RESUMO
A study of the pediatric infections due to group D streptococci, based on the causist of the Pediatric Department of the School of Medicine at Barcelona is performed. It comprises 20 cases of newborn sepsis (one of them with meningitis), and nine urinary infections in children of several ages. The isolated straws, that pertained all to "enterococcus", revealed greatest sensibility in decreasing order to ampicillin, carbenicillin, chloramphenicol, furantoin and gentamicin. In neonatal sepsis the beginning was precocious in 50% of the cases, the frequency of newborns with low birth weight was high (35%), and the course was favourable in 95%; the only case that died was affected of meningitis with pyocephalia. Urinary infections prevailed in the first year of life (44%), but all the affected were older than a month of life. There were characterized by little accused symptomatology, and quickly favourable course of the infection, through adequate antibiotic treatment. Nevertheless, the long term prognosis is darkened by severe renal and urinary malformations that were appreciated in 55% of the patients.
Assuntos
Doenças do Recém-Nascido/etiologia , Infecções Estreptocócicas/etiologia , Antibacterianos/uso terapêutico , Criança , Pré-Escolar , Infecção Hospitalar/etiologia , Enterococcus faecalis , Feminino , Humanos , Lactente , Recém-Nascido , Doenças do Recém-Nascido/tratamento farmacológico , Meningite/etiologia , Gravidez , Complicações Infecciosas na Gravidez , Infecções Estreptocócicas/tratamento farmacológico , Infecções Urinárias/etiologiaRESUMO
A review of the present status of the principal active immunization procedures used in pediatric ages is presented. Great advances are emphasized in smallpox, diphtheria, tetanus, poliomyelitis, measles, rubella, etc. Others less effective vaccine or those at an experimental stage, are also described. A vaccination calendar is also presented.
Assuntos
Imunização/métodos , Criança , Pré-Escolar , Difteria/imunologia , Humanos , Esquemas de Imunização , Lactente , Sarampo/imunologia , Caxumba/imunologia , Poliomielite/imunologia , Rubéola (Sarampo Alemão)/imunologia , Varíola/imunologia , Tétano/imunologia , Vacinas/administração & dosagem , Coqueluche/imunologiaRESUMO
A study was made of 72 cases of leukemia in children (the majority of which were acute lymphoblastic in type or with undiferenciated cells), in order to examine the type and frequency of pulmonary complications in leukemia, once complications of infectious etiology had been rejected. Pulmonary complications were found in 23 cases. Most often recurring image was the disseminated reticulonodular type. Nodular images and diverse pulmonary infiltrates were also discovered, these were often peribronchial and bilateral in almost every case. No significant relationship was found regarding the age of children, type of leukemia or length of time illness took to develop. Finally, present increase in the frequency of pulmonary complications in leukemia is commented and possible etiologic part antiblastic therapy might play on certain occasions is speculated.
