Serious Pneumonia Acquired in the Community in pediatric ICU patients: case series. Maternal and Child Teaching Hospital Dr. A.A.Aballí. January 2014 to September 2016
PDF (Español (España))
HTML (Español (España))

Keywords

Pneumonia
Intensive Care Units
Pediatrics
Hematological tests

How to Cite

Álvarez-Andrade, M. E., Rubén-Quesada, M., Cuevas-Álvarez, D., & Sánchez-Pérez, L. M. (2017). Serious Pneumonia Acquired in the Community in pediatric ICU patients: case series. Maternal and Child Teaching Hospital Dr. A.A.Aballí. January 2014 to September 2016. Médicas UIS, 30(3), 51–8. https://doi.org/10.18273/revmed.v30n3-2017005

Abstract

Introduction: community Acquired Pneumonia is a serious health problem with high worldwide infant morbidity and mortality, reaching 8% of hospitalizations and, in these cases, lethality can reach 4%. Despite being non-specific, the knowledge of analytical hematological tests supports the diagnostic orientation for a better initial management of this disease’s severe forms Objective: to identify the epidemiological characteristics and laboratory tests abnormalities in pediatric patients with severe Community Acquired Pneumonia at the Pediatric Intensive Care Unit of the Teaching Maternity- Child Hospital Dr. A.A. Aballí. materials and method: a descriptive investigation was carried out, with a series of cases in hospitalized children with severe Community Acquired Pneumonia at the Pediatric Intensive Care Unit of the Teaching Maternity- Child Hospital Dr. A.A. Aballí. Results: prevalence was greater in over one year old children and in female patients, the main complication was pleural effusion, 27.4% had a stay of more than seven days; neutrophil count, erythrocyte sedimentation rate, and protein C Reactive positive values were above the average and most of the patients presented hypoalbuminemia. Conclusions: prevalence was higher between 1 and 4 years, pleural effusion was the most common complication, and the alteration of all hematological tests performed at admission was prevalent. MÉD.UIS. 2017;30(3):51-8.

https://doi.org/10.18273/revmed.v30n3-2017005
PDF (Español (España))
HTML (Español (España))

References

1. World Health Organization, UNICEF. Global Action Plan for Prevention and control of Pneumonia (GAPP). Geneva: WHO; 2009. Reference Number: HO/FCH/CAH/NCH/09.04

2. Martín A, Moreno-Pérez D, Alfayate S, Couceiro JA, García ML, Korta J, et al. Etiología y diagnóstico de la neumonía adquirida en la comunidad y sus formas complicadas. An Pediatr. 2012;76(3):162.e1-162.e18

3. Organización Mundial de la Salud [internet]. Neumonías Nota descriptiva No.331. Nov.2016 [citado 23 Jun 2017]. Disponible en: http://www.who.int/mediacentre/factsheets/fs331/es/

4. Ministerio de Salud Pública de Cuba. Dirección Nacional de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud 2016 [internet]. Cuba [citado 23 Jun 2017]. Disponible en: http://files.sld.cu/dne/files/2017/05/Anuario_Estad%C3%ADstico_de_Salud_e_2016_edici%C3%B3n_2017.pdf

5. Mosleh H, Labib JR. Accuracy of Risk Assessment Tool in Predicting Pneumonia’s Outcome among Egyptian Children: Hospital Based Study. BJM Med Research. 2013;3(4):2276-87.

6. Don M, Valent F, Korppi M, Canciani M. Differentiation of bacterial and viral community-acquired pneumonia in children.Pediatr Int. 2009;51:91-6.

7. Flood RG, Badik J, Aronoff SC. The utility of serum C-reactive protein in differentiating bacterial from nonbacterial pneumonia in children: a meta-analysis of 1230 children. Pediatr Infect Dis J. 2008;27:95-9.

8. Comité de Infecciones Respiratorias de la Sociedad Latinoamericana de Infectología Pediátrica. Consenso de la Sociedad Latinoamericana de Infectología Pediátrica (SLIPE)
sobre Neumonía Adquirida en la Comunidad (NAC). Rev Enf Infec Pediatr 2010;24(94):1-23.

9. Fischbach FT. Dunning MB. Blood studies. Hematology and Coagulation. In: A Manual of Laboratory and Diagnostic Test. 8th ed. Philadelphia: Linppincott William-Wilkins. 2009. p.56-183.

10. Salih KE, Salih A, El Samani FZ, Hussien KE, Ibrahim SA. Characteristics associated with severe pneumonia in under-five children admitted to emergency units of two teaching hospitals in Khartoum, Sudan. Sudan J Paediatr. 2011;11(2):25-31.

11. Borroto Gutiérrez SM, Linares-Pérez N, Toledo-Romaní ME, Mirabal Sosa M, Reyes Sebasco A, Abreu Suárez G, et al. Carga hospitalaria y poblacional de las neumonías adquiridas en la comunidad en niños menores de 5 años. Rev Cubana Pediatr [Internet]. 2017 [Citado 29 May 2017]; 89. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/218.

