Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 237
Filter
1.
Arch. argent. pediatr ; 119(4): S171-S197, agosto 2021. tab, ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1281039

ABSTRACT

Las infecciones respiratorias agudas bajas (IRAB) continúan representando una importante causa de morbimortalidad en nuestro medio. El manejo normatizado de casos constituye una valiosa herramienta para enfrentarlas.Además de los aspectos relacionados con el diagnóstico y tratamiento de estas enfermedades, el análisis de factores de riesgo (tanto biológicos como socioambientales), desde una perspectiva local y actual, permitie implementar medidas efectivas de control y/o prevención, así como identificar aquellos pacientes susceptibles de presentar formas graves o complicaciones.Desde 1996 la Sociedad Argentina de Pediatría asumió el desafío de generar un documento que guíe el manejo integral de los pacientes con IRAB. En esta cuarta actualización se incluyen los últimos adelantos en el tema.


Acute lower respiratory infections (ARI) continue being an important cause of morbidity and mortality in our region. Standardized case management is a valuable tool to deal with them.In addition to aspects related to the diagnosis and treatment of these diseases, the analysis of risk factors (both biological and socio-environmental) from a local and current perspective, allows the implementation of effective control and/or prevention measures, as well as identifying those patients susceptible to presenting serious forms or complications.Since 1996, the Sociedad Argentina de Pediatría asumed the challenge of generating a document that guides the comprehensive management of patients with ARI. This fourth update includes the latest advances on the subject.


Subject(s)
Humans , Infant, Newborn , Infant , Respiratory Tract Infections/diagnosis , Respiratory Tract Infections/therapy , Pneumonia/diagnosis , Pneumonia/therapy , Pneumonia/epidemiology , Respiratory Tract Infections/epidemiology , Bronchiolitis/diagnosis , Bronchiolitis/therapy , Bronchiolitis/epidemiology , Acute Disease , Risk Factors
3.
Säo Paulo med. j ; 139(2): 170-177, Mar.-Apr. 2021. tab, graf
Article in English | LILACS | ID: biblio-1181006

ABSTRACT

ABSTRACT BACKGROUND: Healthcare institutions are confronted with large numbers of patient admissions during large-scale or long-term public health emergencies like pandemics. Appropriate and effective triage is needed for effective resource use. OBJECTIVES: To evaluate the effectiveness of the Pandemic Medical Early Warning Score (PMEWS), Simple Triage Scoring System (STSS) and Confusion, Uremia, Respiratory rate, Blood pressure and age ≥ 65 years (CURB-65) score in an emergency department (ED) triage setting. DESIGN AND SETTING: Retrospective study in the ED of a tertiary-care university hospital in Düzce, Turkey. METHODS: PMEWS, STSS and CURB-65 scores of patients diagnosed with COVID-19 pneumonia were calculated. Thirty-day mortality, intensive care unit (ICU) admission, mechanical ventilation (MV) need and outcomes were recorded. The predictive accuracy of the scores was assessed using receiver operating characteristic curve analysis. RESULTS: One hundred patients with COVID-19 pneumonia were included. The 30-day mortality was 6%. PMEWS, STSS and CURB-65 showed high performance for predicting 30-day mortality (area under the curve: 0.968, 0.962 and 0.942, respectively). Age > 65 years, respiratory rate > 20/minute, oxygen saturation (SpO2) < 90% and ED length of stay > 4 hours showed associations with 30-day mortality (P < 0.05). CONCLUSIONS: CURB-65, STSS and PMEWS scores are useful for predicting mortality, ICU admission and MV need among patients diagnosed with COVID-19 pneumonia. Advanced age, increased respiratory rate, low SpO2 and prolonged ED length of stay may increase mortality. Further studies are needed for developing the triage scoring systems, to ensure effective long-term use of healthcare service capacity during pandemics.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Pneumonia/diagnosis , Pneumonia/epidemiology , Triage/methods , Risk Assessment/methods , Emergency Service, Hospital/statistics & numerical data , Early Warning Score , COVID-19/therapy , Turkey , Uremia/etiology , Uremia/epidemiology , Blood Pressure , Retrospective Studies , Respiratory Rate/physiology , Pandemics , SARS-CoV-2 , COVID-19/diagnosis , COVID-19/epidemiology
4.
Medicina (B.Aires) ; 81(1): 37-46, mar. 2021. graf
Article in Spanish | LILACS | ID: biblio-1287239

ABSTRACT

Resumen La neumonía adquirida en la comunidad (NAC) representa un importante problema sanitario y ~20% de los pacientes requiere hospitalización. El objetivo principal del trabajo fue determinar las características clínico-imagenológicas de los episodios de NAC que requirieron internación. Los objetivos secundarios fueron determinar el rédito diagnóstico de los estudios microbiológicos e identificar las complicaciones. Realizamos un estudio analítico retrospectivo en un hospital de tercer nivel durante el período 2017-2019, en adultos admitidos por NAC, excluyendo embarazadas. Identificamos 340 episodios en 321 pacientes, la mediana de edad fue 75 años (rango intercuartil 57-85). Los factores de riesgo más frecuentes fueron inmunocompromiso (30%), enfermedad neurológica (22%) y enfermedad renal crónica (17%). Según tres scores pronósticos de gravedad, CURB65, qSOFA y PSI/PORT, 216 (63.5%), 290 (85.3%) y 130 (38%) episodios fueron identificados como de bajo riesgo, respectivamente. Del total de los episodios, 49 (14.4%) requirieron internación en unidad de cuidados intensivos, 39 (11.5%) ventilación mecánica y se registraron 30 (8.8%) muertes durante la hospitalización. Los patrones de imagen más frecuentes fueron consolidativo en 134 (39.4%), intersticio-alveolar en 98 (28.8%) y mixto entre ambos patrones en 67 (19.7%) episodios. Identificamos el agente causal en 79 (23.2%) episodios. Los microorganismos aislados más frecuentemente fueron influenza en 37 (10.9%) y Streptococcus pneumoniae en 11 (3.2%). La mayoría de los episodios afectaron pacientes ancianos y el principal patrón radiológico fue el consolidativo. El agente causal se pudo identificar en uno de cada cuatro episodios y el método con mayor rédito diagnóstico fue el test para influenza.


