Análise de sobrevida de meningite piogênica em crianças

Lucena, Rita; Gomes, Irênio; Goés, Julieta; Melo, Aílton

doi:10.1590/s0004-282x1998000100014

Arq. Neuro-Psiquiatr.

1998

DOI: 10.1590/s0004-282x1998000100014

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Análise de sobrevida de meningite piogênica em crianças

Rita Lucena

Irênio Gomes

Julieta Goés

et al.

Abstract: RESUMO -Com o objetivo de estabelecer a letalidade intra-hospitalar de meningite piogênica em crianças da cidade de Salvador, realizamos análise de todos os prontuários dos pacientes com idade inferior a 15 anos admitidos no Hospital Couto Maia, entre 1990 e 1992, segundo publicado anteriormente. As curvas de sobrevida baseadas nas taxas de letalidade e no tempo de permanência hospitalar foram analisadas, comparando-se os grupos de etiologia identificada e não identificada. A mesma análise foi utilizada para c… Show more

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Cited by 3 publications

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Bacterial meningitis in children : Critical care needs

Singhi

Baranwal

2001

Indian J Pediatr

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Acute bacterial meningitis (ABM) in children is associated with a high rate of acute complications and mortality, particularly in the developing countries. Most of the deaths occur during first 48 hours of hospitalization. Coma, raised intracranial pressure (ICP), seizures, shock have been identified as significant predictors of death and morbidity. This article reviews issues in critical care with reference to our experience of managing 88 children with ABM in PICU. Attention should first be directed toward basic ABCs of life-support. Children with Glasgow Coma Scale (GSC) score < 8 need intubation and supplemental oxygen. Antibiotics should be started, even without LP (contraindicated if focal neuro-deficit, papilledema, or signs of raised ICP). Raised ICP is present in most of patients; GCS < 8 and high blood pressure are good guides. Mannitol (0.25 gm/Kg) should be used in such patients. If there are signs of (impending) herniation short-term hyperventilation is recommended; prolonged hyperventilation (> 1 hour) must be avoided. Any evidence of poor perfusion, hypovolemia and/or hypotension needs aggressive treatment with normal saline boluses and inotropes, if necessary, to maintain normal blood pressure. Empiric fluid restriction is not justified. Seizures may be controlled with intravenous diazepam or lorazepam. Refractory status epilepticus may be treated with continuous diazepam (0.01-0.06) mg/kg/min) or midazolam infusion. Ventilatory support may be needed early for associated pneumonia, poor respiratory effort and/or coma, and occasionally to reduce work of breathing in shock. Provision of critical care to children with ABM may reduce the mortality significantly as experienced by us.

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Bacterial meningitis in children : Critical care needs

Singhi

Baranwal

2001

Indian J Pediatr

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Intensive care needs of children with acute bacterial meningitis: a developing country perspective

Singhi

Khetarpal

Baranwal

et al. 2004

Annals of Tropical Paediatrics

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In view of very limited availability of paediatric intensive care (PIC) facilities in developing countries, it is important to define priorities and recognise children who might benefit most from PIC. The objective of this retrospective, descriptive analysis was to identify the clinical indicators for intensive care in children with acute bacterial meningitis (ABM). The study included 220 children aged between 1 month and 12 years with ABM admitted to the paediatric services of an urban, tertiary-care, teaching hospital in northern India from July 1993 to December 1996. Of these, 88 were transferred to the PICU by the primary physician, 59% were comatose (Glasgow coma score <8), 44% had raised intracranial pressure (ICP), 24% were in shock and 42% had respiratory distress/failure. Seizures occurred during their illness in 64 children, 34 of whom had refractory status epilepticus. Endotracheal intubation was needed in 29 and ventilatory support in 19 children. Most of the life support measures were required during the initial 48 hours. Nineteen (22%) children died, 16 of whom were comatose on admission. Multiple system involvement was associated with higher mortality. There were no deaths among the children who were not transferred to the PICU. Children with ABM who have a Glasgow coma score <8, clinical signs of raised ICP, refractory status epilepticus, shock and/or respiratory compromise should be prioritised to receive PIC.

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HOSPITAL COUTO MAIA COMO FONTE DE PESQUISA CIENTÍFICA NA ÁREA DAS DOENÇAS INFECCIOSAS: Levantamento bibliográfico de 1951 a 2011

Silva¹

2013

Rev. baiana de saúde pública

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2013 is the year that Couto Maia Hospital (HCMaia) will celebrate 160 years since its founding. To celebrate this anniversary a research was performed in order to identify the scientific production of the hospital during the last 60 years , specifically regarding the scientific papers published nationally and internationally in recognized medical journals, conference abstracts, as well as thesis and dissertations. Moreover, this study also covers chapters of books published by the doctors in the hospital manuals of conduct. The sources for these recognized works are the libraries of HCMaia, Gonzalo Muniz Research Center (CPGM) within FioCruz Foundation, the library from the Medicine College at UFBA (Fameb), the Virtual Health Library (BIREME) and the Latin |American and Caribbean Literature in Social Sciences (LILACS). Furthermore, most of the published works are resultant from the most common diseases in the hospital, along with the names of professors and researchers, who had their Curriculum Vitae analyzed. The analysis of this bibliographic survey shows 54 chapters of manuals and 263 papers; 78 published articles, with 55 (70.5%) in national journals and 23 (29.5%) in international journals; 155 published abstracts, 142 (91.6%) in national conferences and 13 (8.4%) in international conferences; and 22 (73.4%) graduate thesis and 8 (26.6%) dissertations. The Analysis shows that the scientific production has increased in the last 20 years (1991-2011) with 207 papers (78.9%). Most of the published material regards the subject meningitis-meningoencephalitis, with 115 (43.7%) of the papers, and leptospirosis 79 (30.0%). Although this survey is underestimated by the number of scientific publications found, Couto Maia Hospital proves to be an effective source of great value for research in the field of infectious diseases.

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Análise de sobrevida de meningite piogênica em crianças

Cited by 3 publications

References 6 publications

Bacterial meningitis in children : Critical care needs

Bacterial meningitis in children : Critical care needs

Intensive care needs of children with acute bacterial meningitis: a developing country perspective

HOSPITAL COUTO MAIA COMO FONTE DE PESQUISA CIENTÍFICA NA ÁREA DAS DOENÇAS INFECCIOSAS: Levantamento bibliográfico de 1951 a 2011

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