Prevalencia de neumonía complicada en pacientes pediátricos hospitalizados en el Hospital José Carrasco Arteaga. Enero del 2014 a diciembre del 2017

Abstract

BACKGROUND: Complicated pneumonia represents a health problem in the pediatric population, is part of acute respiratory diseases, being the main cause of hospital morbidity and mortality, the diagnosis and timely treatment being necessary.

OBJECTIVE: To determine the prevalence of complicated pneumonia in hospitalized patients of the Pediatric Department of the "José Carrasco Arteaga" Hospital in the city of Cuenca from January 2014 to December 2017

METHODOLOGY: Descriptive cross-sectional study in patients in the area of Pediatrics and Pediatric Intensive Care from January 2014 to December 2017. For the analysis, descriptive statistics were used, the data were tabulated in the SPSS v.15 program.

RESULTS: The prevalence of complicated pneumonia is 28.8%. There was a predominance of the male sex with 56.4%, as well as the age group of 0 to 3 years with 43.6% and the population comes mostly from the urban area at 58.9%. Malnutrition was found in 51.1%, the most common comorbidities were respiratory with 12.4%. The majority required hospitalization for 5-9 days, representing 54.6%, the most commonly used antibiotics were the betaláctamicos in 85.8% of the cases. The most frequent complication was bacteremia in 43.2% and mortality reached 8.1%.

CONCLUSIONS: The prevalence of complicated pneumonia is high, with a predominance of bacteremia, in males, in children under 3 years of age, with malnutrition, the most commonly used antibiotic was beta-lactam.