Neumonía adquirida en la comunidad en niños: Aplicabilidad de las guías clínicas

Álvarez, Paco; María, Ana

doi:10.4067/s0716-10182003020100010

Cited by 4 publications

(4 citation statements)

References 3 publications

(3 reference statements)

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“…There are different therapeutic strategies for the management of resistant pneumococcal infections, such as increasing doses, which allows an increase in plasma levels in such a way that serum concentrations of beta-lactams exceed the minimum inhibitory concentration of all resistant pneumococcal strains. 15 In our study, we observed that ampicillin is as effective as cefazolin or ceftriaxone, not finding statistical differences in the decrease of polypnea and fever, the improvement of oral tolerance and the time of permanence. In addition, the Ampicillin group has a greater number of children under 1 year old, a group considered always at high risk; and however, the disappearance of retractions was faster and the time of improvement was significantly less than cefazolin or ceftriaxone group.…”

Section: Discussionmentioning

confidence: 44%

The efficacy of ampicillin vs. cephalosporins in the treatment of community adquire pneumonia in inpatient children hospital III Grau

Francisco²,

Huamán

2018

IJFCM

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Introduction: Community adquire pneumonia (CAP) is one of the most serious diseases in the childhood. It is necessary to choose the correct antibiotic. Bacterial resistance complicates the therapy and makes it necessary to use new antibiotics; so young doctors have poor experience to use penicillin. Objective: To compare clinical effectiveness of ampicillin to 1st and 3rd generation cephalosporin in the treatment of community adquire pneumonia in inpatient children. Patients and methods: Descriptive retrospective study, included children inpatient in Emergencias Grau Hospital III Essalud Lima Perú, from 2 months to 5 years old, from July 2013 to July 2014. Clinical variables of antibiotic groups were compared. Effectiveness was analyzed with Kaplan Meier curves-Log Rank method. Survival to treatment was determined by time between starting and change of antibiotic. Results: 149 children were included, 50% were under one year old, 87% were diagnosed as bronchopneumonia and acute bronchial obstructive syndrome (ABOS) and 11% CAP. Antibiotics: ampicillin 52%, cefazolin 25%, ceftriaxone 16% and claritromycin 4%. Statistically significant results favored ampicillin: more indicated in under one year old (p=0, 01), respiratory distress shorter (p=0,006) and recovering faster (p=0, 01). There was no significant difference at comparing the need for antibiotic change when using ampicillin, cefazolin and ceftriaxone. It did show difference when compared to other antibiotics (p=0,012). Conclusion: ampicillin is as effective as cefazolin or ceftriaxone for the treatment of CAP in children. It is suggested to follow the antibiotic ladder, to rationalize antibiotics and to avoid bacterial resistance.

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Section: Discussionmentioning

confidence: 44%

The efficacy of ampicillin vs. cephalosporins in the treatment of community adquire pneumonia in inpatient children hospital III Grau

Francisco²,

Huamán

2018

IJFCM

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“…Accurate diagnosis of pneumonia depends on medical expertise and requires evaluation of various clinical features; shortage of expertise and appropriate diagnostic tools hinders timely treatment [13].…”

