ABSTRACT
Se realizó un estudio observacional, descriptivo, de corte transversal, con una población de estudio compuesta por 634 pacientes pediátricos con cuadro de diarrea aguda secretoria, que fueron ingresados en el Hospital General Docente "Juan B. Viñas González" de Palma Soria-no, Cuba, durante el período enero-diciembre, 2014. Los resultados arrojaron un predominio del rango de edades de 1 a 4 años, para un 30.4%; la mayoría de ellos, residentes en zonas rurales (64.5%), donde la calidad del agua de consumo no era la adecuada (46.8%) y la dispo-sición de las excretas tenían deficiencias en un 45.1% de los casos. Los síntomas predomi-nantes fueron fiebre y vómitos para un 47.4% y 45 % respectivamente y los signos fueron: los ojos hundidos en un 57.4% y sequedad de las mucosas (45.1%), como complicaciones se reportó: la deshidratación con 55.2%, la hipoglucemia (50.9%) y la acidosis metabólica (34.9%), presentando en ocasiones, un niño más de una complicación, lo que motivó un 35% de ingresos en los servicios de cuidados progresivos; sin embargo, no hubo fallecidos por esta causa en el tiempo estudiado.
An observational, descriptive, and cross-sectional study was carried out. 634 pediatric patients with acute diarrhea were the study population who were admitted to the General Hospital "Juan B. Viñas González" of Palma Soriano, Cuba, during the period January-De-cember 2014. The results showed a predominance of the age range between 1 and 4 years (30.4%); most of them, residents in rural areas (64.5%) where the quality of drinking water was not adequate (46.8%) and the disposal of excreta were deficient in 45.1% of cases. The predominant symptoms were fever and vomiting 47.4% and 45% respectively and the signs were: the sunken eyes (57.4%) and dryness of the mucous membranes (45.1%). There were some complications such as: dehydration (55.2%), hypoglycaemia (50.9%) and metabolic acidosis (34.9%); it was sometimes presented a child with more than one complication, which motivated a 35% of income in the progressive care services. However, there were no deaths due to this cause in the time studied.
Subject(s)
Humans , Child, Preschool , Child Health , Dysentery/complications , Dysentery/prevention & control , Risk Factors , DysenteryABSTRACT
BACKGROUND/AIMS: The aim of this study was to investigate the incidence and risk factors of irritable bowel syndrome (IBS) in community subjects with culture-proven bacterial gastroenteritis. METHODS: This was a prospective, community-based, cohort study, which followed patients with a recent history of culture-proven bacterial gastroenteritis. IBS was diagnosed with the use of the Rome II criteria at 3 and 6 months after bacterial dysentery. RESULTS: Sixty five cases were included and completed the 6 month follow-up. Thirty four cases (52.3%) were female. Salmonella was the pathogen most frequently identified and seen in 41 patients (63.1%). The cumulative incidence of IBS among patients with microbiologically proven bacterial gastroenteritis within a community was 9.2% and 12.3% at 3 and 6 months of follow-up, respectively. The duration of initial diarrhea (> or =7 days) was associated with an increased risk for the development of IBS (aOR, 14.50 [95% CI, 1.38-152.72]; p=0.022). CONCLUSIONS: Our study suggests that the incidence of IBS among patients with culture-proven bacterial gastroenteritis within a community is similar to that reported among Western populations. A large, prospective study is encouraged to confirm our results and to evaluate the influence of the microbial species on the epidemiology of IBS in Asian populations.
Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Young Adult , Cohort Studies , Diarrhea/complications , Dysentery/complications , Follow-Up Studies , Gastroenteritis/complications , Incidence , Irritable Bowel Syndrome/diagnosis , Odds Ratio , Prospective Studies , Risk Factors , Salmonella/isolation & purification , Shigella/isolation & purificationABSTRACT
El objetivo de esta comunicación es dar a conocer nuestra experiencia en el análisis clínico patológico de un grupo de pacientes pediátricos que consultaron a la Unidad de Gastroenterología por sangramiento rectal durante el período comprendido entre Septiembre de 1987 a Marzo de 1997 en el Hospital Universitario Dr. Angel Larralde de Valencia. Se analizaron 72 niños con sangramiento rectal, 39,16 por ciento presentaron rectorragía y 20,83 por ciento evacuaciones con moco y sangre, 75 por ciento de los casos presentaron Pólipos únicos a nivel del recto-sígmoides y sólo 2 casos (3,70 por ciento) presentaron Poliposis Múltiple el 77 por ciento fueron pediculados y 22,22 por ciento tipo sesil. En relación al sexo 62,96 por ciento fueron varones y 37,07 por ciento hembras, siendo la edad pre escolar (72,22 por ciento) el grupo etáreo predominante. La rectosigmoidoscopia más polipectomía con electrocoagulación fue el método diagnóstico y terapéutico, no presentandose ningún tipo de complicaciones. La histopatología reveló Pólipos juveniles en todos los casos. Se concluye que en todo niño con ésta sintomatología se debe tener presente esta entidad, debido a su alta frecuencia y a su fácil diagnóstico y tratamiento por personal capacitado
Subject(s)
Humans , Male , Female , Dysentery/complications , Polyps/surgery , Polyps/pathology , Rectum/anatomy & histologyABSTRACT
Chile is being affected by an epidemic of S enteritidis infections since 1994, an increasingly important cause of morbidity wordwide. Although infections by this bacteria have been commonly associated ti diarrhea and patients are usually not affected by complications, three patients required admission by dysentery (not reported in most published series), acute renal failure (ARF) and septic shock (SS), respectively, at the end of the summer season. S enteritidis was isolated from stool cultures in all three cases. A female patient (24) with dysentery presented with fever and diarrhea associated with blood and mucus and localized abdominal pain in the lower right quadrant. Surgery was not required although laparotomy was considered in the first hours after admission. ARF was demonstrated in a male patient (50) by dehidration, increased creatinine plasma and BUN level (7,19 and 103 mg/dl, respectively), and increased urinary Na level and anion gap (35 mEq/l). Hemodialysis was not required. A third patient was admitted by SS (male, 57, alcoholic), as demonstrated by hypotension despite fluid reposition, altered mental status, and multiorgan compromise. Haemodynamic monitorization showed a high cardiac index and a low systemic vascular resistence. CPK serum determinations indicated rhabdomyolysis. Patients recovered satisfactorily, except SS patient, who died