Estudio etiológico de los derrames paraneumónicos, Hospital León Becerra 2004 - 2010
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El Derrame Paraneumónico es una acumulación excesiva de un líquido con diferentes
características en un espacio virtual como lo es el pleural, secundario a una neumonía.
Esta revisión tiene como propósito estudiar las respuestas y beneficios de los
esquemas usados para el manejo de esta patología respiratoria y describir los
diferentes tipos de complicaciones más frecuentes en los pacientes ingresados al
hospital de niños León Becerra de Guayaquil, siendo un estudio estadístico
epidemiológico de tipo y diseño no experimental, longitudinal y retrospectivo,
mediante la recolección de datos a partir de las historias clínicas , de pacientes
que ingresaron durante un periodo de 7 años y se apegaron a las diferentes variables
que se tomaron en cuenta para este estudio . Como resultado esperamos conocer la
incidencia del derrame paraneumónico, a qué edad es más frecuente su aparición, los
exámenes de laboratorio necesarios, de antibióticos usados de forma empírica antes
de resultados de cultivos de liquido pleural, morbimortalidad, días de hospitalización
y el agente bacteriano aislado en cultivos del liquido pleural. Del universo estudiado
fue de 8.136 de niños ingresados por patologías respiratorias, que nos da un resultado
de 109 casos comprobados como derrame paraneumónico por sus características
clínicas y radiológicas, un 49,54% del total correspondió a empiemas , el
promedio de días de hospitalización fue de 7 a 10 días, sin diferencia en el sexo de
niños hospitalizados, el agente aislado con más frecuencia fue el Estreptococo
neumoníae 9 casos(5,5% ), la sensibilidad in Vitrio fue mayor para la Ceftriaxona, en
la mayoría de los casos su manejo fue clínico y solo en 34 casos necesitaron manejo
quirúrgico no hubo complicaciones mayores al alta médica .
The Spill Paraneumónico is an excessive accumulation of a liquid with different characteristic in a virtual space as it is it the pleural, secondary to a pneumonia. This revision has as purpose to study the answers and benefits of those outlines used for the handling of this breathing pathology and to describe those different types of more frequent complications in the patients entered the one children's hospital León Becerra of Guayaquil, being a statistical study epidemic of type and design not experiment, longitudinal and retrospective, by means of the gathering of data starting from the clinical histories, of patient that they entered during a 7 year-old period and they attached to the different variables that they took into account for this study. As a result we hope to know the to what age incidence of the spill paraneumónico, is more frequent its appearance, those necessary laboratory exams, of used antibiotics in an empiric way before of results of cultivations of I liquidate pleural, morbimortalidad, days of hospitalization and the bacterial agent isolated in cultivations of the I liquidate pleural. Of the studied universe it was of 8.136 of children entered by breathing pathologies that he/she gives us a result of 109 proven cases as spill paraneumónico for their characteristics clinical and radiological,49,54% of the total corresponded to empiemas,the one average of days of hospitalization went from 7 to 10 days, without difference in the sex of hospitalized children, the isolated agent with more frequency was the Streptococcus neumoníae 9 cases (5,5%), the sensibility in Vitrio was bigger for the Ceftriaxona, in most of the cases their handling was clinical and alone in 34 cases they needed handling surgical there were not bigger complications to the medical discharge.
The Spill Paraneumónico is an excessive accumulation of a liquid with different characteristic in a virtual space as it is it the pleural, secondary to a pneumonia. This revision has as purpose to study the answers and benefits of those outlines used for the handling of this breathing pathology and to describe those different types of more frequent complications in the patients entered the one children's hospital León Becerra of Guayaquil, being a statistical study epidemic of type and design not experiment, longitudinal and retrospective, by means of the gathering of data starting from the clinical histories, of patient that they entered during a 7 year-old period and they attached to the different variables that they took into account for this study. As a result we hope to know the to what age incidence of the spill paraneumónico, is more frequent its appearance, those necessary laboratory exams, of used antibiotics in an empiric way before of results of cultivations of I liquidate pleural, morbimortalidad, days of hospitalization and the bacterial agent isolated in cultivations of the I liquidate pleural. Of the studied universe it was of 8.136 of children entered by breathing pathologies that he/she gives us a result of 109 proven cases as spill paraneumónico for their characteristics clinical and radiological,49,54% of the total corresponded to empiemas,the one average of days of hospitalization went from 7 to 10 days, without difference in the sex of hospitalized children, the isolated agent with more frequency was the Streptococcus neumoníae 9 cases (5,5%), the sensibility in Vitrio was bigger for the Ceftriaxona, in most of the cases their handling was clinical and alone in 34 cases they needed handling surgical there were not bigger complications to the medical discharge.
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Derrame Pleural, Etiologia, Pediatría, Estudios retrospectivos, Estudios estadísticos, Hospital León Becerra de Guayaquil, Cantón Guayaquil, Ecuador