Diagnóstico etiológico das pneumonias: uma visão crítica

Rodrigues, Joaquim Carlos; Filho, Luiz Vicente Ferreira da Silva; Bush, Andrew

doi:10.1590/s0021-75572002000800004

Cited by 9 publications

(13 citation statements)

References 47 publications

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“…The etiological diagnosis of pneumonia ( J18.9) presents a challenge, considering that the request for microbiological examinations is not routinely performed in health services and, in the short term, the implantation of this type of routine is not feasible, due to its high cost 18 . It would be important, however, to develop studies to evaluate the specific causes of these deaths, especially in children, given the availability of vaccines for some etiologies.…”

Section: Discussionmentioning

confidence: 99%

Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Ishitani

Teixeira

Abreu

et al. 2017

Rev. bras. epidemiol.

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Objective:To assess the quality of mortality information by analyzing the frequency of garbage codes (GC) registered as underlying cause-of-death in Belo Horizonte, Minas Gerais, Brazil. Methods: Data of deaths of residents from 2011 to 2013 were selected. GC causes were classified as proposed by the Global Burden of Disease Study (GBD) 2015. They were grouped into GCs from ICD-10 Chapter XVIII and GCs excluding codes of Chapter XVIII. Proportions of GC were calculated by sex, age, and place of occurrence. Results: In Belo Horizonte, 30.5% of the total of 44,123 deaths were GC. Higher proportion of these codes was observed in children (1 to 4 years) and in people aged over 60 years. The following leading GCs observed were: other ill-defined and unspecified causes of death (code R99), unspecified pneumonia ( J18.9), unspecified stroke (hemorrhagic or ischemic) (I64), and unspecified septicemia (A41.9). The proportions of GC were 28.7% and 36.9% in deaths that occurred in hospitals and at home, respectively. An important difference occurred in the GC group from Chapter XVIII of ICD-10: 1.7% occurred in hospitals and 16.9% at home. Conclusion: The high proportions of GC in mortality statistics in Belo Horizonte demonstrated its importance for assessing the quality of information on causes of death.

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Section: Discussionmentioning

confidence: 99%

Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Ishitani

Teixeira

Abreu

et al. 2017

Rev. bras. epidemiol.

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“…O VSRH foi o segundo vírus mais prevalente, uma alta frequência que não era esperada, porque nossas amostras eram de crianças de creche, e o VSRH é encontrado principalmente em amostras de crianças hospitalizadas, que apresentam casos mais graves de infecção 20,21 .…”

Section: Discussionunclassified

Frequent respiratory pathogens of respiratory tract infections in children attending daycare centers

Bonfim¹,

Nogueira²,

Simas³

et al. 2011

J Pediatr (Rio J)

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Objectives: To identify and characterize respiratory viruses that infect children from daycare centers with symptoms of respiratory infection and to evaluate the association of clinical and epidemiological disease data with the identified virus. Methods:We conducted a study between 2003 and 2005 in 176 children with respiratory infection symptoms attending a municipal daycare center. Samples from nasopharyngeal secretion were tested by reverse transcriptase polymerase chain reaction and positive samples for picornavirus were sequenced.Results: All 782 collected samples were analyzed and 31.8% were positive for at least one of the studied respiratory viruses. Respiratory infections were characterized by the presence of mild symptoms of the upper respiratory tract, the most common of which were runny nose and cough. In the 2 years of study, most cases of infection occurred in autumn and winter, but respiratory viruses were detected throughout all the study period. Conclusions:Respiratory viruses and respiratory infections caused by them are part of the daily life of children attending daycare centers. Our results show the great impact that respiratory infections have on these children and suggest that more attention must be paid to viral pathogens. Resultados: Todas as 782 amostras coletadas foram analisadas, e 31,8% foram positivas para algum dos vírus respiratórios estudados. As infecções respiratórias foram caracterizadas pela presença de sintomas moderados do trato respiratório superior, sendo os mais comuns coriza e tosse. Em 2 anos de estudo, a maioria dos casos de infecção ocorreram no outono e no inverno, mas vírus respiratórios foram detectados ao longo de todo o período de estudo. J Pediatr (Rio J) Conclusões:Vírus respiratórios e as infecções respiratórias causadas por eles fazem parte do cotidiano de crianças que frequentam creches. Nossos resultados mostram o grande impacto gerado pelas infecções respiratórias nessas crianças e sugere que uma maior atenção deve ser dispensada aos patógenos virais.J Pediatr (Rio J). 2011;87(5):439-44: Vírus respiratórios, infecção respiratória aguda, crianças de creche.

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“…Apparently, other signs and symptoms are important for the diagnosis of bacterial pneumonia and the prescription of antibiotics [25,26]. In large urban centers the participation of a well-trained pediatrician would be important for the therapeutic decision, in order to avoid the unnecessary use of antibiotics.…”

Section: Discussionmentioning

confidence: 99%

“…We regard etiological studies of pneumonia in this age range to be essential. There is a need to develop better technologies for differentiation between bacterial and viral pneumonias, for thus it would be possible to reduce the abusive use of antibiotics, avoiding the development of bacterial resistance [26][27][28][29][30][31][32], a problem already identified in various countries.…”

Section: Discussionmentioning

confidence: 99%

Signs and symptoms indicative of community-acquired pneumonia in infants under six months

March¹,

Sant’Anna²

2005

Braz J Infect Dis

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Diagnóstico etiológico das pneumonias: uma visão crítica

Cited by 9 publications

References 47 publications

Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Qualidade da informação das estatísticas de mortalidade: códigos garbage declarados como causas de morte em Belo Horizonte, 2011-2013

Frequent respiratory pathogens of respiratory tract infections in children attending daycare centers

Signs and symptoms indicative of community-acquired pneumonia in infants under six months

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