Ingresos por sida en cuidados intensivos pediátricos
Admissions of patients with aids to pediatric intensive care units
Unidad de Cuidados Intensivos Pediátricos. Unidad de Enfermedades Infecciosas e Inmunodeficiencias. Departamento de Pediatría. Hospital Materno-Infantil. Complejo Hospitalario Universitario Carlos Haya. Málaga
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Santiago Burruchaga, J.I. Ruiz Sanz, J.I. Pijoan Zubizarreta, J. Benito Fernández, P. Sanjurjo Crespo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Santiago Burruchaga" ] 1 => array:2 [ "nombre" => "J.I." "apellidos" => "Ruiz Sanz" ] 2 => array:2 [ "nombre" => "J.I." "apellidos" => "Pijoan Zubizarreta" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Benito Fernández" ] 4 => array:2 [ "nombre" => "P." 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"apellidos" => "García Martín" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Milano Manso" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Martínez Valverde" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Cuidados Intensivos Pediátricos. Unidad de Enfermedades Infecciosas e Inmunodeficiencias. Departamento de Pediatría. Hospital Materno-Infantil. Complejo Hospitalario Universitario Carlos Haya. Málaga" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: C/ Hércules, 21. 11207 Algeciras (Cádiz)." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Admissions of patients with aids to pediatric intensive care units" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-11-30" "fechaAceptado" => "2000-04-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186371" "palabras" => array:5 [ 0 => "Cuidados intensivos" 1 => "Sida pediátrico" 2 => "Pneumocystis carinii" 3 => "Ventilación mecánica" 4 => "Corticoïdes" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186372" "palabras" => array:5 [ 0 => "Intensive care" 1 => "Pediatric AIDS" 2 => "Pneumocystis carinii pneumonia" 3 => "Mechanical ventilation" 4 => "Corticosteroids" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir las características clínicas más significativas de los niños con síndrome de inmunodeficienciencia adquirida (sida) que precisaron ingreso en una unidad de cuidados intensivos pediátricos (UCIP).</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio retrospectivo de 12 pacientes con sida, que generaron 13 ingresos, entre enero de 1988 y diciembre de 1997.</p> <span class="elsevierStyleSectionTitle">resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La edad media de los pacientes al ingreso fue de 15 meses (1 mes-6 años), siendo 7 niños menores de un año y 4 se diagnosticaron de infección por el VIH durante su estancia en la unidad. La causa más frecuente de ingreso fue la insuficiencia respiratoria (6 casos), seguida de la insuficiencia cardíaca. Precisaron ventilación mecánica 6 casos. Dos pacientes fallecieron durante su ingreso, uno por neumonía por Pneumocystis carinii y otro por shock séptico.