NEUMONIA ADQUIRIDA EN LA COMUNIDAD PEDIATRIA PDF

GuiaPractica NeumoMBacteriana. Consultado el 1 de junio de Disponible en la World Wide Web: [1]. ISSN Chang Trastornos del Aparato Respiratorio.

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La Habana, Cuba. Objective: to characterize from the clinical and risk viewpoints the 60 years-old and over population admitted to the hospital and diagnosed with community-acquired pneumonia.

Methods: retrospective and descriptive study conducted in patients, who had been admitted to "Enrique Cabrera" general teaching hospital in The clinical variables and the risk indicators were all studied.

Results: males and increase of the number of cases aged 70 years and over were predominant. The overall fatality rate was Chronic obstructive pulmonary disease, smoking, malnourishment, dementia and cardiovascular diseases were important risk factors. The mostly used antimicrobial group was cephalosporins. The discharged patients recovered in 8 days whereas deaths occurred prior to eight days of application of treatment.

Pneumonia severity indexes were not applied on admission to hospital. Conclusions: community-acquired pneumonia in the older adult must be addressed at the primary health care level.

The prevention and health promotion actions have great importance. The initial diagnosis continues to be clinical whereas therapeutics is empirical. Keywords: community-acquired pneumonia, clinical manifestations, fatality, prognostic and risk factors, complications, antimicrobials, older adult.

El total de pacientes fue de , independientemente del estado al egreso. La que se diagnostica antes de las 72 h del ingreso. Egresaron vivos y fallecieron La tabla 4 relaciona la frecuencia de los factores de riesgo identificados en los pacientes.

Independientemente del costo hospitalario, estos pacientes estuvieron expuestos a infecciones ligadas a la asistencia sanitaria. Rev Arch Med Cam. Med Int Mex. Medicina B. Aires ;68 4 Enferm Infecc Microbiol Clin. Emergencias ; Rev Esp Geriatr Gerontol. Med Clin Barcelona. Clin Infect Dis. Arch Bronconeumol. Health care associated pneumonia requering hospital admission; Epidemiology, antibiotic therapy and clinical outcomes.

Arch Intern Med. New York: Mc Graw Hill; Finch R. Community-acquired pneumonia, the evolving challenge. Clin Microbiol Infect. Neumol Cir Torax. Capelastegui A. Novel targets in the manegement of pneumonia. Ther Adv Respir Dis. Romero AJ. Factores asociados a la Mortalidad de ancianos hospitalizados por NAC. Madrid: International Marketing and Communication, S. Delgado M. Uso rutinario del Pneumonia Severity Index en el servicio de urgencias: efecto sobre los indicadores de proceso y resultado en neumonia adquirida en la comunidad.

Recibido: 19 de marzo de Aprobado: 6 de abril de Miguel Angel Serra Valdes. Hospital General Docente "Enrique Cabrera".

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Neumonía adquirida en la comunidad

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