Abstract Community-acquired pneumonia (CAP) represents a major health issue and ~20% of the patients require in-hospital attention. The main objective of the study was to determine clinical-imaging features of CAP episodes requiring hospitalization. The secondary objectives were to determine the diagnostic yield of microbiological analyses and the medical complications. A retrospective analytical study was conducted on adults admitted due to CAP in a third-level hospital in the period 2017-2019. Pregnant women were excluded. A total of 340 CAP episodes were identified in 321 patients; the median age was 75 years old (interquartile range 57-85). The most frequent risk factors were immunocompromise 102 (30%), neurological disease 75 (22%), and chronic kidney disease 58 (17%). According to three prognostic scores, CURB65, qSOFA and PSI/PORT, 216 (63.5%), 290 (83.5%) and 130 (38%) patients were identified as low risk, respectively. A total of 49 (14.4%) episodes required admission at the critical care unit and 39 (11.5%) required mechanical ventilation; 30 patients (8.8%) died during hospitalization. The radiologic patterns most frequently found were consolidation in 134 (39.4%), interstitial-alveolar pattern in 98 (28.8%), and the combination of both patterns in 67 (19.7%) episodes. Identification of the causal agent was achieved in 79 (23.2%) episodes. The most frequently isolated microorganisms were influenza virus in 37 (10.9%) episodes and Streptococcus pneumoniae in 11 (3.2%). Most of the hospitalized CAP patients were elderly with consolidative radiological patterns. The causal agent could be identified in less than a quarter of the patients, with the influenza test being the method with the highest diagnostic yield.


Subject(s)
Humans , Female , Adult , Aged , Pneumonia/epidemiology , Pneumonia/diagnostic imaging , Pneumonia, Pneumococcal , Community-Acquired Infections/diagnosis , Community-Acquired Infections/therapy , Community-Acquired Infections/epidemiology , Streptococcus pneumoniae , Retrospective Studies , Hospitalization
5.
Rev. cuba. med ; 60(1): e1397, tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1156559

ABSTRACT

Introducción: Un instrumento ha sido utilizado para la estratificación de pacientes con neumonía adquirida en la comunidad en el Departamento de urgencias desde 2006. Objetivo: Evaluar el proceso de estratificación de pacientes con neumonía adquirida en la comunidad de pacientes hospitalizados. Métodos: Estudio descriptivo que incluyó 1 809 pacientes hospitalizados en el Departamento de urgencias entre los años 2009 y 2019. Para la evaluación del proceso se realizó una estratificación de control que permitió determinar la frecuencia y calidad de la estratificación inicial, así como la coincidencia entre esta y la estratificación real. En el análisis estadístico se utilizó la razón de productos cruzados (Odds Ratio) y el estadígrafo X2 para diferencias de proporciones; se aceptó un nivel de significación de 95 por ciento. Resultados: El índice de estratificación de la serie fue de 86 por ciento, y el índice de estratificación adecuada fue de 80 por ciento. Predominaron los pacientes con neumonía moderada y altas probabilidades de evolución desfavorable. La menor estratificación se comprobó en los pacientes con neumonía grave y altas probabilidades de recuperación (p<,05). Hubo diferencias en la calidad de la estratificación entre las agrupaciones de los estratos IA-IB-IIA y IIB-IIIA-IIIB (p<,05). Estos tres últimos estratos presentaron las cifras más altas del valor predictivo positivo de la estratificación inicial (p<,05). Conclusiones: El proceso de estratificación de pacientes con neumonía adquirida en la comunidad hospitalizados se caracterizó por una elevada frecuencia de estratificación y una adecuada calidad. No obstante, fueron identificados grupos de pacientes y situaciones específicas que se consideran áreas de superación de importancia para el mejoramiento de la calidad asistencia(AU)


Introduction: An instrument has been used for stratifying patients with community-acquired pneumonia in the emergency department since 2006. Objective: To evaluate the stratifying process of patients with community-acquired pneumonia in hospitalized patients. Methods: A descriptive study that included 1 809 patients hospitalized in the emergency department from 2009 to 2019 was carried out. A control stratification evaluated the process, which allowed determining the frequency and quality of the initial stratification, as well as the coincidence between this and the actual stratification. In the statistical analysis, the ratio of crossed products (Odds Ratio) and X2 statistic were used for differences in proportions; a significance level of 95 percent was accepted. Results: The stratification index of the series was 86 percent, and the adequate stratification index was 80 percent. Patients with moderate pneumonia and high probabilities of unfavorable evolution predominated. The lowest stratification was found in patients with severe pneumonia and high probability of recovery (p <.05). There were differences in the quality of stratification between the groupings of strata IA-IB-IIA and IIB-IIIA-IIIB (p <.05); these last three strata sowed the highest figures of the positive predictive value of the initial stratification (p <.05). Conclusions: The stratification process of hospitalized community-acquired pneumonia patients was characterized by high stratification frequency and adequate quality. However, this study identified groups of patients and specific situations that were considered as areas of improvement, important for improving the quality of care(AU)


Subject(s)
Humans , Pneumonia/epidemiology , Emergency Medical Services , Epidemiology, Descriptive , Community-Acquired Infections/etiology
6.
Rev. inf. cient ; 100(1): 1-13, ene.-feb. 2021. tab
Article in Spanish | LILACS | ID: biblio-1156707

ABSTRACT

RESUMEN Introducción: La neumonía adquirida en la comunidad durante el embarazo no se ha caracterizado en el Hospital General Docente "Dr. Agostinho Neto". Objetivo: Caracterizar este tipo de neumonía en gestantes ingresadas en el citado hospital durante el 2015-2019. Método: Se realizó un estudio descriptivo, aplicado, y retrospectivo. Se estudiaron indicadores relacionados con la morbilidad y mortalidad por esta enfermedad, edad biológica y gestacional, procedencia, comorbilidad, estadía, y estado al egreso de las gestantes; así como variables clínico- epidemiológicas relacionadas con la neumonía. Los datos se resumieron mediante análisis de frecuencias. Resultados: Ingresaron 67 gestantes con esta afección (9,1 % y 0,24 % respecto al total de pacientes maternas y al total de pacientes ingresados en la unidad por todas las causas, respectivamente). Sobre todo, tenían entre 20 y 29 años de edad (92,5 %) y entre 28 y 42 semanas de gestación (59,7 %), procedieron de áreas urbanas (89,5 %) y presentaron comorbilidad (31,3 %). La forma clínica-radiológica típica fue la más común (92,5 %), el germen causal más usual fue el Streptococcus pneumoniae (41,8 %), el 100 % se trató con fármacos antimicrobianos antivirales, cefalosporinas y macrólidos, el 73,1 % evolucionó de modo satisfactorio. Falleció una paciente. Conclusiones: Se caracterizó la neumonía adquirida en la comunidad durante el embarazo en pacientes del Hospital General Docente "Dr. Agostinho Neto" de Guantánamo durante el periodo 2015-2019, lo que posibilita reconocer que no significa un problema de salud, pero impacta en el perfil de morbilidad materna pues es la primera causa de ingreso de gestantes por enfermedades no obstétricas.