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Un tercio de los pacientes fueron diagnosticados de infección por el VIH en la UCIP, resultando la infección oportunista la manifestación inicial de la enfermedad, por lo que se debe mantener una alta sospecha clínica ante la existencia de afección oportunista. La supervivencia de hasta el 84,6% de los pacientes ingresados en nuestra UCIP, unido a la actual terapia antirretroviral altamente activa, hacen a los pacientes con infección por el VIH subsidiarios, en general, de cuidados intensivos pediátricos.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe the most significant clinical features of children with acquired immunodeficiency syndrome who required admission to a pediatric intensive care unit (PICU).</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Retrospective study of 12 patients with AIDS who required 13 admissions, between January 1988 and December 1997.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean age at admission was 15 months (1 month-6 years). Seven patients were under 1 year of age; four were diagnosed during their stay in the unit. The most common reason for admission was respiratory failure (six patients), followed by cardiac failure. Six patients needed mechanical ventilation (5 for respiratory failure). Two patients died during their stay, one of pneumonia due to Pneu-mocystis carinii infection and one of septic shock.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">One-third of patients was diagnosed with HIV infection during their stay at the PICU. Opportunistic infection was the initial manifestation of the disease. Consequently, with this type of infection, clinical suspicion should be high. The survival rate of up to 84.6% of the admissions to our unit as well as the new, highly active antiretroviral therapy, generally make HIV-infected children suitable for treatment in intensive care units.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory failure in children with acquired immunodeficiency syndrome-related complex" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.D. Vernon" 1 => "B.H. Holtzman" 2 => "P. Lewis" 3 => "G. Scott" 4 => "J.A. Birriel" 5 => "M.B. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 16 | 22 |
| 2024 Octubre | 28 | 44 | 72 |
| 2024 Septiembre | 32 | 48 | 80 |
| 2024 Agosto | 50 | 86 | 136 |
| 2024 Julio | 32 | 44 | 76 |
| 2024 Junio | 40 | 30 | 70 |
| 2024 Mayo | 35 | 33 | 68 |
| 2024 Abril | 34 | 29 | 63 |
| 2024 Marzo | 29 | 42 | 71 |
| 2024 Febrero | 33 | 41 | 74 |
| 2024 Enero | 28 | 29 | 57 |
| 2023 Diciembre | 29 | 19 | 48 |
| 2023 Noviembre | 29 | 36 | 65 |
| 2023 Octubre | 21 | 12 | 33 |
| 2023 Septiembre | 16 | 25 | 41 |
| 2023 Agosto | 23 | 21 | 44 |
| 2023 Julio | 25 | 35 | 60 |
| 2023 Junio | 21 | 29 | 50 |
| 2023 Mayo | 28 | 20 | 48 |
| 2023 Abril | 19 | 14 | 33 |
| 2023 Marzo | 20 | 18 | 38 |
| 2023 Febrero | 20 | 18 | 38 |
| 2023 Enero | 12 | 22 | 34 |
| 2022 Diciembre | 20 | 15 | 35 |
| 2022 Noviembre | 32 | 36 | 68 |
| 2022 Octubre | 26 | 50 | 76 |
| 2022 Septiembre | 16 | 27 | 43 |
| 2022 Agosto | 21 | 52 | 73 |
| 2022 Julio | 19 | 40 | 59 |
| 2022 Junio | 19 | 38 | 57 |
| 2022 Mayo | 19 | 23 | 42 |
| 2022 Abril | 32 | 33 | 65 |
| 2022 Marzo | 21 | 46 | 67 |
| 2022 Febrero | 18 | 41 | 59 |
