Neumonía adquirida en la comunidad: Estratificación de los factores de riesgo con una regla predictiva en los pacientes del Hospital Vicente Corral Moscoso Cuenca-Ecuador en el período de enero-junio 2005

Abstract

Is a quantitative, longitudinal and descriptive observational study in forty-one patients older than 18 years admitted to the Emergency Hospital Vicente Corral Moscoso in the months of January to June 2005, the requirement for entry into the study was to have nenumonía community acquired. Validation of the scale Fine whereby demographics, comorbid factors, factors laboratory, radiological and microbiological used was assessed determined that reliable sputum samples. It was found that 46.3 (19 patients) belong to the scale of gravity V, requiring hospital treatment. 12.19 (5) belong to the scale of severity III; treatment for these patients may be ambulatory or hospital as valuation and medical judgment. Finally 7.31 (3) gravity I, and require outpatient treatment; however they were hospitalized unnecessarily. Of patients hospitalized one 82.92 (34) had a favorable outcome; and 17,3presenta unfavorable outcome; most of them being elderly with underlying pathologies associated with their pneumonia. The average hospital stay was about 13 days with an approximate cost per day of $ 36.07 with a certain $ 450. Ql medical staff recommended requiring reporting PMN count and epithelial cells in sputum samples in patients with community-acquired pneumonia, to ensure the results and can be taken as a guide to the use of antibiotics; thus avoiding the indiscriminate use thereof