Tratamiento extrahospitalario de los niños con meningitis viral
Outpatient management of children with viral meningitis
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"apellidos" => "Campistol Plana" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300773760?idApp=UINPBA00005H" "url" => "/16954033/0000005200000005/v1_201307051502/S1695403300773760/v1_201307051502/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1695403300773747" "issn" => "16954033" "doi" => "10.1016/S1695-4033(00)77374-7" "estado" => "S300" "fechaPublicacion" => "2000-05-01" "aid" => "77374" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2000;52:424-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 7878 "formatos" => array:3 [ "EPUB" => 70 "HTML" => 6372 "PDF" => 1436 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Dermatomiositis en la infancia" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "424" "paginaFinal" => "429" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Dermatomyositis in childhood" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.E. 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Mintegui Raso, J. Sánchez Echániz, J. Benito Fernández, M.A. Vázquez Ronco, S. Capapé Zache, I. Goikoetxea Martín" "autores" => array:6 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Mintegui Raso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sánchez Echániz" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Benito Fernández" ] 3 => array:2 [ "nombre" => "M.A." "apellidos" => "Vázquez Ronco" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Capapé Zache" ] 5 => array:2 [ "nombre" => "I." "apellidos" => "Goikoetxea Martín" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Urgencias de Pediatría. Departamento de Pediatría" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "**" "correspondencia" => "Correspondencia: Urgencias de Pediatría. Departamento de Pediatría. Hospital de Cruces. Pl. de Cruces, s/n. 48903 Barakaldo. Bizkaia." ] ] ] 1 => array:3 [ "autoresLista" => "G. Rubio Fernández" "autores" => array:1 [ 0 => array:3 [ "nombre" => "G." "apellidos" => "Rubio Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Microbiología. Hospital de Cruces. Barakaldo. Bizkaia." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Outpatient management of children with viral meningitis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-09-30" "fechaAceptado" => "2000-02-29" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186330" "palabras" => array:4 [ 0 => "Meningitis viral" 1 => "Niños" 2 => "Urgencias de pediatría" 3 => "Tratamiento ambulatorio" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186329" "palabras" => array:4 [ 0 => "Viral meningitis" 1 => "Children" 2 => "Children emergency room" 3 => "Outpatient management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir nuestra experiencia en el tratamiento extrahospitalario de los niños con sospecha de meningitis viral.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Entre abril y julio de 1997, 156 niños fueron diagnosticados de meningitis viral en nuestro hospital. De éstos, 150 fueron tratados ambulatoriamente con reposo y analgésicos, tras permanecer unas horas en la unidad de observación de urgencias. En todos los casos se practicó examen citoquímico y tinción de Gram del líquido cefalorraquídeo (LCR), hemograma completo y proteína C reactiva sérica, hemocultivo y cultivo del LCR para bacterias y virus. La evolución del proceso se controló mediante contacto telefónico.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Todos los cultivos bacterianos practicados en sangre y LCR fueron negativos y la evolución clínica de los pacientes fue favorable. En el control telefónico posterior 104 niños (69,3%) refirieron síntomas transitorios como cefalea o molestias radiculares. De éstos últimos, 20 niños (13,3% de los 150) volvieron a consultar en nuestro servicio de urgencias, por persistencia de los síntomas o molestias radiculares, precisando 4 de ellos el ingreso en la unidad de observación durante unas horas (4–12 h). Tras el alta de urgencias, los niños faltaron al colegio una media de 5,9 ± 6,1 días (rango, 1–30 días), y 71 (47,3%) faltaron menos de 3 días.