| 2022 Enero | 22 | 42 | 64 |
| 2021 Diciembre | 17 | 39 | 56 |
| 2021 Noviembre | 26 | 51 | 77 |
| 2021 Octubre | 29 | 54 | 83 |
| 2021 Septiembre | 20 | 41 | 61 |
| 2021 Agosto | 17 | 31 | 48 |
| 2021 Julio | 16 | 43 | 59 |
| 2021 Junio | 21 | 41 | 62 |
| 2021 Mayo | 17 | 24 | 41 |
| 2021 Abril | 37 | 68 | 105 |
| 2021 Marzo | 65 | 19 | 84 |
| 2021 Febrero | 48 | 12 | 60 |
| 2021 Enero | 38 | 22 | 60 |
| 2020 Diciembre | 33 | 20 | 53 |
| 2020 Noviembre | 15 | 15 | 30 |
| 2020 Octubre | 25 | 2 | 27 |
| 2020 Septiembre | 17 | 3 | 20 |
| 2020 Agosto | 12 | 11 | 23 |
| 2020 Julio | 12 | 13 | 25 |
| 2020 Junio | 21 | 13 | 34 |
| 2020 Mayo | 23 | 20 | 43 |
| 2020 Abril | 21 | 15 | 36 |
| 2020 Marzo | 28 | 13 | 41 |
| 2020 Febrero | 14 | 16 | 30 |
| 2020 Enero | 22 | 14 | 36 |
| 2019 Diciembre | 20 | 19 | 39 |
| 2019 Noviembre | 14 | 8 | 22 |
| 2019 Octubre | 1 | 8 | 9 |
| 2019 Septiembre | 16 | 16 | 32 |
| 2019 Agosto | 18 | 11 | 29 |
| 2019 Julio | 17 | 14 | 31 |
| 2019 Junio | 22 | 25 | 47 |
| 2019 Mayo | 32 | 25 | 57 |
| 2019 Abril | 10 | 25 | 35 |
| 2019 Marzo | 13 | 12 | 25 |
| 2019 Febrero | 11 | 10 | 21 |
| 2019 Enero | 6 | 13 | 19 |
| 2018 Diciembre | 12 | 10 | 22 |
| 2018 Noviembre | 12 | 9 | 21 |
| 2018 Octubre | 18 | 10 | 28 |
| 2018 Septiembre | 10 | 4 | 14 |
| 2018 Julio | 3 | 0 | 3 |
| 2018 Mayo | 2 | 0 | 2 |
| 2018 Abril | 8 | 0 | 8 |
| 2018 Marzo | 9 | 0 | 9 |
| 2018 Febrero | 7 | 0 | 7 |
| 2018 Enero | 5 | 0 | 5 |
| 2017 Diciembre | 5 | 0 | 5 |
| 2017 Noviembre | 12 | 0 | 12 |
| 2017 Octubre | 5 | 0 | 5 |
| 2017 Septiembre | 8 | 0 | 8 |
| 2017 Agosto | 4 | 0 | 4 |
| 2017 Julio | 9 | 0 | 9 |
| 2017 Junio | 18 | 7 | 25 |
| 2017 Mayo | 23 | 6 | 29 |
| 2017 Abril | 13 | 9 | 22 |
| 2017 Marzo | 21 | 7 | 28 |
| 2017 Febrero | 9 | 3 | 12 |
| 2017 Enero | 8 | 4 | 12 |
| 2016 Diciembre | 10 | 6 | 16 |
| 2016 Noviembre | 34 | 8 | 42 |
| 2016 Octubre | 30 | 5 | 35 |
| 2016 Septiembre | 22 | 5 | 27 |
| 2016 Agosto | 15 | 5 | 20 |
| 2016 Julio | 13 | 8 | 21 |
| 2016 Marzo | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 10 | 0 | 10 |
| 2015 Mayo | 13 | 0 | 13 |
| 2015 Abril | 9 | 0 | 9 |
| 2015 Marzo | 4 | 0 | 4 |
| 2015 Febrero | 11 | 0 | 11 |
| 2015 Enero | 12 | 0 | 12 |
| 2014 Diciembre | 10 | 1 | 11 |
| 2014 Noviembre | 7 | 0 | 7 |
| 2014 Octubre | 10 | 0 | 10 |
| 2014 Septiembre | 4 | 3 | 7 |
| 2014 Agosto | 5 | 2 | 7 |
| 2014 Julio | 6 | 3 | 9 |
| 2014 Junio | 8 | 2 | 10 |
| 2014 Mayo | 14 | 2 | 16 |
| 2014 Abril | 13 | 3 | 16 |
| 2014 Marzo | 8 | 5 | 13 |
| 2014 Febrero | 8 | 2 | 10 |
| 2014 Enero | 18 | 6 | 24 |
| 2013 Diciembre | 15 | 11 | 26 |
| 2013 Noviembre | 13 | 1 | 14 |
| 2013 Octubre | 28 | 6 | 34 |
| 2013 Septiembre | 15 | 6 | 21 |
| 2013 Agosto | 8 | 4 | 12 |
| 2013 Julio | 2 | 1 | 3 |
| 2013 Junio | 3 | 3 | 6 |
| 2013 Mayo | 5 | 2 | 7 |
| 2013 Abril | 1 | 1 | 2 |
| 2013 Marzo | 5 | 3 | 8 |
| 2013 Febrero | 14 | 2 | 16 |
| 2013 Enero | 4 | 1 | 5 |
| 2012 Diciembre | 9 | 2 | 11 |
| 2012 Noviembre | 3 | 2 | 5 |
| 2012 Octubre | 5 | 2 | 7 |
| 2012 Septiembre | 2 | 1 | 3 |
| 2000 Mayo | 1110 | 0 | 1110 |
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