ABSTRACT Introduction: Pneumonia acquired in the community during pregnancy has not been characterized in the Hospital General Docente "Dr. Agostinho Neto". Objective: To characterize this type of pneumonia in pregnant women admitted to the aforementioned hospital during 2015-2019. Method: A descriptive, retrospective and applied study was carried out. Indicators related to morbidity and mortality, biological and gestational age, origin, comorbidity, stay and status at the time discharge of the pregnant women were studied; as well as clinical-epidemiological variables related to pneumonia. Data were summarized using frequency analysis. Results: 67 pregnant women with this condition were admitted (9.1% and 0.24% with respect to the total number of maternal patients and the total number of patients admitted to the unit for all causes, respectively). They were mostly between 20 and 29 years of age (92.5%) and between 28 and 42 weeks of gestation (59.7%); 89.5% came from urban areas and 31.3% presented comorbidity. The typical clinical-radiological form was the most common (92.5%); the most common causative germ was Streptococcus pneumoniae (41.8%); 100% were treated with antiviral antimicrobial drugs, cephalosporins and macrolides; 73.1% evolved satisfactorily. One patient passed away. Conclusions: Community-acquired pneumonia during pregnancy was characterized in patients from the Hospital General Docente "Dr. Agostinho Neto" in Guantánamo during the period 2015-2019, which makes it possible to recognize that this condition does not constitute a health problem, but it impacts on the maternal morbidity profile since it is the first cause of admission of pregnant women due to non-obstetric diseases.


RESUMO Introdução: Pneumonia adquirida na comunidade durante a gravidez não foi caracterizada no Hospital General Docente "Dr. Agostinho Neto". Objetivo: Caracterizar este tipo de pneumonia em gestantes internadas no referido hospital durante 2015-2019. Método: Foi realizado um estudo descritivo, aplicado e retrospectivo. Foram estudados indicadores relacionados à morbimortalidade por essa doença, idade biológica e gestacional, procedência, comorbidade, permanência e estado de alta das grávidas; bem como variáveis clínico-epidemiológicas relacionadas à pneumonia. Os dados foram resumidos por análise de frequência. Resultados: Foram internadas 67 grávidas com essa condição (9,1% e 0,24% do total de pacientes maternos e do total de pacientes internados na unidade por todas as causas, respectivamente). Acima de tudo, tinham entre 20 e 29 anos (92,5%) e entre 28 e 42 semanas de gestação (59,7%), eram procedentes da zona urbana (89,5%) e apresentavam comorbidade (31,3%). A forma clínico-radiológica típica foi a mais comum (92,5%), o germe causador mais comum foi Streptococcus pneumoniae (41,8%), 100% foram tratados com antimicrobianos antivirais, cefalosporinas e macrolídeos, 73,1% evoluíram de forma satisfatória. Um paciente faleceu. Conclusões: A pneumonia adquirida na comunidade durante a gravidez foi caracterizada em pacientes do Hospital General Docente "Dr. Agostinho Neto" de Guantánamo no período 2015-2019, o que permite reconhecer que não se trata de um problema de saúde, mas impacta no perfil de morbidade materna por ser a principal causa de internamento de grávidas por doenças não obstétricas.


Subject(s)
Humans , Female , Pregnancy , Pneumonia/mortality , Pneumonia/epidemiology , Epidemiology, Descriptive , Retrospective Studies
7.
Pesqui. vet. bras ; 40(8): 571-578, Aug. 2020. tab, ilus
Article in English | LILACS, VETINDEX | ID: biblio-1135670

ABSTRACT

This review reports the leading causes of death in feedlot beef cattle. It describes economic losses resulting from these deaths and suggests control alternatives. Diseases associated with the respiratory and digestive systems were the most frequently observed. In different geographical areas, the importance of each one might vary. Outbreaks of diseases such as botulism occur occasionally and can cause important economic losses. Cattle tick fever can cause significant losses in zones of enzootic tick instability. Technical assistance and sanitary and food management are critical for the best productivity in feedlot cattle.(AU)


Esta revisão discute as principais causas de morte em bovinos de corte em confinamento. Descreve as perdas econômicas resultantes dessas mortes e sugere alternativas de controle. As doenças associadas aos sistemas respiratório e digestivo foram as mais frequentemente observadas. Em diferentes áreas geográficas, a importância de cada uma pode variar. Surtos de doenças como o botulismo ocorrem ocasionalmente e podem causar importantes perdas econômicas. A tristeza parasitária bovina pode causar perdas significativas em zonas de instabilidade enzoótica do carrapato. A assistência técnica e um bom gerenciamento sanitário e alimentar são essenciais para a melhor produtividade em bovinos de corte confinados.(AU)


Subject(s)
Animals , Cattle , Pneumonia/mortality , Pneumonia/prevention & control , Pneumonia/epidemiology , Acidosis, Lactic/mortality , Acidosis, Lactic/prevention & control , Acidosis, Lactic/epidemiology , Botulism/prevention & control , Botulism/epidemiology , Cattle Diseases/mortality , Flatulence/mortality , Flatulence/prevention & control , Flatulence/epidemiology , Cause of Death
9.
Rev. Bras. Saúde Mater. Infant. (Online) ; 20(1): 81-89, Jan.-Mar. 2020. tab, graf
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1136420

