Caracterización clínica, imagenológica y de laboratorio en pacientes pediátricos con dengue con signos de alarma, estudio por realizarse en el Hospital Universitario de Guayaquil período 2017 - 2020
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El dengue es una de las enfermedades metaxénicas de gran incidencia en la región con
aproximadamente 390 millones de casos al año, que se caracteriza por presentar brotes
epidémicos cada 3 o 4 años. El dengue con signos de alarma en la población pediátrica
es considerado una situación de atención prioritaria pues esto podría condicionar la
aparición de estado hemodinámicos inestables condicionando como peor escenario la
muerte del paciente.
Objetivo: Determinar las características clínicas, imagenológicas y de laboratorio más
frecuentes en los pacientes pediátricos con dengue con signos de alarma en el Hospital
Universitario de Guayaquil. Método: El presente es un estudio no experimental, de
corte transversal, descriptivo y correlacional, realizado en el Hospital Universitario de
Guayaquil en el periodo entre 2017 y 2020 Resultados: Se identificó que el sexo con
mayor prevalencia es el femenino (56.9%). La edad en la cual se presenta con mayor
frecuencia es entre los 5 a 12 años (68.9%). Las manifestaciones clínicas más frecuentes
fueron los vómitos y diarrea (97.9%). La alteración de laboratorio más frecuente fue la
alteración de los leucocitos (97.5%), mientras que como hallazgo imagenológico más
común fue la hepatomegalia (18.7%).
Dengue is one of the metaxenic diseases of great incidence in the region with approximately 390 million cases per year, this disease is characterized by presenting epidemic outbreaks every 3 or 4 years. Dengue with warning signs in the pediatric population is considered a priority care situation as this could condition the appearance of unstable hemodynamic states, conditioning the death of the patient as a worst-case scenario. Objective: To determine the most frequent clinical, imaging and laboratory characteristics in pediatric patients with dengue with warning signs at the University Hospital of Guayaquil. Method: This is a non-experimental, cross-sectional, descriptive, and correlational study, carried out at the University Hospital of Guayaquil in the period between 2017 and 2020. Results: It was identified that the sex with the highest prevalence is the female (56.9 %). The age at which it occurs most frequently is between 5 to 12 years old, (68.9%). The most frequent clinical manifestations were vomiting and diarrhea (97.9%). The most frequent laboratory alteration was the alteration of the white blood cells (97.5%), while the most common imaging finding was hepatomegaly (18.7%).
Dengue is one of the metaxenic diseases of great incidence in the region with approximately 390 million cases per year, this disease is characterized by presenting epidemic outbreaks every 3 or 4 years. Dengue with warning signs in the pediatric population is considered a priority care situation as this could condition the appearance of unstable hemodynamic states, conditioning the death of the patient as a worst-case scenario. Objective: To determine the most frequent clinical, imaging and laboratory characteristics in pediatric patients with dengue with warning signs at the University Hospital of Guayaquil. Method: This is a non-experimental, cross-sectional, descriptive, and correlational study, carried out at the University Hospital of Guayaquil in the period between 2017 and 2020. Results: It was identified that the sex with the highest prevalence is the female (56.9 %). The age at which it occurs most frequently is between 5 to 12 years old, (68.9%). The most frequent clinical manifestations were vomiting and diarrhea (97.9%). The most frequent laboratory alteration was the alteration of the white blood cells (97.5%), while the most common imaging finding was hepatomegaly (18.7%).
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DENGUE, PEDIATRIA, DIAGNOSTICO POR IMAGEN, DIAGNOSTICO DE LABORATORIO, SIGNO Y SINTOMAS, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL UNIVERSITARIO DE GUAYAQUIL, CANTON GUAYAQUIL, ECUADOR