%0 Journal Article
%T Fulfilment assessment of the good clinical practices guidelines for community acquired pneumonia. Evaluaci¨®n del cumplimiento de la gu¨ªa de pr¨¢ctica cl¨ªnica para el tratamiento de la neumon¨ªa adquirida en la comunidad.
%A Iris Gonzalez Morales
%A Alfredo Dar¨ªo Espinosa Brito
%A Gustavo ¨¢lvarez Amador
%A Mar¨ªa Caridad Fragoso Marchante
%J MediSur
%D 2009
%I Centro Provincial de Informaci¨®n de las Ciencias M¨¦dicas en Cienfuegos
%X Background: Community acquired pneumonia is the most common cause of infections found during the medical practice. Objective: To assess the fulfilment of the good clinical practices guidelines for the treatment of community acquired pneumonia. Methods: Prospective, descriptive study of series of cases developed in the Hospital ¡°Dr. Gustavo Alderegu¨ªa Lima¡± between January, 1st and June 30th, 2006. 500 patients were studied which main diagnosis was pneumonia or bronchial pneumonia. The assessment tool includes four questions. A single-varied analysis was performed, with a confidence interval of 95%. The final result of this measurement was the fulfilment of the guidelines as excellent, fine, acceptable and not well, as well as the outcome in living and dead patients. Results: Patients older than 65 years of age are the most affected by  this disease and fatality is also higher in this age group; 40, 6% of admitted patients are classified as type III. Not performing thoracic radiography and inappropriate treatment led to a higher lethality risk. 53, 2 % of the clinical histories reflects a bad fulfillment of the guide, likewise the biggest lethality  was found  in that group (36,8 percent). Conclusions: The patients with pneumonias non serious are those that more are admitted in the center, with a non negligible lethality, although the highest  was found in the classes IV and V of pnemonia, that were considered the most serious pneumonias. The global adherence to the guide can be related with the final outcome of the patient. Fundamento: La neumon¨ªa adquirida en la comunidad es la causa m¨¢s com¨²n de infecciones encontradas en la pr¨¢ctica m¨¦dica. Objetivo: Evaluar el cumplimiento de la gu¨ªa de pr¨¢ctica cl¨ªnica para el tratamiento de la neumon¨ªa adquirida en la comunidad. M¨¦todos: Estudio descriptivo, prospectivo, de serie de casos realizado en el Hospital ¡°Dr. Gustavo Alderegu¨ªa Lima¡± desde el 1 de enero al 30 de junio del 2006, sobre 500  pacientes con diagn¨®stico principal al ingreso y egreso  de neumon¨ªa o bronconeumon¨ªa. Se aplic¨® el instrumento de evaluaci¨®n vigente en el centro. Se realiz¨® un an¨¢lisis univariado, con un intervalo de confianza de 95 por ciento. Se midi¨® el cumplimiento de las gu¨ªas en excelente, bien, regular y mal, as¨ª como el desenlace en vivos y fallecidos. Resultados: Los mayores de 65 a os son los que m¨¢s ingresan por esta causa y en ellos es m¨¢s alta la letalidad; el 40, 6 % de los pacientes que ingresan se estratifican en la clase III. La no realizaci¨®n de la radiograf¨ªa de t¨®rax y el tratamiento inadecuado constituyeron mayor
%K Neumon¨ªa
%K gu¨ªa de pr¨¢ctica cl¨ªnica
%U http://www.medisur.sld.cu/index.php/medisur/article/view/639