ABSTRACT

Abstract Objectives: to describe the characteristics of pneumonia hospitalizations in children under five years of age across the State of Maranhão, Brazil, and explore patterns of spatial distribution of admissions. Methods: ecological study using data on occurrences (age, gender, skin color/race, month of occurrence, and municipality of residence) between 2012 and 2017 taken from the Unified Health System's Hospital Information System and municipal level socioeconomic indicators for 2010. Each respiratory disease, including pneumonia, was presented as a percentage of overall admissions for respiratory tract diseases, together with the monthly distribution of admissions as a percentage of total annual cases, and annual rate of admissions by gender. The General G* statistic was calculated to identify significant clustering of municipalities with similar proportions of hospital admissions for pneumonia relative to overall hospital admissions. Results: pneumonia was the leading cause of admissions for respiratory disease, accounting for 57% of all cases and occurring with greater frequency in the rainy season (February to June) and in cities with lower socioeconomic indicator values. The rate of admissions decreased over the study period. Significant clusters (p<0.05) of municipalities with high proportions of hospital admissions for pneumonia relative to overall hospital admissions occurred predominantly in the south of the state, while clusters with low propor-tions were located mainly in and around the metropolitan region of the state capital São Luís. Conclusions: pneumonia was shown to be a key cause of hospitalization in children and its distribution was associated with contextual socioeconomic factors, reflecting the quality of life and health status of children in Maranhão.


Resumo Objetivos: descrever as características das hospitalizações por pneumonia entre crianças menores de cinco anos de idade no estado do Maranhão e verificar seu padrão de distribuição geoespacial. Métodos: estudo ecológico, com dados ocorridos entre 2012 e 2017, coletados do Sistema de Informações Hospitalares segundo idade, sexo, cor/raça, mês de ocorrência e município de residência. Utilizaram-se também medidas socioeconômicas contextuais dos municípios em 2010. Apresentaram-se as características percentuais das causas de hospitalização do aparelho respiratório e por pneumonia, sua variação temporal ao longo dos meses e as taxas nos anos de estudo. Aplicou-se a estatística G* para verificar a formação de significativos clusters de municípios com similares níveis de hospitalizações. Resultados: a pneumonia foi a principal causa da hospitalização (57%), ocorrendo, frequentemente, nos meses de intensas chuvas (fevereiro a junho) e em cidades com piores indicadores socioeconômicos. As taxas de internação decresceram no período. Significativos agrupamentos (p<0,05) de municípios com maiores proporções de pneumonia ocorreram no sul do estado e com menores na região metropolitana da capital São Luís. Conclusões: a pneumonia foi importante causa de hospitalização de crianças e sua distribuição está associada a características socioeconômicas contextuais, refletido o nível de qualidade de vida e saúde no Maranhão.


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Pneumonia/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Child, Hospitalized/statistics & numerical data , Hospitalization/statistics & numerical data
10.
Säo Paulo med. j ; 138(2): 126-132, Mar.-Apr. 2020. tab, graf
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1139673

ABSTRACT

ABSTRACT BACKGROUND: Exposure to particulate material produced as a result of increased agricultural activity may increase the number of pneumonia hospitalizations among children. We hope to contribute to the knowledge base through highlighting the environmental mechanisms involved in this outcome and optimizing pollutant control policies. OBJECTIVES: To investigate the association between pneumonia hospitalizations among children and presence of environmental pollutants in a town in the Brazilian Legal Amazon region. DESIGN AND SETTING: Time series study conducted in the town of Tangará da Serra, Mato Grosso (MT), Brazil. METHODS: A total of 158 children aged 0 to 10 years participated in the study. Data on environmental variables and pollutants were extracted daily through the Coupled Chemistry-Aerosol-Tracer Transport model coupled to Brazilian Regional Atmospheric Modeling System (CCATT-BRAMS). Meteorological data were provided by the Weather Forecasting and Climate Studies Center (CPTEC). RESULTS: There was greater frequency of pneumonia hospitalizations in the months of transition between the rainy and dry seasons, with a prevalence ratio 2.4 times higher than in other periods. For environmental pollutants, there was a significant positive correlation between particulate matter (PM2.5) and pneumonia hospitalizations (correlation 0.11), with more admissions on the days when PM2.5 levels were highest (averages of 6.6 µg/m3 when there were no admissions and 13.11 µg/m3 on days with two or more admissions). CONCLUSIONS: The higher the PM2.5 level was, the greater the frequency of hospitalizations also was. Children living in peripheral areas had higher prevalence of pneumonia hospitalizations in the dry period than those who were living in the town center.


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Pneumonia/epidemiology , Air Pollutants , Air Pollution/statistics & numerical data , Seasons , Brazil/epidemiology , Risk Factors , Particulate Matter , Hospitalization/statistics & numerical data
11.
Rev. saúde pública (Online) ; 54: 32, 2020. tab, graf
Article in English | LILACS | ID: biblio-1094411

ABSTRACT

ABSTRACT OBJECTIVE To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil. METHOD In this study, a cross-sectional ecological study was performed. This study analyzed the 27 capitals of Brazil's federative units. Data were aggregated from the following open access databases: National Program for Access and Quality Improvement in Primary Care, the Hospital Information System of Brazilian Unified Health System and Annual Population Census conducted by the Brazilian Institute of Geography and Statistics. Associations were estimated among characteristics of primary care with the number of three PCSC as the leading causes of hospitalization in children under-5 population in Brazil: asthma, diarrhea, and pneumonia. RESULTS In general, PHCC showed limited structural adequacy (37.3%) for pediatric care in Brazil. The capitals in South and Southeast regions had the best structure whereas the North and Northeast had the worst. Fewer PCSC hospitalizations were significantly associated with PHCC which presented appropriate equipment (RR: 0.98; 95%CI: 0.97-0.99), structural conditions (RR: 0.98; 95%CI: 0.97-0.99), and signage/identification of professionals and facilities (RR: 0.98; 95%CI: 0.97-0.99). Higher PCSC hospitalizations were significantly associated with PHCC with more physicians (RR: 1.23, 95%CI: 1.02-1.48), it forms (RR: 1.01, 95%CI: 1.01-1.02), and more medications (RR: 1.02, 95%CI: 1.01-1.03) CONCLUSION Infrastructural adequacy of PHCC was associated with less PCSC hospitalizations, while availability medical professional and medications were associated with higher PCSC hospitalizations.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Primary Health Care/statistics & numerical data , Hospitalization/statistics & numerical data , Pneumonia/therapy , Pneumonia/epidemiology , Asthma/therapy , Asthma/epidemiology , Socioeconomic Factors , Brazil/epidemiology , Cross-Sectional Studies , Delivery of Health Care/statistics & numerical data , Diarrhea/therapy , Diarrhea/epidemiology
12.
Ciênc. Saúde Colet ; 24(11): 4133-4140, nov. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1039528