Section: Introductionmentioning

confidence: 99%

Abnormal Pulmonary Sounds Classification Algorithm using Convolutional Networks

Alicia¹,

Alexander²,

William³

et al. 2021

IJACSA

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In the world and in Peru, Acute Respiratory Infections are the main cause of death, especially in the most vulnerable population, children under 5 years of age and older adults. Pneumonia is the leading cause of death of children in the world. 60.2% of pneumonia cases affect children under 5 years of age. Thus, prevention and timely treatment of lung diseases are crucial to reduce infant mortality in Peru. Among the main problems associated with this high is percentage the lack of medical professionals and resources, especially in remote areas, such as Puno, Huancavelica and Arequipa, which experience temperatures as low as -20°C during the cold season. This study develops an algorithm based on computational neural networks to differentiate between normal and abnormal lung sounds. The initial base of 917 sounds was used, through a process of data augmentation, this base was increased to 8253 sounds in total, and this process was carried out due to the need of a large number of data for the use of computational neural networks. From each signal, features were extracted using three methods: MFCC, Melspectogram and STFT. Three models were generated, the first one to classify normal and abnormal, which obtained a training Accuracy of 1 and a testing accuracy of 0.998. The second one classifies normal sound, pneumonia and other abnormalities and obtained training Accuracy values of 0.9959 and a testing accuracy of 0.9885. Finally, we classified by specific ailment where we obtained a training Accuracy of 0.9967 and a testing accuracy of 0.9909. This research provides interesting findings about the diagnosis and classification of lung sounds automatically using convolutional neural networks, which is the beginning for the development of a platform to assess the risk of pneumonia in the first moment, thus allowing rapid care and referral that seeks to reduce mortality associated mainly with pneumonia.

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“…La vaginitis es un término usado para designar cualquier proceso inflamatorio de la vagina o vulva que puede presentarse de forma asintomática o acompañarse de síntomas variados y relativamente inespecíficos. La vaginitis puede estar asociada principalmente a candidiasis, tricomoniasis y clamidiasis y los microorganismos asociados respectivamente a cada una de las entidades enunciadas son la Cándida sp, el Trichomonas Vaginalis y la Clamidia sp según, Álvarez, Vidal & López (13), citado por Martínez, Barría, Meneses, Oyaizun & Sandoval (14), Barbosa & Sánchez (15) y Medina, Rechkemmer & García (16).…”

Section: Introductionunclassified

“…La forma micelar se asocia a cambios en el pH normal de la vagina, a un desequilibrio hormonal, a una deficiencia inmunológica o a la carencia de lacto bacilos; así, la Cándida puede multiplicarse generando candidiasis con síntomas y signos específicos citado por Álvarez (21). Su frecuencia de presentación depende de múltiples factores, entre los cuales se hallan la diabetes, los tratamientos inmunosupresores y antibióticos, un estado de inmunodeficiencia, hábitos de higiene, anticonceptivos orales y uso de ropa interior de fibras sintéticas según Buscemi, Arechavala & Negroni (22), contagio sexual, dieta, estrés entre otros citado por Álvarez, Vidal & López (13).…”

Section: Introductionunclassified

Estudio de serie de casos: Factores de riesgo de flujos vaginales patológicos en gestantes

Plazas¹

2016

Rev. Colomb. Enferm.

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Es un estudio de caso retrospectivo que describe los factores de riesgo asociados a la presencia de flujos vaginales de 108 gestantes asistentes a un CAMI de Bogotá durante marzo de 2005 a julio de 2006. Con base en lasencuestas y los reportes de exámenes de laboratorio de frotis aplicados a éstas, se elaboró una base de datos, previa codificación de variables, se realizó un análisis descriptivo en términos de frecuencia y porcentaje. El 54,6% de las gestantes encuestadas presentan vaginosis bacteriana,6,5% ausencia de compañero sexual estable, 37% realiza la limpieza perianal de atrás hacia delante. Los resultados sugieren que las gestantes asistentes al CAMI pueden presentar alto riesgo de morbi-mortalidad materno infantil asociada a flujos vaginales patológicos.

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Neumonía adquirida en la comunidad en niños: Aplicabilidad de las guías clínicas

Cited by 4 publications

References 3 publications

The efficacy of ampicillin vs. cephalosporins in the treatment of community adquire pneumonia in inpatient children hospital III Grau

The efficacy of ampicillin vs. cephalosporins in the treatment of community adquire pneumonia in inpatient children hospital III Grau

Abnormal Pulmonary Sounds Classification Algorithm using Convolutional Networks

Estudio de serie de casos: Factores de riesgo de flujos vaginales patológicos en gestantes

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