masterThesis
Desenlaces clínicos según el antibiótico usado en niños con neumonía severa tratados en Unidad de Cuidado Intensivo
Fecha
2019Autor
Parra Idrobo, Ana María
Vergara Méndez, Laura Daniela
Institución
Resumen
Background: In children under 5 years. Only in a third of the cases are caused by bacterial pathogens of which 3.6% of the strains are resistant in our country. According to international standards, a wide spectrum should be used, however, these guidelines do not fit our local epidemiology. Broad spectrum antibiotics have been administered promoting antimicrobial resistance. Objective: to compare the clinical results. The days of mechanical ventilation, hemodynamic support, complications, lethality and days of hospitalization. The agreement with the antibiotic spectrum in patients from 3 to 59 months with severe NAC managed in PICU in Bogotá Methodology: Cohort study. We studied patients from 3 to 59 months during July 2015 to June 2016 hospitalized for severe pneumonia in PICU. Results: 50 patients fulfilled the case definition; 45 received low-spectrum and 5 broad-spectrum antibiotics. 60% of the patients had a positive viral response. 80% of the patients were vaccinated against pneumococcus and Hib. There were statistical differences between the groups in radiologic complications and PaFiO2. Conclusion: In the present study there were no statistically significant differences in clinical development in the use of broad spectrum antibiotics Vs. Reduced spectrum in the analyzed population.