ABSTRACT

Resumo O objetivo deste artigo é avaliar o impacto das emissões da queima da cana-de-açúcar sobre o número de internações hospitalares por doenças respiratórias em uma região canavieira. Registros de internações hospitalares por doenças respiratórias foram adquiridas a partir da base de dados referentes ao sistema de informações hospitalares do sistema único de saúde (SIH-SUS), no período de 28 de março de 2011 a 28 de dezembro de 2012. Níveis de MP10, NO2, O3, temperatura e umidade relativa foram registradas. Modelos de regressão logística foram construídos para analisar a associação entre o número total de internações, poluentes atmosféricos e variáveis meteorológicas. Foram registradas 1.179 internações, dentre elas a pneumonia mostrou aumento significativo no período de queima (p = 0,005). Neste mesmo período observou-se que o cluster MP10 e NO2 influenciou 67,9% (IC95%: 11,111-2,537), seguido do cluster MP10, NO2, O3 e temperatura que influenciou 91,1% (IC95%: 1,116; 3,271) no número total de internações. Durante o período de queima houve maior número de internações por doenças respiratórias, principalmente de pneumonia, quando foi observada a influência dos poluentes e temperatura no processo de adoecimento da população.


Abstract The scope of this article is to evaluate the impact of emissions from sugarcane burning on hospital admission numbers for respiratory diseases in a sugarcane region. Hospital admission records for respiratory diseases were acquired from the database of the Hospital Information System of the Unified Health System (SIH-SUS) in the period from March 28, 2011 to December 28, 2012. Levels of PM10, NO2, O3, Temperature and Relative Humidity were recorded. Logistic regression models were created to analyze the association between the total number of hospitalizations, atmospheric pollutants and meteorological variables. A total of 1,179 hospitalization admissions were recorded, with a significant increase in cases of pneumonia in the burning period (p = 0.005). Likewise, it was observed that the cluster of PM10 and NO2 was influenced 67.9% (95% CI: 11.111-2.537) followed by cluster PM10, NO2, O3 and Temperature that influenced 91.1% (95% CI: 1.116; 3.271) in the total number of hospitalization admissions. During the sugarcane burning period there were more hospitalization admissions due to respiratory tract diseases, mainly pneumonia, where the influence of air pollutants and temperature in the process of illness in the population was detected.


Subject(s)
Humans , Pneumonia/epidemiology , Respiratory Tract Diseases/epidemiology , Saccharum , Environmental Exposure/adverse effects , Temperature , Brazil , Databases, Factual , Air Pollutants/toxicity , Particulate Matter/toxicity , Fires , Hospitalization/statistics & numerical data , Humidity , National Health Programs
13.
Rev. cuba. med. gen. integr ; 35(3): e200, jul.-set. 2019. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1093501

ABSTRACT

Introducción: La neumonía comunitaria complicada es una entidad con gran impacto sobre la morbimortalidad pediátrica. Objetivo: Desarrollar un instrumento que permita pronosticar a los niños con alto riesgo de desarrollar neumonía comunitaria complicada. Métodos: Se realizó un estudio cuali-cuantitativo en el Hospital General Comandante Pinares de San Cristóbal, en el período 2013-2016 en dos etapas: una etapa diagnóstica inicial, en la que se efectuó un estudio de cohorte prospectivo observacional que permitió estimar la incidencia de neumonía complicada, describir sus características relevantes e identificar factores de riesgo. En una segunda etapa, se elaboró y validó un instrumento pronóstico de esta entidad. Resultados: La incidencia de neumonía complicada fue del 39,5 por ciento, identificándose seis factores de riesgo: hacinamiento [OR 1,9], fumador pasivo [OR 1,76], no lactancia materna exclusiva hasta el sexto mes [OR 1,85], anemia [OR 4,5], morbilidad infecciosa recurrente [OR 1,69] y uso reciente de antimicrobianos [OR 2,38]. Al aplicar el instrumento pronóstico se obtuvo una sensibilidad del 85,47 y una especificidad del 92,74. Conclusiones: La neumonía complicada es una entidad de presentación frecuente, identificándose seis factores de riesgo. El instrumento desarrollado pronostica la posibilidad de desarrollar neumonía complicada en niños con sensibilidad aceptable y alta especificidad(AU)


Introduction: Community complicated pneumonia is an entity with great impact on morbidity and mortality in children. Objective: To develop an instrument that allows prognosticating children at high risk of developing community complicated pneumonia. Methods: A qualitative-quantitative study was carried out at Comandante Pinares General Hospital, San Cristobal municipality, in the period from 2013 to 2016 in two stages: an initial diagnostic stage, in which it was performed a prospective observational cohort study that allowed to estimate the incidence of complicated pneumonia, to describe its relevant characteristics and identify risk factors. In a second stage, it was developed and validated a prognosis instrument for this entity. Results: The incidence of complicated pneumonia was 39.5 por ciento identifying six risk factors: overcrowding (OR 1.9), passive smoking (OR 1.76), not exclusive breastfeeding until the sixth month (OR 1.85), anemia (OR 4.5), recurrent infectious morbidity (OR 1.69), and recent use of antimicrobials (OR 2.38). When the prognosis instrument was applied, it was obtained a sensitivity of 85.47 and a specificity of 92.74. Conclusions: Complicated pneumonia is an entity of frequent presentation. Six risk factors were identified. The instrument predicts the possibility of developing complicated pneumonia in children with acceptable sensitivity and high specificity(AU)


Subject(s)
Humans , Male , Female , Child , Pneumonia/complications , Pneumonia/epidemiology , Risk Factors
14.
Rev. bras. enferm ; 72(3): 760-766, May.-Jun. 2019. tab
Article in English | LILACS, BDENF | ID: biblio-1013564

ABSTRACT

ABSTRACT Objective: To evaluate the risk factors related to Klebsiella pneumoniae carbapenemase infection after renal transplantation. Methods: This was a retrospective epidemiological (case-control) study, conducted from October 2011 to march 2016. Transplanted patients with infection by this bacteria during hospitalization were selected as cases. The controls were paired by age, sex, type of donor and transplant time. The proportion of cases and controls was 1:2. Results: Thirty hundred and five patients were included in the study (45 cases and 90 controls). The risk factors found for infection by KPC were: time of hospitalization after the transplant (OR: 4.82; CI95% 2.46-9.44), delayed kidney function (OR: 5.60; CI95% 1.91-11.01) and previous infectious for another microorganism ( OR: 34.13 CI95% 3.52-132.00). Conclusion: The risk of acquisition of this bacterium was directly related to invasive procedures and exposure to the hospital environment. The findings reinforce the importance of prevention measures and control of infection by this microorganism.


