Prevalencia y factores de riesgo de dengue grave en pacientes pediátricos del Hospital Roberto Gilbert y propuesta de medidas preventivas julio de 2009 - junio 2010
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Objetivo: Identificar la prevalencia y factores de riesgo de dengue grave en pacientes pediátricos del hospital “Roberto Gilbert” y propuesta de medidas preventivas julio de 2009 – junio 2010. Métodos: Con este propósito se incorporaron 100 pacientes pediátricos que cumplieron con los criterios de selección, a partir de una población de estudio de 100 pacientes. se definieron como casos 25 pacientes hospitalizados por dengue grave menores de 15 años con resultados confirmatorios de dengue . Se utilizaron las definiciones basadas en las recomendaciones de la OMS. Se utilizaron como variables sexo , edad, procedencia, antecedentes previos de dengue, hemoconcentración, presencia de leucopenia, requerimiento de transfusiones. Resultados: se determinó una prevalencia de 0,40 % de dengue y de 0,1 % de dengue grave , mientras que entre los pacientes que presentaron dengue el 25% correspondió al dengue grave , se identificó como factores de riesgo para dengue grave ser de sexo masculino el más afectado, una edad de 10-12 años , procedente de una zona urbana, predominantemente del guayas ,tener antecedentes previos de dengue ,presencia de leucopenia , hemoconcentración, requerimiento de transfusiones , poliserositis fueron los síntomas más frecuentes , el tiempo de duración de fiebre predomino de seis días. Conclusiones: el antecedente de dengue, de sexo masculino procedente del guayas ,ser menor de 10 a 12 años constituyeron los factores de riesgo para dengue grave. Con esta información y con la propuesta de medidas preventivas contribuirá a optimizar las intervenciones institucionales de prevención, detección precoz que realiza esta casa de salud y el Sistema Sanitario Ecuatoriano en la provincia del Guayas al permitir una intervención rápida entre pacientes pediátricos que tengan estos factores.
Objective:. Identify the prevalence and risk factors for severe dengue in pediatric hospital patients "Robert Gilbert" and proposed preventive measures July 2009 - June 2010 Methods: For this purpose 100 pediatric patients who met the selection criteria were incorporated , from a study population of 100 patients. 25 cases were defined as patients hospitalized for severe dengue under 15 with dengue confirmatory results. Definitions based on the recommendations of the WHO were used. Were used as sex, age, origin, previous history of dengue, hemoconcentration, presence of leucopenia, transfusion requirement. Results: The prevalence of dengue 0.40% and 0.1% of severe dengue was determined, while among dengue patients experiencing 25% were severe dengue identified as risk factors for severe dengue will be the most affected age 10-12 years from an urban, predominantly Guayas, have a previous history of dengue, presence of leukopenia, hemoconcentration, transfusion requirement, poliserositis male were the most frequent symptoms, time dominance duration of fever six days. Conclusions: The history of dengue, male from the guayas, be less than 10 to 12 years were risk factors for severe dengue. With this information and with the proposed preventive measures will help to optimize institutional interventions for prevention, early detection makes this home health and Ecuadorian health system in the province of Guayas in allowing rapid intervention among pediatric patients with these factors.
Objective:. Identify the prevalence and risk factors for severe dengue in pediatric hospital patients "Robert Gilbert" and proposed preventive measures July 2009 - June 2010 Methods: For this purpose 100 pediatric patients who met the selection criteria were incorporated , from a study population of 100 patients. 25 cases were defined as patients hospitalized for severe dengue under 15 with dengue confirmatory results. Definitions based on the recommendations of the WHO were used. Were used as sex, age, origin, previous history of dengue, hemoconcentration, presence of leucopenia, transfusion requirement. Results: The prevalence of dengue 0.40% and 0.1% of severe dengue was determined, while among dengue patients experiencing 25% were severe dengue identified as risk factors for severe dengue will be the most affected age 10-12 years from an urban, predominantly Guayas, have a previous history of dengue, presence of leukopenia, hemoconcentration, transfusion requirement, poliserositis male were the most frequent symptoms, time dominance duration of fever six days. Conclusions: The history of dengue, male from the guayas, be less than 10 to 12 years were risk factors for severe dengue. With this information and with the proposed preventive measures will help to optimize institutional interventions for prevention, early detection makes this home health and Ecuadorian health system in the province of Guayas in allowing rapid intervention among pediatric patients with these factors.
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Prevalencia, Dengue, Factores de riesgo, Pediatría, Hospital de Niños Dr. Roberto Gilbert Elizalde, Cantón Guayaquil, Ecuador, Medicina preventiva