ABSTRACT
En este artículo se describe la organización y gestión de la Unidad Neonatal del H.U. Basurto, resaltando su misión, visión y valores, y se definen sus objetivos y líneas estratégicas. Se presenta una breve descripción de la Unidad Neonatal, se resume su cartera de servicios y se aportan algunos datos referentes a su actividad asistencial, docente, de investigación, gestión y calidad (AU)
Present article describes the organization and management of Neonatal Unit at Basurto University Hospital, drawing particular attention to its mission, vision and values, and defines its objectives and strategic plans. It briefly describes the Neonatal Unit, summarizes its service portfolio and provides some data concerning assistance activity, docent assigment, research, management and excellence (AU)
Subject(s)
Humans , Child Health Services/organization & administration , Delivery of Health Care/organization & administration , Hospitals, University/organization & administration , Strategic Planning , Organizational ObjectivesABSTRACT
No disponible
Subject(s)
Male , Infant, Newborn , Humans , Cronobacter sakazakii/isolation & purification , Cronobacter sakazakii/pathogenicity , Sepsis/complications , Sepsis/diagnosis , Sepsis/epidemiology , Sepsis/etiology , Sepsis/prevention & control , Food Handling/instrumentation , Food Handling/standardsABSTRACT
La parotiditis aguda supurativa es una enfermedad muy infrecuente en el período neonatal. En la literatura especializada se han publicado aproximadamente 100 casos. La deshidratación y la prematuridad son dos importantes factores que predisponen a su desarrollo. El diagnóstico es fundamentalmente clínico, y son útiles el recuento leucocitario y la ecografía parotídea. Staphylococcus aureus es el agente etiológico aislado con más frecuencia. El tratamiento inicial consiste en antibioticoterapia intravenosa empírica antiestafilocócica durante 7-10 días. El pronóstico es bueno. La enfermedad cursa sin recurrencias.Se describen los casos de 2 recién nacidos de 12 días de vida que presentaron fiebre, tumefacción parotídea unilateral, con eritema, calor y dolor, y secreción purulenta por el conducto de Stenon. Se hace una revisión de la literatura (AU)
Subject(s)
Male , Infant, Newborn , Humans , Female , Acute Disease , Suppuration , ParotitisABSTRACT
Acute suppurative parotitis is highly uncommon in neonates. Approximately 100 cases have been reported in the literature. Dehydration and prematurity are important predisposing factors. Diagnosis is based on clinical signs. White blood cell count and parotid ultrasonography are useful. The most commonly isolated causative organism is Staphylococcus aureus. Initial treatment consists of antistaphylococcal empiric antimicrobial therapy for 7-10 days. The prognosis is good. The illness is not usually associated with recurrences. We describe two 12-day-old newborn infants who presented with fever, unilateral swelling of the parotid region with erythema, warmness and pain, and purulent discharge from Stensen's duct. We also provide a literature review.
Subject(s)
Parotitis/diagnosis , Acute Disease , Female , Humans , Infant, Newborn , Male , SuppurationABSTRACT
OBJECTIVE: Our objective was to obtain spirometric reference values for children. PATIENTS AND METHODS: We performed a transversal study in schools in Bilbao of children of both sexes that were between 7 and 14 years of age, non-smokers and healthy (according to a questionnaire and physical examination). A sample of 657 subjects was calculated based on the standard deviations of height for each sex and age group. The sample units were the schools and they were selected randomly. The following data were collected: age, sex, weight, height, FVC, FEV1, FEV1/FEC, PEF, FEF25, FEF50, FEF75 and FEF25-75. Forced spirometry was carried out according to the ATS guidelines by using a MasterScreen model 4.10.b (Jaeger, Germany). A descriptive statistical study was performed, as well as a normality test and linear regression. RESULTS: We studied 765 subjects (415 boys and 350 girls). The natural logarithm of the spirometric variables was taken to obtain a Gaussian distribution. These variables were related to age, weight and height. The relationship improved when associated with sex, with the best association being between height and sex. The equations obtained were only valid for FVC and FEV1, and were as follows: in boys FVC(L) = -1.968 + 0.020 height and FEV1(L) = -1.831 + 0.018 height and for girls FVC(L) = -1.879 + 0.019 height and FEV1(L) = -1.809 + 0.018 height [R2 = 0.893, 0.891, 0.868 and 0.871, respectively]. CONCLUSIONS: The pediatric reference values for forced spirometry were established for our population, complying with the current applicable guidelines.
