Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)

Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração...

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Main Authors: Rita de Cássia Coelho Moraes de Brito, Talitha Coelho Moraes Guerra, Luciana de Holanda Lima Dornelas Câmara, Juliana Dias Pereira Gomes de Mattos, Maria Julia Gonçalves de Mello, Jaílson de Barros Correia, Norma Lucena Silva, Giselia Alves Pontes da Silva
Format: Article
Language:English
Published: Instituto Materno Infantil de Pernambuco
Series:Revista Brasileira de Saúde Materno Infantil
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300247&lng=en&tlng=en
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author Rita de Cássia Coelho Moraes de Brito
Talitha Coelho Moraes Guerra
Luciana de Holanda Lima Dornelas Câmara
Juliana Dias Pereira Gomes de Mattos
Maria Julia Gonçalves de Mello
Jaílson de Barros Correia
Norma Lucena Silva
Giselia Alves Pontes da Silva
author_facet Rita de Cássia Coelho Moraes de Brito
Talitha Coelho Moraes Guerra
Luciana de Holanda Lima Dornelas Câmara
Juliana Dias Pereira Gomes de Mattos
Maria Julia Gonçalves de Mello
Jaílson de Barros Correia
Norma Lucena Silva
Giselia Alves Pontes da Silva
author_sort Rita de Cássia Coelho Moraes de Brito
collection DOAJ
description Abstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in Pernambuco, Brazil, from 2010 to 2011. Information was noted from medical files, and two comparison groups were created according to the severity of the disease, considering the presence of pleural effusion. Fisher or Mann-Whitney tests were used for comparative analyses. Results: severe pneumonia with pleural effusion was more frequent in children under five years of age (p=0,025), and was associated with longer period of fever (19 x 15 days) and coughing (17 x 13 days), when compared to non-complicated pneumonia cases. Six children (7,5%, 6/80) died, 50% before the fourth day of hospitalization (p=0,001). All deaths were from the pleural effusion group in children from the countryside (p=0,026). Conclusions: the severity of pneumonia in children attended at this hospital is related to younger children, and those transferred from the health units in the countryside, so, early diagnosis and medical intervention are limited by infrastructure and available resources for the health.
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spelling doaj.art-a24724989ff241bba2b5262c10115a402022-12-22T00:14:31ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-930416324725710.1590/1806-93042016000300003S1519-38292016000300247Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)Rita de Cássia Coelho Moraes de BritoTalitha Coelho Moraes GuerraLuciana de Holanda Lima Dornelas CâmaraJuliana Dias Pereira Gomes de MattosMaria Julia Gonçalves de MelloJaílson de Barros CorreiaNorma Lucena SilvaGiselia Alves Pontes da SilvaAbstract Objectives: to describe the clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011) Methods: pneumonia case series of 80 children aged 28 days to 14 years old at Hospital da Restauração in Pernambuco, Brazil, from 2010 to 2011. Information was noted from medical files, and two comparison groups were created according to the severity of the disease, considering the presence of pleural effusion. Fisher or Mann-Whitney tests were used for comparative analyses. Results: severe pneumonia with pleural effusion was more frequent in children under five years of age (p=0,025), and was associated with longer period of fever (19 x 15 days) and coughing (17 x 13 days), when compared to non-complicated pneumonia cases. Six children (7,5%, 6/80) died, 50% before the fourth day of hospitalization (p=0,001). All deaths were from the pleural effusion group in children from the countryside (p=0,026). Conclusions: the severity of pneumonia in children attended at this hospital is related to younger children, and those transferred from the health units in the countryside, so, early diagnosis and medical intervention are limited by infrastructure and available resources for the health.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300247&lng=en&tlng=enPneumoniaPleural effusionEpidemiological profileChild
spellingShingle Rita de Cássia Coelho Moraes de Brito
Talitha Coelho Moraes Guerra
Luciana de Holanda Lima Dornelas Câmara
Juliana Dias Pereira Gomes de Mattos
Maria Julia Gonçalves de Mello
Jaílson de Barros Correia
Norma Lucena Silva
Giselia Alves Pontes da Silva
Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
Revista Brasileira de Saúde Materno Infantil
Pneumonia
Pleural effusion
Epidemiological profile
Child
title Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
title_full Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
title_fullStr Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
title_full_unstemmed Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
title_short Clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in Pernambuco State, Brazil (2010-2011)
title_sort clinical characteristics and outcomes of acute community acquired pneumonia in children at a reference public hospital in pernambuco state brazil 2010 2011
topic Pneumonia
Pleural effusion
Epidemiological profile
Child
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292016000300247&lng=en&tlng=en
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