Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche
OBJECTIVE: Describe the profile of patients admitted with signs of pertussis, emphasizing the differences between confirmed cases and its differential diagnosis. METHODS: Retrospective study realized by the analysis of medical charts of patients from 0 to 2 years old, admitted between 2015 to 2019 w...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pediatria
2023-12-01
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| Series: | Residência Pediátrica |
| Subjects: | |
| Online Access: | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e935.pdf |
| _version_ | 1797215175002030080 |
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| author | Tereza Rebecca de Melo e Lima Paula Ferdinanda Conceição de Mascena Diniz Maia Gabriela Barreto Almeida Vasconcelos Maria Luísa Gomes Bezerra Maria Beatriz Rodrigues Esteves Moura Yane Ferreira Cardoso Lucas Miranda Castro Patrícia Clericuzi de Barros e Silva |
| author_facet | Tereza Rebecca de Melo e Lima Paula Ferdinanda Conceição de Mascena Diniz Maia Gabriela Barreto Almeida Vasconcelos Maria Luísa Gomes Bezerra Maria Beatriz Rodrigues Esteves Moura Yane Ferreira Cardoso Lucas Miranda Castro Patrícia Clericuzi de Barros e Silva |
| author_sort | Tereza Rebecca de Melo e Lima |
| collection | DOAJ |
| description | OBJECTIVE: Describe the profile of patients admitted with signs of pertussis, emphasizing the differences between confirmed cases and its differential diagnosis. METHODS: Retrospective study realized by the analysis of medical charts of patients from 0 to 2 years old, admitted between 2015 to 2019 with suspected pertussis. Epidemiological, clinical, laboratorial, and radiological variables were verified. The data was analyzed descriptively and through associations. RESULTS: 211 patients were included, being 81,1% levss than 6 months old and 49,3% male. At the admission, high frequency of coughing (99.1%), paroxysmal coughing (60,2%), cyanosis (78,7%) and dyspnea (70,1%) was observed. Data showed that 8,4% of the patients who underwent leukogram presented lymphocytic leukocytosis, and 57,5% of the patients submitted to chest X-ray presented abnormalities. The pertussis diagnosis was confirmed in only 37 patients. There was significative association (p<0,005) between pertussis and the variables: cyanosis, post-cough vomiting, inspiratory squeak, tachypnea, respiratory auscultation abnormalities and leukocytosis. Furthermore, 72,9% of the patients did not get the vaccine or the schedule was incomplete. CONCLUSIONS: The presentation of pertussis, in general, is similar to other respiratory infections, being fundamental the maintenance of the epidemiological surveillance to collaborate with the diagnosis, reduce use of macrolides and adequate the prophylactic measures. |
| first_indexed | 2024-04-24T11:25:53Z |
| format | Article |
| id | doaj.art-b1ed17f7b4554d8e93d67e69e89c6be2 |
| institution | Directory Open Access Journal |
| issn | 2236-6814 |
| language | English |
| last_indexed | 2024-04-24T11:25:53Z |
| publishDate | 2023-12-01 |
| publisher | Sociedade Brasileira de Pediatria |
| record_format | Article |
| series | Residência Pediátrica |
| spelling | doaj.art-b1ed17f7b4554d8e93d67e69e89c6be22024-04-10T17:47:02ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-12-0113410.25060/residpediatr-2023.v13n4-935Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coquelucheTereza Rebecca de Melo e Lima0Paula Ferdinanda Conceição de Mascena Diniz Maia1Gabriela Barreto Almeida Vasconcelos2Maria Luísa Gomes Bezerra 3Maria Beatriz Rodrigues Esteves Moura4Yane Ferreira Cardoso5Lucas Miranda Castro6Patrícia Clericuzi de Barros e Silva7Instituto de Medicina Integral Professor Fernando Figueira, Hospital Geral de Pediatria - Recife - Pernambuco - BrasilInstituto de Medicina Integral Professor Fernando Figueira, Hospital Geral de Pediatria - Recife - Pernambuco - BrasilFaculdade Pernambucana de Saúde, Medicina - Recife - Pernambuco - BrasilFaculdade Pernambucana de Saúde, Medicina - Recife - Pernambuco - BrasilFaculdade Pernambucana de Saúde, Medicina - Recife - Pernambuco - BrasilFaculdade Pernambucana de Saúde, Medicina - Recife - Pernambuco - BrasilFaculdade Pernambucana de Saúde, Medicina - Recife - Pernambuco - BrasilUniversidade Católica de Pernambuco, Medicina - Recife - Pernambuco - BrasilOBJECTIVE: Describe the profile of patients admitted with signs of pertussis, emphasizing the differences between confirmed cases and its differential diagnosis. METHODS: Retrospective study realized by the analysis of medical charts of patients from 0 to 2 years old, admitted between 2015 to 2019 with suspected pertussis. Epidemiological, clinical, laboratorial, and radiological variables were verified. The data was analyzed descriptively and through associations. RESULTS: 211 patients were included, being 81,1% levss than 6 months old and 49,3% male. At the admission, high frequency of coughing (99.1%), paroxysmal coughing (60,2%), cyanosis (78,7%) and dyspnea (70,1%) was observed. Data showed that 8,4% of the patients who underwent leukogram presented lymphocytic leukocytosis, and 57,5% of the patients submitted to chest X-ray presented abnormalities. The pertussis diagnosis was confirmed in only 37 patients. There was significative association (p<0,005) between pertussis and the variables: cyanosis, post-cough vomiting, inspiratory squeak, tachypnea, respiratory auscultation abnormalities and leukocytosis. Furthermore, 72,9% of the patients did not get the vaccine or the schedule was incomplete. CONCLUSIONS: The presentation of pertussis, in general, is similar to other respiratory infections, being fundamental the maintenance of the epidemiological surveillance to collaborate with the diagnosis, reduce use of macrolides and adequate the prophylactic measures.https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e935.pdfbordetella pertussiswhooping coughinfectionshospitalizationhealth profile |
| spellingShingle | Tereza Rebecca de Melo e Lima Paula Ferdinanda Conceição de Mascena Diniz Maia Gabriela Barreto Almeida Vasconcelos Maria Luísa Gomes Bezerra Maria Beatriz Rodrigues Esteves Moura Yane Ferreira Cardoso Lucas Miranda Castro Patrícia Clericuzi de Barros e Silva Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche Residência Pediátrica bordetella pertussis whooping cough infections hospitalization health profile |
| title | Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche |
| title_full | Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche |
| title_fullStr | Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche |
| title_full_unstemmed | Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche |
| title_short | Aspectos clínicos, laboratoriais e radiológicos de pacientes internados com suspeita de coqueluche |
| title_sort | aspectos clinicos laboratoriais e radiologicos de pacientes internados com suspeita de coqueluche |
| topic | bordetella pertussis whooping cough infections hospitalization health profile |
| url | https://cdn.publisher.gn1.link/residenciapediatrica.com.br/pdf/v13n4e935.pdf |
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