Afebrile pneumonia (whooping cough) syndrome in infants at Hospital Universitario del Valle, Cali, 2001-2007
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Universidad del Valle
2012
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| _version_ | 1876444413115236352 |
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| author | Dolly Villegasa |
| author_facet | Dolly Villegasa |
| contents | Afebrile pneumonia (whooping cough) syndrome in infants at Hospital Universitario del Valle, Cali, 2001-2007 Dolly Villegasa Connie Alejandra Echandía-Villegas Carlos Armando Echandíac Medicina Pneumonia Macrolides Whooping Cough Bronchial Spasm Pyloric stenosis Introduction: Afebrile pneumonia syndrome in infants, also called infant pneumonitis, pneumonia caused by atypicalpathogens or whooping cough syndrome is a major cause of severe lower respiratory infectionin young infants, both in developing countries and in developed countries. Objective: To describe children with afebrile pneumonia syndrome. Methods: Through a cross-sectional study, we reviewed the medical records of children diagnosed with afebrile pneumonia treated at Hospital Universitario del Valle, a reference center in southwesternColombia, between June 2001 and December 2007. We obtained data on maternal age and origin, prenatal care, the child¿s birth, breastfeeding, vaccination status, symptoms, signs, diagnosis, treatment, and complications. Results: We evaluated 101 children with this entity, noting a stationary presentation:June-August and November- December. A total of 73% of the children were under 4 months of age; the most common symptoms were: cyanoticand spasmodic cough (100%), respiratory distress (70%), and unquantified fever (68%). The most common findings: rales (crackles) (50%), wheezing and expiratory stridor (37%); 66% were classified as mildand of the remaining 33%, half of them required attention in the intensive care unit. In all, there was clinical diagnosis of afebrile pneumonia syndrome in infants, but no etiologic diagnosis was made and despite this, 94% of the children received macrolides. Conclusions: These data support the hypothesis that most of these patients acquired the diseaseby airway, possibly caused by viral infection and did not require the indiscriminate use of macrolides. 2012 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28323195002 https://www.redalyc.org/journal/283/28323195002/ https://www.redalyc.org/journal/283/28323195002/html/ https://www.redalyc.org/journal/283/28323195002/28323195002.epub https://www.redalyc.org/journal/283/28323195002/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.43 |
| format | Artículo científico |
| id | redalyc_28323195002 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Universidad del Valle |
| spellingShingle | Afebrile pneumonia (whooping cough) syndrome in infants at Hospital Universitario del Valle, Cali, 2001-2007 Dolly Villegasa Medicina Pneumonia Macrolides Whooping Cough Bronchial Spasm Pyloric stenosis Afebrile pneumonia (whooping cough) syndrome in infants at Hospital Universitario del Valle, Cali, 2001-2007 Dolly Villegasa Connie Alejandra Echandía-Villegas Carlos Armando Echandíac Medicina Pneumonia Macrolides Whooping Cough Bronchial Spasm Pyloric stenosis Introduction: Afebrile pneumonia syndrome in infants, also called infant pneumonitis, pneumonia caused by atypicalpathogens or whooping cough syndrome is a major cause of severe lower respiratory infectionin young infants, both in developing countries and in developed countries. Objective: To describe children with afebrile pneumonia syndrome. Methods: Through a cross-sectional study, we reviewed the medical records of children diagnosed with afebrile pneumonia treated at Hospital Universitario del Valle, a reference center in southwesternColombia, between June 2001 and December 2007. We obtained data on maternal age and origin, prenatal care, the child¿s birth, breastfeeding, vaccination status, symptoms, signs, diagnosis, treatment, and complications. Results: We evaluated 101 children with this entity, noting a stationary presentation:June-August and November- December. A total of 73% of the children were under 4 months of age; the most common symptoms were: cyanoticand spasmodic cough (100%), respiratory distress (70%), and unquantified fever (68%). The most common findings: rales (crackles) (50%), wheezing and expiratory stridor (37%); 66% were classified as mildand of the remaining 33%, half of them required attention in the intensive care unit. In all, there was clinical diagnosis of afebrile pneumonia syndrome in infants, but no etiologic diagnosis was made and despite this, 94% of the children received macrolides. Conclusions: These data support the hypothesis that most of these patients acquired the diseaseby airway, possibly caused by viral infection and did not require the indiscriminate use of macrolides. 2012 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28323195002 https://www.redalyc.org/journal/283/28323195002/ https://www.redalyc.org/journal/283/28323195002/html/ https://www.redalyc.org/journal/283/28323195002/28323195002.epub https://www.redalyc.org/journal/283/28323195002/movil en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.43 |
| title | Afebrile pneumonia (whooping cough) syndrome in infants at Hospital Universitario del Valle, Cali, 2001-2007 |
| topic | Medicina Pneumonia Macrolides Whooping Cough Bronchial Spasm Pyloric stenosis |
| url | https://www.redalyc.org/articulo.oa?id=28323195002 https://www.redalyc.org/journal/283/28323195002/ https://www.redalyc.org/journal/283/28323195002/html/ https://www.redalyc.org/journal/283/28323195002/28323195002.epub https://www.redalyc.org/journal/283/28323195002/movil |