RESUMEN Objetivo: Evaluar los factores de riesgo relacionados con la infección por Klebsiella pneumoniae carbapenemasa después del trasplante renal. Método: Estudio retrospectivo epidemiológico (caso-control), realizado de octubre de 2011 a marzo de 2016. Pacientes transplantados con infección por esa bacteria durante la internación fueron seleccionados como casos. Los controles se parearon por edad, sexo, tipo de donante y tiempo de trasplante. La proporción de casos y controles fue de 1: 2. Resultados: Treinta y cinco pacientes fueron incluidos en el estudio (45 casos y 90 controles). Los factores de riesgo para la infección encontrados por KPC fueron: tiempo de hospitalización después del trasplante (OR: 4,82, IC95% 2,46-9,44), función renal retardada (OR: 5,60, IC95% 1, 91-11,01) y anterior infecciosa para otro microorganismo (OR: 34,13 IC95% 3,52-132,00). Conclusión: El riesgo de adquisición de esta bacteria estuvo directamente relacionado a procedimientos invasivos y exposición al ambiente hospitalario. Los hallazgos refuerzan la importancia de medidas de prevención y control de la infección por ese microorganismo.


Subject(s)
Humans , Male , Female , Adult , Pneumonia/ethnology , Bacterial Proteins/adverse effects , beta-Lactamases/adverse effects , Klebsiella Infections/etiology , Kidney Transplantation/adverse effects , Pneumonia/chemically induced , Pneumonia/epidemiology , Bacterial Proteins/metabolism , beta-Lactamases/metabolism , Brazil/epidemiology , Klebsiella Infections/metabolism , Klebsiella Infections/epidemiology , Case-Control Studies , Retrospective Studies , Risk Factors , Kidney Transplantation/methods , Klebsiella pneumoniae/metabolism , Klebsiella pneumoniae/pathogenicity , Middle Aged
15.
Rev. bras. ter. intensiva ; 31(1): 47-56, jan.-mar. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1003621

ABSTRACT

RESUMEN Objetivo: Determinar en pacientes con sepsis admitidos en el servicio de urgencias la asociación entre el foco infeccioso principal y la mortalidad intrahospitalaria como desenlace principal o requerimiento de ingreso a unidad de cuidados intensivos como desenlace secundario. Métodos: Análisis secundario de cohorte prospectiva multicéntrica. Se incluyeron pacientes mayores de 18 años con diagnóstico de sepsis grave o choque séptico atendidos en las salas de urgencias de 3 hospitales de alta complejidad. De 5022 elegibles, se incluyeron 2510 participantes. Análisis de regresión logística múltiple para mortalidad. Resultados: El sitio de infección más frecuente fue tracto urinario, presente en el 27,8% de los casos, seguido de neumonía en el 27,5% y foco intraabdominal en el 10,8%. En el 5,4% de los casos no se identificó foco claro al ingreso. Mediante regresión logística se encontró asociación significativa entre los siguientes sitios de infección y mortalidad intrahospitalaria al tomar como referencia el grupo de infección urinaria: neumonía (OR 3,4; IC95%, 2,2 - 5,2; p < 0,001), piel y tejidos blandos (OR 2,6; IC95%, 1,4 - 5,0; p = 0,003), torrente sanguíneo (OR 2,0; IC95%, 1,1 - 3,6; p = 0,018), sin foco claro (OR 2,0; IC95%, 1,1 - 3,8; p = 0,028), e intraabdominal (OR 1,9; IC95%, 1,1 - 3,3; p = 0,024). Conclusiones: Existe una asociación significativa entre los diferentes sitios de infección y la mortalidad intrahospitalaria o requerimiento de unidad de cuidados intensivos en pacientes con sepsis o choque séptico, siendo la infección de vías urinarias la que confiere el menor riesgo, lo que se deberá tener en cuenta en los modelos pronósticos de estas condiciones.


ABSTRACT Objective: To determine the association between the primary site of infection and in-hospital mortality as the main outcome, or the need for admission to the intensive care unit as a secondary outcome, in patients with sepsis admitted to the emergency department. Methods: This was a secondary analysis of a multicenter prospective cohort. Patients included in the study were older than 18 years with a diagnosis of severe sepsis or septic shock who were admitted to the emergency departments of three tertiary care hospitals. Of the 5022 eligible participants, 2510 were included. Multiple logistic regression analysis was performed for mortality. Results: The most common site of infection was the urinary tract, present in 27.8% of the cases, followed by pneumonia (27.5%) and intra-abdominal focus (10.8%). In 5.4% of the cases, no definite site of infection was identified on admission. Logistic regression revealed a significant association between the following sites of infection and in-hospital mortality when using the urinary infection group as a reference: pneumonia (OR 3.4; 95%CI, 2.2 - 5.2; p < 0.001), skin and soft tissues (OR 2.6; 95%CI, 1.4 - 5.0; p = 0.003), bloodstream (OR 2.0; 95%CI, 1.1 - 3.6; p = 0.018), without specific focus (OR 2.0; 95%CI, 1.1 - 3.8; p = 0.028), and intra-abdominal focus (OR 1.9; 95%CI, 1.1 - 3.3; p = 0.024). Conclusions: There is a significant association between the different sites of infection and in-hospital mortality or the need for admission to an intensive care unit in patients with sepsis or septic shock. Urinary tract infection shows the lowest risk, which should be considered in prognostic models of these conditions.


