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Campo DC | Valor | Idioma |
---|---|---|
dc.contributor.author | Simbalista, Raquel | - |
dc.contributor.author | Araújo, Marcelo | - |
dc.contributor.author | Carvalho, Cristiana Maria Costa Nascimento de | - |
dc.creator | Simbalista, Raquel | - |
dc.creator | Araújo, Marcelo | - |
dc.creator | Carvalho, Cristiana Maria Costa Nascimento de | - |
dc.date.accessioned | 2011-09-26T19:13:05Z | - |
dc.date.available | 2011-09-26T19:13:05Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 1807-5932 | - |
dc.identifier.uri | http://www.repositorio.ufba.br/ri/handle/ri/2877 | - |
dc.description | p.95-100 | pt_BR |
dc.description.abstract | OBJECTIVE: To describe the evolution and outcome of children hospitalized with community-acquired pneumonia receiving penicillin. METHODS: A search was carried out for all hospitalized community-acquired pneumonia cases in a 37-month period. Inclusion criteria comprised age >2 months, intravenous penicillin G use at 200,000 IU/kg/day for >48 h and chest x-ray results. Confounders leading to exclusion included underlying debilitating or chronic pulmonary illnesses, nosocomial pneumonia or transference to another hospital. Pneumonia was confirmed if a pulmonary infiltrate or pleural effusion was described by an independent radiologist blind to the clinical information. Data on admission and evolution were entered on a standardized form. RESULTS: Of 154 studied cases, 123 (80%) and 40 (26%) had pulmonary infiltrate or pleural effusion, respectively. Penicilli was substituted by other antibiotics in 28 (18%) patients, in whom the sole significant decrease was in the frequency of tachypnea from the first to the second day of treatment (86% vs. 50%, p = 0.008). Among patients treated exclusively with penicillin G, fever (46% vs. 26%, p = 0.002), tachypnea (74% vs. 59%, p = 0.003), chest indrawing (29% vs. 13%, p<0.001) and nasal flaring (10% vs. 1.6%, p = 0.001) frequencies significantly decreased from admission to the first day of treatment. Patients treated with other antimicrobial agents stayed longer in the hospital than those treated solely with penicillin G (16±6 vs. 8±4 days, p<0.001, mean difference (95% confidence interval) 8 (6–10)). None of the studied patients died. CONCLUSION: Penicillin G successf | pt_BR |
dc.language.iso | en | pt_BR |
dc.publisher | Faculdade de Medicina / USP | pt_BR |
dc.subject | Acute respiratory infection | pt_BR |
dc.subject | Antibiotic | pt_BR |
dc.subject | Beta-lactams | pt_BR |
dc.subject | Lower respiratory tract infection | pt_BR |
dc.subject | Treatment success | pt_BR |
dc.title | Outcome of children hospitalized with community-acquired pneumonia treated with aqueous penicillin G | pt_BR |
dc.title.alternative | Clinics | pt_BR |
dc.type | Artigo de Periódico | pt_BR |
dc.description.localpub | São Paulo | pt_BR |
dc.identifier.number | v.66, n.1 | pt_BR |
Aparece nas coleções: | Artigo Publicado em Periódico (Faculdade de Medicina) |
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