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El tratamiento y seguimiento de gran parte de los niños con meningitis viral puede hacerse sin necesidad de ingreso hospitalario. En el momento del alta, es preciso dar a la familia instrucciones detalladas sobre la evolución del proceso.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">To describe our experience in the extrahospitalary management of children with suspected viral meningitis (VM).</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Between April and July 1997, 156 children were diagnosed of VM in our hospital and 150 managed as outpatients, after being a few hours in our emergency department. All of them were suspected to have VM attending usual clinical and laboratory findings and were discharged with cautious instructions to demand a new assessment. We contacted telephonically with them one month and six months later.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">All the children with suspected viral meningitis and managed as outpatients had negative blood and CSF cultures and all of them did well. Telephonically, 104 children (69.3%) referred transient headache or back pain, and 20 of these (13.3% of all the 150) came again to our hospital, and 4 required rest for a few hours (4–12 hours) in our observation setting. Children with suspected VM didn't go to school during 5.9 ± 6.1 days (1–30 days) and 71 (47.3%) were absent less than 3 days.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Outpatient management of most of the children with suspected VM is possible. When a patient is sent home, detailed instructions must be given to the family.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Viral meningitis and the aseptic meningitis syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Rotbart" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Infections of the central nervous system" "paginaInicial" => "19" "paginaFinal" => "40" "serieFecha" => "1991" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An unseasonable winter outbreak of echovirus type 30 meningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "I. Mori" 1 => "K. Matsumoto" 2 => "M. Hatano" 3 => "M. Sudo" 4 => "Y. Kimura" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Infect" "fecha" => "1995" "volumen" => "31" "paginaInicial" => "219" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8586842" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Meningitis byenterovirus in pediatrics. Clinical characteristics and virologic enterovirus in pediatrics. Clinical characteristics and virologic diagnosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Rubio" 1 => "S. Mintegui" 2 => "L. Gaztelurrutia" 3 => "J. Sanchez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "1998" "volumen" => "16" "paginaInicial" => "14" "paginaFinal" => "18" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9542303" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis and management of meningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.D. Feigin" 1 => "G.H. McCracken" 2 => "J.O. Klein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ped Infect Dis J" "fecha" => "1992" "volumen" => "11" "paginaInicial" => "785" "paginaFinal" => "814" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.L. Wiedbrauk" 1 => "S.L.G. Johnston" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Manual of clinical virology" "paginaInicial" => "92" "paginaFinal" => "97" "serieFecha" => "1993" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis of enteroviral central nervous system infection by polymerase chain reaction during a large community outbreak" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.H. Sawyer" 1 => "D. Holland" 2 => "N. Aintablian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Infect Dis J" "fecha" => "1994" "volumen" => "13" "paginaInicial" => "177" "paginaFinal" => "182" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8177623" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The cerebrospinal fluid: physiologic aspects and alterations associated with bacterial meningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W. Bonadio" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatr InfectDis J" "fecha" => "1992" "volumen" => "11" "paginaInicial" => "423" "paginaFinal" => "432" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "SerumC-reactive