%0 Journal Article
%T Infecci車n bacteriana severa en ni os febriles: Par芍metros predictivos
%A Alicia 芍lvarez Rodr赤guez
%A Idalberto Aguilar Hern芍ndez
%A Alexei Capote Rodr赤guez
%A Orlando Ortiz Silva
%J Revista Cubana de Pediatrˋ-a
%D 1997
%I Editorial Ciencias M谷dicas
%X Diferentes investigadores han realizado estudios sobre el manejo del ni o febril y plantean que es un dilema al que se enfrenta a diario el m谷dico que atiende ni os. Motivados por este tema se efectu車 un estudio descriptivo retrospectivo de los ni os febriles, sin causa aparente en su valoraci車n inicial, que asistieron al servicio de urgencias en un per赤odo de 9 meses, con el objetivo de identificar el diagn車stico definitivo al egreso y se precis車 el tipo de infecci車n bacteriana severa y relacion車 la presencia de 谷stos con par芍metros cl赤nicos y de laboratorios. El mayor n迆mero de ni os febriles valorados e ingresados mostraron edades desde 91 d赤as hasta 36 meses. El menor porcenaje de ellos ingresaron y desarrollaron alguna infecci車n bacteriana severa principalmente neumon赤a, y fue mayor el porcentaje de ni os con esta patolog赤a a menos edad con predominio del aspecto t車xico y de la temperatura 39 EC. Result車 el manejo ambulatorio del ni o febril mayor de 90 d赤as y bajo riesgo de infecci車n bacteriana severa un ahorro en vidas y dinero, por lo que se recomienda generalizar el flujograma propuesto para la evaluaci車n y manejo del ni o febril de 3 a 36 meses de edad. Different researches have performed studies on the management of the febrile infant and they point out that this is a dilemma faced by every physician who takes care of children. Motivated by this subject, a descriptive and retrospective study of febrile infants was conducted. The study was carried out to evaluate febrile infants without evident cause at the baseline evaluation who attended the emergency service during a period of 9 months with the objective of identifying the definite diagnosis at admission. The type of bacterial infection was accurately assessed and the presence of this was related to clinical and laboratory parameters. The greatest number of febrile infants evaluated and admitted to hospital were 91 days-36 months old. The lowest percentage of them were admitted to hospital and they developed some serious bacterial infection, mainly pneumonia. The percentage of infants presenting with pneumonia was greater in infants under the age above mentioned with predominance of the toxic aspect and of a temperature 39 EC. The outpatient management of the febrile infant over 90 days of life and low risk of serious bacterial infection resulted in lifes and money saved; that's why we recommend to systematized the flujogram proposed for the evaluation and management of the 3-36 months old febrile infant.
%K INFECCIONES BACTERIANAS
%K FIEBRE
%K COSTOS DE LA ATENCION EN SALUD
%K SERVICIOS DE URGENCIA
%K EVALUACION
%K COSTOS DE HOSPITAL
%K BACTERIAL INFECTIONS
%K FEVER
%K HEALTH CARE COSTS
%K EMERGENCY MEDICAL SERVICES
%K EVALUATION
%K HOSPITAL COSTS
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75311997000300005