, creando guías que permitan estandarizar
procedimientos sin perder la individualidad de cada caso. El trabajo presentado se enfoca
a proponer un protocolo de atención para pacientes pediátricos que presenten cuadro
clínico de dengue grave o clásico, usuarios del Hospital Francisco Icaza Bustamante, de
la ciudad de Guayaquil. Teniendo como antecedente que en el 2015 en el Hospital del
niño, Francisco Icaza Bustamante se reportaron 254 casos de dengue confirmados, de los
cuales 237 casos son con signos de alarma y 17 son graves; de los cuales existen 3
pacientes que fallecieron en el sistema de salud. La elaboración e implantación del
protocolo de atención tendrá como beneficio principal el mejoramiento de la atención de
pacientes con las enfermedades descritas y la reducción de la morbimortalidad infantil.
Se conoce que el 100% de los profesionales conocen esta problemática y el 96% reconoce
que los casos graves deben de ser atendidos en el tercer nivel de complejidad; ante esto
el 100% de los profesionales de la salud entrevistados mencionan que de existir un
protocolo de atención pediátrica en el Hospital del niño se mejora la atención clínica;
debido a que tendrían referentes necesarios para poder establecer desde la experiencia un
mayor control y reducción de las complicaciones dentro de la unidad de consulta externa,
emergencia o cuidados intensivos, lugar donde se atiende los casos de dengue grave
Dengue is a public health problem that must be addressed consistently and with a lot of responsibility, creating guidelines that allow standardizing procedures without losing the individuality of each case. The present paper focuses on proposing a care protocol for pediatric patients with clinical signs of severe or classic dengue, users of the Hospital Francisco Icaza Bustamante, in the city of Guayaquil. Having as background that in 2015 in the Children's Hospital, Francisco Icaza Bustamante reported 254 cases of confirmed dengue, of which 237 cases are with alarm signs and 17 are serious; Of which there are 3 patients who died in the health system. The elaboration and implementation of the protocol of attention will have as main benefit the improvement of the attention of patients with described diseases and the reduction of the infant morbimortality. It is known that 100% of professionals know this problem and 96% acknowledge that serious cases should be addressed at the third level of complexity; In view of this, 100% of the health professionals interviewed mention that if there is a pediatric care protocol in the child's hospital, clinical care is improved; Because they would have references necessary to be able to establish from the experience a greater control and reduction of the complications inside the unit of external consultation, emergency or intensive care, place where the cases of severe dengue are taken care of.
Dengue is a public health problem that must be addressed consistently and with a lot of responsibility, creating guidelines that allow standardizing procedures without losing the individuality of each case. The present paper focuses on proposing a care protocol for pediatric patients with clinical signs of severe or classic dengue, users of the Hospital Francisco Icaza Bustamante, in the city of Guayaquil. Having as background that in 2015 in the Children's Hospital, Francisco Icaza Bustamante reported 254 cases of confirmed dengue, of which 237 cases are with alarm signs and 17 are serious; Of which there are 3 patients who died in the health system. The elaboration and implementation of the protocol of attention will have as main benefit the improvement of the attention of patients with described diseases and the reduction of the infant morbimortality. It is known that 100% of professionals know this problem and 96% acknowledge that serious cases should be addressed at the third level of complexity; In view of this, 100% of the health professionals interviewed mention that if there is a pediatric care protocol in the child's hospital, clinical care is improved; Because they would have references necessary to be able to establish from the experience a greater control and reduction of the complications inside the unit of external consultation, emergency or intensive care, place where the cases of severe dengue are taken care of.
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PROTOCOLOS, ATENCIÓN DE SALUD, DENGUE, PEDIATRÍA, HOSPTAL DEL NIÑO FRANCISCO DE ICAZA BUSTAMANTE, CANTÓN GUAYAQUIL, ECUADOR