[Characteristics of patients with invasive pneumococcal disease requiring admission to intensive care units].
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Díaz-Conradi Alvaro, García-García Juan José, González Peris Sebastià, Fernández de Sevilla Mariona, Moraga Llop Fernando, Ventura Paula Sol, Domínguez Angela, en representación del Grupo Barcino, Miembros del Grupo Barcino (Estudio de la Enfermedad Invasora Neumocócica en Cataluña), Domínguez Angela, Moraga Llop Fernando, de Sevilla Mariona Fernández, González Peris Sebastià, Ciruela Pilar, Campins Magda, Muñoz-Almagro Carmen, Esteva Cristina, Izquierdo Conchita, Uriona Sonia, Martínez Osorio Johanna, Solé Ribalta Anna, Codina Gemma, Soldevila Nuria, Salleras Sanmartí Lluís
Аннотация
MATERIAL AND METHODS: A prospective study was conducted on cases of IPD diagnosed in three Paediatric Hospitals in Barcelona between January 2012 and June 2016. An analysis was made of the associations between the admission to PICU and the epidemiological, clinical, and microbiological variables.
RESULTS: A total of 263 cases with IPD were included, of which 19% (n = 50) required admission to PICU. Patients with septic shock (7; 100%), meningitis (16; 84.2%), and those with complicated pneumonia (23; 15.2%) were admitted to the PICU. The most frequent complications were pulmonary (35.2%) and neurological (39.5%). The ratio between admission and non-admission to PICU was 4.7 times higher in subjects with an underlying disease. The serotypes associated with PICU admission were 19A (23% of the total of this serotype), serotype 14 (20%), serotype 3 (17%), and serotype 1 (12.5%).
CONCLUSIONS: IPD required PICU admission in cases of septic shock and meningitis, and less so with complicated pneumonia. The percentage of admissions is greater in children with an underlying disease. Admission into the PICU involves a longer stay, complications during the acute phase, as well as sequelae, particularly neurological ones. The serotypes of the patients that were admitted to PICU were predominantly vaccine serotypes.