Subject(s)
Humans , Male , Female , Adult , Aged , Shock, Septic/epidemiology , Hospital Mortality , Sepsis/epidemiology , Emergency Service, Hospital , Pneumonia/complications , Pneumonia/epidemiology , Prognosis , Shock, Septic/metabolism , Urinary Tract Infections/complications , Urinary Tract Infections/epidemiology , Prospective Studies , Cohort Studies , Colombia , Sepsis/mortality , Tertiary Care Centers , Intensive Care Units , Middle Aged
16.
Rev. chil. enferm. respir ; 35(3): 181-190, 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1058073

ABSTRACT

OBJETIVO: Determinar el impacto de la contaminación del aire sobre la salud respiratoria en las comunas de Chillán, Concepción y Los Ángeles entre los años 2013 y 2017. MATERIAL Y MÉTODOS: Se estimaron modelos lineales generalizados (GLM) a partir de datos diarios de atenciones de urgencias por enfermedades respiratorias desagregadas por tipo y rango etario, concentraciones de material particulado respirable (MP10) y material particulado fino (MP2,5), índice viral, variables meteorológicas y estacionales. RESULTADOS: Se obtiene una asociación positiva entre los contaminantes analizados y las atenciones de urgencias por causas respiratorias, especialmente IRA alta y Bronquitis/Bronquiolitis aguda en Chillán, IRA alta en Concepción, y además, IRA alta, Influenza y Crisis Obstructiva Bronquial en Los Ángeles. CONCLUSIONES: El incremento en el número de todas las atenciones de urgencia es aproximadamente 18.695 al año por cada 1 μg/m3 de incremento en las concentraciones de material particulado.


OBJECTIVE: To determine the impact of air pollution on respiratory diseases in the districts of Chillán, Concepción and Los Ángeles, Chile between 2013 and 2017. MATERIAL AND METHODS: Generalized linear models (GLM) were estimated from daily data for emergency room admissions disaggregated by type and age range, concentrations of respirable particulate matter (PM10) and fine particulate matter (PM2.5), viral index, meteorological and seasonal variables. RESULTS: A positive association is obtained between the analyzed contaminants and the number of emergency room admissions for respiratory causes, especially acute upper respiratory infection (URI) and acute bronchitis / bronchiolitis in Chillán, acute URI in Concepción, and also, acute URI, Influenza and obstructive bronchial crisis in Los Angeles. CONCLUSIONS: The increase in the total number of emergency room admissions is approximately 18,695 per year for every 1 μg / m3 increase in PM concentrations.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Young Adult , Respiratory Tract Diseases/epidemiology , Air Pollution/adverse effects , Emergency Medical Services/statistics & numerical data , Particulate Matter/adverse effects , Pneumonia/epidemiology , Respiratory Tract Diseases/chemically induced , Respiratory Tract Infections/epidemiology , Linear Models , Chile , Age Distribution , Risk Assessment , Influenza, Human/epidemiology , Particulate Matter/analysis
17.
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1088681

ABSTRACT

La neumonía adquirida en la comunidad en adultos, es un importante problema de salud pública. En América Latina son muy escasas las publicaciones que documenten su incidencia. Esta comunicación breve proporciona datos preliminares sobre la incidencia (105 persona/año) de neumonías en adultos hospitalizados. La base de datos de una institución médica privada de Uruguay, posibilitó la estimación de la incidencia de esa patología, antes de la implementación de la vacuna conjugada neumocóccica (VCN) en la infancia y luego de su aplicación. En 1.688 pacientes con neumonía los mayores de 64 años predominaron y su incidencia fue de 1.938 en el período prevacunación, descendiendo significativamente a 1.365 luego de la VCN. A pesar de la posible protección indirecta de la vacunación, la información presentada alerta sobre la persistencia de morbimortalidad por neumonía en adultos mayores.


Pneumonia in adults poses severe health risks, but data on its burden still lacks in Latin American countries including Uruguay. To fill this gap preliminary information on hospitalized pneumonia incidence in adults was analyzed. A data base from a private medical institution enabled to estimate, pre and post pneumococcal conjugate vaccine incidences (105 person/year), by age groups. Out of 1 688 adults hospitalized due to pneumonia, the group aged >64 yers predominated. For the same age group, a significant difference (1.938 vs. 1.365) was observed on incidences before and after conjugate vaccine application in children. Although more robust information on adult pneumonia hospitalizations are required to confirm indirect vaccine effect, these data alert on pneumonia persistence which requires preventive measures.


A pneumonia adquirida na comunidade em adultos é um grande problema de saúde pública. Na América Latina existem muito poucas publicações que documentam sua incidência. Esta breve comunicação fornece dados preliminares sobre a incidência (105 pessoas / ano) de pneumonias em adultos hospitalizados. O banco de dados de uma instituição médica privada no Uruguai possibilitou estimar a incidência dessa patologia, antes da implementação da vacina conjugada pneumocócica (VCN) na infância e após sua aplicação. Em 1.688 pacientes com pneumonia, aqueles com mais de 64 anos de idade predominaram e sua incidência foi de 1.938 no período de pré-vacinação, descendo significativamente para 1.365 após a VCN. Apesar da possível proteção indireta da vacinação, as informações apresentadas alertam sobre a persistência da morbimortalidade por pneumonia em idosos.


Subject(s)
Humans , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Pneumonia/epidemiology , Pneumococcal Vaccines/therapeutic use , Hospitalization/statistics & numerical data , Pneumonia/prevention & control , Uruguay , Comparative Study , Incidence , Retrospective Studies , Age Distribution , Controlled Before-After Studies , Interrupted Time Series Analysis
18.
Rev. habanera cienc. méd ; 17(3): 408-426, mayo.-jun. 2018. tab
Article in Spanish | LILACS, CUMED | ID: biblio-978540

ABSTRACT

Introducción: Las infecciones respiratorias agudas se encuentran entre las principales causas de muerte en la primera infancia; se destaca la neumonía adquirida en la comunidad como una de las más importantes. Objetivo: Determinar los factores asociados a la Neumonía Grave Adquirida en la Comunidad en niños menores de 5 años. Material y Método: Se realizó una investigación analítica, prospectiva, tipo caso-control no pareada, en niños con Neumonía Adquirida en la Comunidad ingresados en el Hospital Materno Infantil Dr Ángel Arturo Aballí, en La Habana. Fueron evaluados 255 casos. Se realizó el análisis univariado y de regresión logística multivariado; se calculó el OR simple y ajustado para el resto de las variables. Resultados: Las variables con valores de OR simple que muestran asociación significativa con la Neumonía Grave Adquirida en la Comunidad fueron: edad, desnutrición, lactancia materna no efectiva, antecedentes de infecciones respiratorias a repetición, fumadores pasivos, quejido, tiraje, taquipnea, taquicardia, complicaciones, empleo de antibiótico previo y localización izquierda de la neumonía. De igual forma ocurrió con el conteo de leucocitos, la velocidad de sedimentación globular, la hemoglobina, la albúmina sérica, la proteína C reactiva y la mayor estadía hospitalaria. Conclusiones: La edad, la lactancia materna no efectiva, el fumador pasivo, las complicaciones y la estadía fue el conjunto de factores que integró la función de variables asociadas con riesgo independiente a la Neumonía Grave Adquirida en la Comunidad(AU)


