info:eu-repo/semantics/article
Experiencia con pacientes hospitalizados en la unidad de capacitación para el tratamiento de la diarrea del Hospital Univertario San Vicente de Paúl, de Medellín
Experience with Hospitalized Children at a Training Unit for Diarrhea Treatment, in Medellín, Colombia.
Registro en:
0121-0793
2011-7965
Autor
Bernal Parra, Carlos Alberto
Institución
Resumen
RESUMEN: Entre 1988 y 1994 se atendieron 1.755 niños en la sala de hospitalización de la Unidad de Capacitación para el Tratamiento de la Diarrea, del Hospital Universitario San Vicente de Paúl, de Medellín; 1.022 (58.2%) fueron hombres y 733 (41.8%) mujeres; mil setenta y ocho eran menores de un año (61.4%) y 677 (38.6%) tenían más de un año. Eran desnutridos 888 (50.6%). Presentaban diarrea persistente 418 (23.8%); 1.056 (82.2%) diarrea acuosa, 213 (16.6%) diarrea disentérica y 16 (1.2%) solamente vómitos. Novecientos trece pacientes (52%) consultaron o estuvieron en la sala de hidratación oral y 276 (15.7%) habían estado hospitalizados por diarrea durante el último mes. Al ingreso 670 (38.2%) se encontraban hidratados, 151 (8.6%) tenían deshidratación grave y 934 (53.2%) presentaban otros grados de deshidratación. La bacteria más frecuentemente identificada fue Salmonella enteritidis (258 casos; 23.9%). Setecientos ochenta y seis pacientes (44.8%) recibieron los líquidos solamente por vía oral o por sonda nasogástrica y 969 (55.2%) por vía intravenosa. Al egreso 1.088 (62%) tuvieron el diagnóstico de diarrea aguda y 667 (38%) el de diarrea persistente. La mortalidad fue de 1.5% (27 pacientes). ABSTRACT: We present the results of our experience in the in-patient treatment of children with diarrhea. Between 1988 and 1994,1.755 children were hospitalized for this purpose at the Training Unit for Diarrhea Treatment, Hospital San Vicente, in Medellín, Colombia; 1.022 (58.2%) were males and 733 (41.8%) females; 1.078 (61.4%) were younger than one year and 677 (38.6%) were above this age. Eight hundred and eighty eight (50.6%) were undernourished. At admission, persistent diarrhea was found in 418 (23.8%); stools were watery in 1.056 (82.2%) and dysenteric in 213 (16.6%); 16 patients had suffered only vomit. During the previous month, half of the patients (52%) had attended the oral rehydration unit and 276 (15.7%) had been hospitalized because of diarrhea. At admission 670 (38.2%) were hydrated, 151 (8.6%) had serious dehydration and 934 (53.2%) presented other degrees of dehydration. Salmonella enteritidis was the most frequently isolated bacteria (258 cases; 23.9%). Oral or nasogastric fluids were the only therapy in 786 patients (44.8%) while the remaining 969 (55.2%) received intravenous hydration. Final diagnosis was acute diarrhea in 1.088 patients (62%) and persistent diarrhea in 667 (38%); only 27 patients (1.5%) died.