Clinical and radiological profile of children hospitalized with complicated pneumonias

Laís Gabriel, R. Aurilio, C. Sant’Anna
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Abstract

Most children have 4 to 6 acute respiratory infections (IRA) per year. Of these, only 2-3% progress to pneumonia. Community-acquired pneumonia (PAC) is one of the respiratory tract infections. PAC in children remains a global public health problem due to its high morbidity and mortality, being the disease that most kills children between 0 and 5 years of age in the world. Complicated PAC is defined as fever permanence or clinical instability after 48-72 h of PAC admission. The objective of this work is to describe complicated PACs, hospitalized at a pediatric hospital, between April 2006 and April 2018. This is a retrospective, observational and descriptive study with children and adolescents aged 0 to 13 years, hospitalized with complicated PAC in a pediatric hospital, from April 2006 to April 2018. Patients data were collected and a data collection form was completed. The following variables will be studied: age, gender, type of pulmonary/extrapulmonary complication, vaccination status (pneumococcal vaccine), treatment time, daycare regulars or not. Descriptive analysis of categorical variables in frequency form and numerical variables in the form of percentage, mean and median were performed. It was concluded with this study that the clinical and radiological profile of pneumonia in one pediatric hospital is similar to that found in the world literature today.
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住院儿童并发肺炎的临床和放射学分析
大多数儿童每年有4到6次急性呼吸道感染。其中,只有2-3%发展为肺炎。社区获得性肺炎(PAC)是呼吸道感染的一种。由于发病率和死亡率高,儿童PAC仍然是一个全球公共卫生问题,是世界上造成0至5岁儿童死亡最多的疾病。复杂性PAC定义为PAC入院48-72 h后持续发热或临床不稳定。这项工作的目的是描述2006年4月至2018年4月期间在儿科医院住院的复杂pac。这是一项回顾性、观察性和描述性研究,研究对象是2006年4月至2018年4月在一家儿科医院因复杂PAC住院的0至13岁儿童和青少年。收集患者资料并填写数据收集表。以下变量将被研究:年龄、性别、肺部/肺外并发症类型、疫苗接种状况(肺炎球菌疫苗)、治疗时间、日托常规与否。对频率形式的分类变量和百分比、平均值和中位数形式的数值变量进行描述性分析。这项研究得出结论,一家儿科医院的肺炎的临床和放射学概况与当今世界文献中发现的相似。
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