Introduction: Acute respiratory infections are among the main leading causes of death in early childhood, highlighting community-acquired pneumonia as one of the most important. Objective: To determine the factors associated with Severe Community-Acquired Pneumonia in children under five years of age. Material and Method: An analytical prospective non-paired case-control study was conducted in children with Severe Community-Acquired Pneumonia admitted to Dr Ángel Arturo Aballí Maternal and Child Health Hospital in Havana. A total of 255 cases were evaluated. Univariate and multivariate logistic regression analyses were carried out, calculating the simple OR and adjusted for the rest of the variables. Results: The variables with simple OR values that show significant association with the Severe Community-Acquired Pneumonia were: age, malnutrition, non-effective breastfeeding, history of repeated respiratory infections, passive smoking, moan, retraction, tachypnea, tachycardia, complications, use of prior antibiotic, and left location of pneumonia. Likewise, it occurred with white blood cell count, erythrocyte sedimentation rate, hemoglobin, serum albumin, C-reactive protein, and the highest hospital stay. Conclusions: Age, ineffective breastfeeding, passive smoking, complications, and stay were the group of factors that integrated the function of variables associated with independent risk of Severe Community-Acquired Pneumonia(AU)


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Pneumonia/complications , Pneumonia/epidemiology , Multivariate Analysis , Risk Factors , Child Health/standards
19.
Ciênc. Saúde Colet ; 22(12): 4105-4114, Dez. 2017. tab
Article in Portuguese | LILACS | ID: biblio-890244

ABSTRACT

Resumo O objetivo deste artigo é analisar a influência das hospitalizações por doenças infecciosas (diarreia e pneumonia) e do parasitismo na evolução nutricional, ao longo de um ano, entre crianças assistidas em creches públicas municipais. Mães de crianças de uma coorte responderam sobre a hospitalização por diarreia e pneumonia, assim como em relação ao parasitismo, durante o período de um ano de frequência à creche. Medidas antropométricas foram tomadas em cada visita. Usou-se modelo ajustado para examinar a relação entre a experiência de processos infecciosos e os desfechos do crescimento (peso e estatura). Numa amostra de 269 crianças monitoradas no período de 12 meses, a hospitalização por pneumonia e a infecção parasitária estiveram associadas com o crescimento desacelerado do peso e da estatura. Infecções parasitárias e pneumonia associaram-se ao comprometimento do crescimento em termos de peso e estatura.


Abstract The scope of this article is to analyze the influence of hospitalizations by infectious diseases (diarrhea and pneumonia) and parasitism in nutritional evolution, over the period of a year, among children enrolled in municipal public day care centers. Mothers of children in a cohort were asked about previous hospitalization due to diarrhea and pneumonia, as well as in relation to the elimination of worms, during the period of one year of attendance at day care centers. Anthropometrics were measured at each visit. An adjusted model to examine the relationship between infections experienced and growth outcomes (weight and height) was applied. In a subset analysis of 269 children followed up at every visit over the course of 12 months, hospitalization due to pneumonia and parasite infection were associated with decelerated growth in weight and height. Parasitic infection and pneumonia were associated with growth impairment in terms of weight and height.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Parasitic Diseases/epidemiology , Child Day Care Centers , Communicable Diseases/epidemiology , Hospitalization/statistics & numerical data , Parasitic Diseases , Pneumonia/complications , Pneumonia/epidemiology , Body Height , Body Weight , Brazil/epidemiology , Communicable Diseases/complications , Follow-Up Studies , Diarrhea/epidemiology , Growth Disorders/etiology , Growth Disorders/epidemiology
20.
Rev. chil. enferm. respir ; 33(4): 303-307, dic. 2017. graf
Article in Spanish | LILACS | ID: biblio-1042619

ABSTRACT

Chile sufre un envejecimiento acelerado de su población, por lo que la cantidad de adultos mayores se ha duplicado en los últimos veinte años. Las enfermedades crónicas no trasmisibles, entre ellas el asma bronquial y EPOC, como lo ha señalado la Organización Mundial de la Salud, aumentarán su peso sanitario relativo y por ende requerirán de equipos médicos capacitados en su manejo. Al mismo tiempo, en nuestro país se aprecia una reducción de la tasa de neumonías incluyendo a los grupos etarios más avanzados. Existen diferentes factores favorecedores de las infecciones respiratorias bajas que deben ser considerados en la prevención de estos cuadros; sobresaliendo los trastornos de la deglución, las rinopatías crónicas y factores asociados a la inmunosenescencia. Se enfatiza el valor de la inmunoprevención en esta edad y la necesidad de definir estándares de calidad para lograr impacto sanitario y mejoría de la calidad de vida de nuestros adultos mayores.


The older population is increasing very rapidly in Chile; every 20 years this population is growing twice. Chronic Non Communicable Disease (CNCD) will be the main health problem, not only in developed countries released World Health Organization. Preventive actions such as annual influenza vaccination, anti-pneumococcal immunization, avoidance of cigarette smoke and air pollution and swallowing disorder early recognition have proven to reduce the risk of developing low respiratory infections. The management of Asthma and COPD (frequents CNCD) in elderly populations will require a growing number of well-trained health personnel. Despite a reduction of all age cases of Community Acquired Pneumonia (CAP) in Chile, there are recognized risk factors that make the elderly population fragile. Quality standards application in patients under respiratory care have been shown to have a positive impact not only in sanitary health indicators, but in patients quality of life. This is a challenge to face right now.


Subject(s)
Humans , Aged , Aged, 80 and over , Respiratory Tract Diseases/epidemiology , Aging , Pneumonia/epidemiology , Quality of Life , Respiratory Tract Diseases/prevention & control , Asthma/epidemiology , Deglutition Disorders , Chile/epidemiology , Risk Factors , Age Factors , Pulmonary Disease, Chronic Obstructive/epidemiology
SELECTION OF CITATIONS
SEARCH DETAIL