12. Flores Nava G, Martínez García IM, Hernández Delgado L, Delgado Fernández A. Alteraciones en la cuenta de leucocitos en un grupo de niños hospitalizados por neumonía de la comunidad. Pediatr Mex. 2011;13(3):92-5.

13. Rodríguez Cutting JM, Calero Galeas AE, Vega Mendoza D, Pacheco Torres L. Neumonía complicada adquirida en la comunidad: Resolución de los hallazgos clínicos y radiológicos en niños. Rev haban cienc méd. 2015;14(4):438-46.

14. Brito Bartumeut M, Castillo Plasencia LJ, Vázquez Cedeño JL, Vázquez Brito L. Comportamiento de la neumonía adquirida en la comunidad en cuidados intensivos pediátricos. Hospital Héroes del Baire. Enero 2003 a diciembre 2007. Rev Cub Med Int Emerg. 2010;9(3):1797-12.

15. Rodríguez Cutting JM, Valerio Cruz AM, Vega Mendoza D, Pacheco Torres L, Castillo Oviedo R, García Sánchez JB, et al. Caracterización de la neumonía grave adquirida en la Comunidad. Rev Cubana Pediatr. 2016; 88(1):55-66

16. Tamayo Reus MC, Díaz Terán D, Leyva Peguero YE. Aspectos clínicos y radiográficos de la neumonía típica condensante en menores de 5 años. MEDISAN. 2014;18(4):523-7.

17. Moschovis PP, Addo-Yobo EO, Banajeh S, Chisaka N, Christiani DC, Hayden D, et al. Stunting is associated with poor outcomes in childhood pneumonia. Trop Med Int Health. 2015;20(10):1320-8.

18. Ardisana Cruz O, Ponce-Martínez LM, Fernández Reverón F, Francisco-Pérez JC, González-Velásquez A, Alvarez-González AI. Caracterización de las neumonías en terapia intensiva pediátrica. Rev Cub Med Inten Emerg [Internet]. 2007 [Citado 21 Abr 2016];6(3):835-49. Disponible en: http://bvs.sld.cu/revistas/mie/vol6_3_07/mie06307.htm

19. Cruz-Robaina JC, Dorta-Correa Y, Riesgo-Mayea L, López Labrador-Piloto O, González-Díaz J. Caracterización clínico epidemiológica de la neumonía en niños hospitalizados. Rev Ciencias Médicas de Pinar del Río. 2012;16(1):158-68.

20. Moreno-Pérez D, Martín AA, Tagarro-García A, EscribanoMontaner A, Figuerola-Mulet J, García-García JJ, et al. Neumonía adquirida en la comunidad: tratamiento ambulatorio y prevención. An Pediatr (Barc) [Internet]. 2015 [Citado 12 Ago 2016]; 83(6):439.e1-7. Disponible en: http://www.analesdepediatria.org/es/pdf/S1695403314005219/S300/

21. Goldin AB, Parimi C, LaRiviere C, Garrison MM, Larison C, Sawin RS. Outcomes associated with type of intervention and timing in complex pediatric empyema. Am J Surg. 2012;203(5):665-73.

22. Sánchez-Villares L, Fernández LS, Serrano-Ayestarán O, SánchezGranados JM. Neumonías adquiridas en la comunidad en el Hospital Universitario de Salamanca. Bol Pediatr. 2015;55:25-31

23. Cevey-Macherel M, Galetto-Lacour A, Gervaix A, Siegrist CA, Bille J, Bescher-Ninet B, et al. Etiology of community-acquired pneumonia in hospitalized children based in WHO clinical guidelines. Eur J Pediatr. 2009;168(12):1429-36.

24. Korppi M. Non-specific host response markers in the differentiation between pneumococcal and viral pneumonia: what is the most accurate combination? Pediatr Int.
2004;46(5):545-50.

25. Tiwari LK, Singhi S, Jayashree M, Baranwal AK, Bansal A. Hypoalbuminemia in critically sick children. Indian J Crit Care Med. 2014;18(9):565-9.

26. Leite HP, Rodrigues da Silva AV, de Oliveira Iglesias SB, Koch Nogueira PC. Serum Albumin Is an Independent Predictor of Clinical Outcomes in Critically Ill Children. Pediatr Crit Care Med. 2016;17(2):e50-7

27. Viasus D , Garcia-Vidal C , Simonetti A , Manresa F , Dorca J, Gudiol F , et al. Prognostic value of serum albumin levels in hospitalized adults with community-acquired pneumonia. J Infection. 2013;66(5):415-23

28. Prais D, Kuzmenko E, Amir J, Harel L. Association of hypoalbuminemia with the presence and size of pleural effusion in children with pneumonia. Pediatrics. 2008;121(3):e533-8.

Downloads

Download data is not yet available.