protein in the differential diagnosis of acutemeningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "LO. Hansson" 1 => "G. Axelsson" 2 => "T. Linne" 3 => "E. Aurelius" 4 => "L. Lindquist" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Scand J Infect Dis" "fecha" => "1993" "volumen" => "25" "paginaInicial" => "625" "paginaFinal" => "630" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8284648" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "C-reactive proteinand bacterial meningitis: a meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L.U. Gerdes" 1 => "P.E. Jorgensen" 2 => "E. Nexo" 3 => "P. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Scand J Clin Lab Invest" "fecha" => "1998" "volumen" => "58" "paginaInicial" => "383" "paginaFinal" => "393" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9819187" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Serum C-reactive protein: A valuable differentiator between viral and bacterial meningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Valmari" 1 => "H. Peltola" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Infect Med" "fecha" => "1987" "volumen" => "4" "paginaInicial" => "308" "paginaFinal" => "311" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Quantitative C-reactive protein determined by an immunoturbidimetric method in rapid differential diagnosis of acute bacterial and viral diseases of children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Peltola" 1 => "M.L. Laipio" 2 => "M.A. Siimer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Paediatr Scand" "fecha" => "1984" "volumen" => "73" "paginaInicial" => "273" "paginaFinal" => "274" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6377808" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multicenter evaluation of the Amplicor Enterovirus PCR test with cerebrospinal fluid from patients with aseptic meningitis. The European Union Concerted Action on Viral Meningitis and Encephalitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K.E. Van Vliet" 1 => "M. Glimaker" 2 => "P. Lebon" 3 => "P.E. Klapper" 4 => "C.E. Taylor" 5 => "M. Ciardi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Clin Microbiol" "fecha" => "1998" "volumen" => "36" "paginaInicial" => "2652" "paginaFinal" => "2657" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9705409" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enteroviral meningitis in infancy: potential role for polymerase chain reaction in patient management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Y. Schlesinger" 1 => "M.H. Sawyer" 2 => "G.A. Storch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "1994" "volumen" => "94" "paginaInicial" => "157" "paginaFinal" => "162" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8036066" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical utility of the polymerase chain reaction for diagnosis of enteroviral meningitis in infancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Ahmed" 1 => "F. Brito" 2 => "C. Goto" 3 => "S.M. Hickey" 4 => "K.D. Olsen" 5 => "M. Trujillo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Pediatr" "fecha" => "1997" "volumen" => "131" "paginaInicial" => "393" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9329415" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The ameliorating effect of lumbar puncture in viral meningitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Jaffe" 1 => "I. Srugo" 2 => "E. Tirosh" 3 => "A.A. Colin" 4 => "Y. Tal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Dis Child" "fecha" => "1989" "volumen" => "143" "paginaInicial" => "682" "paginaFinal" => "685" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2729212" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005200000005/v1_201307051502/S1695403300773759/v1_201307051502/es/main.assets" "Apartado" => array:4 [ "identificador" => "14282" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005200000005/v1_201307051502/S1695403300773759/v1_201307051502/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300773759?idApp=UINPBA00005H" ]
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| 2024 Septiembre | 51 | 67 | 118 |
