Perfil epidemiológico clínico del paciente hospitalizado por neumonía grave adquirida en la comunidad en el servicio de cuidados intensivos pediátricos del Hospital Vicente Corral Moscoso, Cuenca 2017

Abstract

Objective: To determine the epidemiological-clinical profile of severe pneumonia acquired in the community in the Pediatric Intensive Care Service of the Vicente Corral Moscoso Hospital during the year 2017. Materials and methods: Descriptive study conducted in patients diagnosed with severe pneumonia acquired in the community in the Pediatric Intensive Care Unit of the Vicente Corral Moscoso Hospital. The data were collected in a form and tabulated in the SPSS version 22 program. Quantitative variables were analyzed with means, standard deviations, maximum values, minimums, median; numbers and percentages for qualitative variables. Results: 31 patients with a median age of 15 months were studied. Male sex and rural origin predominated. The most frequent symptoms were tachypnea and cough; 38.7% presented malnutrition. Chromosome and cardiac comorbidities were the most common. The mean hospital stay in intensive care was 9.02 days. The most used antibiotics were the second generation cephalosporins. The predominant complication was the pleural effusion. The main isolated germs were gram positive. 9.7% of patients died. Conclusion: the epidemiological profile agrees with the results of the literature. Despite the observed complications, a high survival was presented.