| 2024 Agosto | 59 | 85 | 144 |
| 2024 Julio | 35 | 75 | 110 |
| 2024 Junio | 52 | 57 | 109 |
| 2024 Mayo | 58 | 84 | 142 |
| 2024 Abril | 53 | 93 | 146 |
| 2024 Marzo | 54 | 69 | 123 |
| 2024 Febrero | 36 | 67 | 103 |
| 2024 Enero | 53 | 62 | 115 |
| 2023 Diciembre | 43 | 43 | 86 |
| 2023 Noviembre | 57 | 96 | 153 |
| 2023 Octubre | 37 | 68 | 105 |
| 2023 Septiembre | 31 | 85 | 116 |
| 2023 Agosto | 30 | 59 | 89 |
| 2023 Julio | 42 | 78 | 120 |
| 2023 Junio | 33 | 61 | 94 |
| 2023 Mayo | 41 | 54 | 95 |
| 2023 Abril | 19 | 28 | 47 |
| 2023 Marzo | 30 | 48 | 78 |
| 2023 Febrero | 23 | 42 | 65 |
| 2023 Enero | 20 | 59 | 79 |
| 2022 Diciembre | 41 | 50 | 91 |
| 2022 Noviembre | 48 | 61 | 109 |
| 2022 Octubre | 36 | 63 | 99 |
| 2022 Septiembre | 37 | 57 | 94 |
| 2022 Agosto | 72 | 67 | 139 |
| 2022 Julio | 50 | 57 | 107 |
| 2022 Junio | 48 | 56 | 104 |
| 2022 Mayo | 38 | 57 | 95 |
| 2022 Abril | 50 | 38 | 88 |
| 2022 Marzo | 58 | 69 | 127 |
| 2022 Febrero | 40 | 55 | 95 |
| 2022 Enero | 41 | 77 | 118 |
| 2021 Diciembre | 35 | 68 | 103 |
| 2021 Noviembre | 37 | 73 | 110 |
| 2021 Octubre | 57 | 65 | 122 |
| 2021 Septiembre | 26 | 55 | 81 |
| 2021 Agosto | 30 | 28 | 58 |
| 2021 Julio | 38 | 58 | 96 |
| 2021 Junio | 28 | 58 | 86 |
| 2021 Mayo | 35 | 47 | 82 |
| 2021 Abril | 87 | 110 | 197 |
| 2021 Marzo | 49 | 34 | 83 |
| 2021 Febrero | 58 | 30 | 88 |
| 2021 Enero | 57 | 46 | 103 |
| 2020 Diciembre | 38 | 34 | 72 |
| 2020 Noviembre | 44 | 16 | 60 |
| 2020 Octubre | 26 | 30 | 56 |
| 2020 Septiembre | 31 | 14 | 45 |
| 2020 Agosto | 25 | 17 | 42 |
| 2020 Julio | 28 | 22 | 50 |
| 2020 Junio | 32 | 19 | 51 |
| 2020 Mayo | 32 | 23 | 55 |
| 2020 Abril | 27 | 18 | 45 |
| 2020 Marzo | 35 | 8 | 43 |
| 2020 Febrero | 36 | 15 | 51 |
| 2020 Enero | 27 | 15 | 42 |
| 2019 Diciembre | 40 | 18 | 58 |
| 2019 Noviembre | 32 | 18 | 50 |
| 2019 Octubre | 16 | 9 | 25 |
| 2019 Septiembre | 29 | 10 | 39 |
| 2019 Agosto | 33 | 21 | 54 |
| 2019 Julio | 38 | 26 | 64 |
| 2019 Junio | 26 | 49 | 75 |
| 2019 Mayo | 60 | 51 | 111 |
| 2019 Abril | 30 | 32 | 62 |
| 2019 Marzo | 28 | 20 | 48 |
| 2019 Febrero | 19 | 10 | 29 |
| 2019 Enero | 19 | 13 | 32 |
| 2018 Diciembre | 16 | 19 | 35 |
| 2018 Noviembre | 21 | 15 | 36 |
| 2018 Octubre | 55 | 12 | 67 |
| 2018 Septiembre | 11 | 4 | 15 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Mayo | 1 | 0 | 1 |
| 2018 Abril | 8 | 0 | 8 |
| 2018 Marzo | 7 | 0 | 7 |
| 2018 Febrero | 8 | 0 | 8 |
| 2018 Enero | 7 | 0 | 7 |
| 2017 Diciembre | 5 | 0 | 5 |
| 2017 Noviembre | 14 | 0 | 14 |
| 2017 Octubre | 6 | 0 | 6 |
| 2017 Septiembre | 11 | 0 | 11 |
| 2017 Agosto | 7 | 0 | 7 |
| 2017 Julio | 9 | 0 | 9 |
| 2017 Junio | 17 | 9 | 26 |
| 2017 Mayo | 17 | 6 | 23 |
| 2017 Abril | 16 | 4 | 20 |
| 2017 Marzo | 18 | 37 | 55 |
| 2017 Febrero | 14 | 5 | 19 |
| 2017 Enero | 11 | 7 | 18 |
| 2016 Diciembre | 15 | 9 | 24 |
| 2016 Noviembre | 28 | 7 | 35 |
| 2016 Octubre | 29 | 15 | 44 |
| 2016 Septiembre | 35 | 10 | 45 |
| 2016 Agosto | 30 | 10 | 40 |
| 2016 Julio | 18 | 6 | 24 |
| 2015 Diciembre | 1 | 0 | 1 |
| 2015 Octubre | 2 | 0 | 2 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 11 | 0 | 11 |
| 2015 Junio | 10 | 0 | 10 |
| 2015 Mayo | 14 | 0 | 14 |
| 2015 Abril | 14 | 0 | 14 |
| 2015 Marzo | 14 | 0 | 14 |
| 2015 Febrero | 13 | 0 | 13 |
| 2015 Enero | 14 | 0 | 14 |
| 2014 Diciembre | 21 | 2 | 23 |
| 2014 Noviembre | 12 | 0 | 12 |
| 2014 Octubre | 12 | 0 | 12 |
| 2014 Septiembre | 12 | 0 | 12 |
| 2014 Agosto | 11 | 2 | 13 |
| 2014 Julio | 11 | 2 | 13 |
| 2014 Junio | 14 | 0 | 14 |
| 2014 Mayo | 19 | 0 | 19 |
| 2014 Abril | 22 | 2 | 24 |
| 2014 Marzo | 15 | 4 | 19 |
| 2014 Febrero | 11 | 7 | 18 |
| 2014 Enero | 10 | 4 | 14 |
| 2013 Diciembre | 21 | 10 | 31 |
| 2013 Noviembre | 14 | 3 | 17 |
| 2013 Octubre | 23 | 18 | 41 |
| 2013 Septiembre | 20 | 6 | 26 |
| 2013 Agosto | 13 | 12 | 25 |
| 2013 Julio | 4 | 3 | 7 |
| 2013 Junio | 3 | 3 | 6 |
| 2013 Mayo | 3 | 2 | 5 |
| 2013 Abril | 2 | 2 | 4 |
| 2013 Marzo | 3 | 3 | 6 |
| 2013 Febrero | 15 | 3 | 18 |
| 2013 Enero | 31 | 2 | 33 |
| 2012 Diciembre | 26 | 1 | 27 |
| 2012 Noviembre | 26 | 3 | 29 |
| 2012 Octubre | 25 | 1 | 26 |
| 2012 Septiembre | 7 | 1 | 8 |
| 2012 Agosto | 1 | 0 | 1 |
| 2000 Abril | 2852 | 0 | 2852 |
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