Browsing by Author "Bermeo Guartambel, Ximena Margoth"

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Características clínicas y epidemiológicas de las quemaduras, en el Servicio de Cirugía Pediátrica del Hospital Vicente Corral Moscoso. Enero 2014 – junio 2015
(2016) Rodríguez Cárdenas, Nancy Faviola; Bermeo Guartambel, Ximena Margoth; Huiracocha Tutivén, María de Lourdes
Objective: Describe the clinical and epidemiological characteristics of burns of patients in the pediatric surgery ward of Vicente Corral Moscoso Hospital during January 2014 to June 2015. Methodology: Descriptive study that included all patients under sixteen years old hospitalized by burns, clinical assessment were performed to burns classification, clinical files were checked to extract treatment data, legal caregiver signed an informed consent to authorize their participation, patients that abandoned the ward before complete the data collection or that were hospitalizaed for treatment of old burns were excluded. From the qualitative data were obtained frequencies and percentages, from quantitative data were obtained minimal and maximal values, standard deviation and middle values. Information was processed using SPSS statistical software. Results: 80 children were admitted with burns, most of the patients (36,3%) were in pre-scholar age, according to sex, burns ocurred with more frequency in male teenagers. 83,8% of the patients hospitalized suffered burns in their homes, while their parents were watching them (78%); thermical burns (hot liquids or surfaces) were the most common cause of burns (92,5%). Lower limbs were the most affected area (25,6%); superficial second – degree burn was rhe mos frequent burn type reported. Silver sulfadiazine- ointments were the antibiotic most used during the patients inward. Average stay was 13,4 days. Skin graft were needed in 18% of the cases, no deaths were reported Conclusions: Almost all burns ocurred in home while were in their parents surveillance, we hope that the results in this study allow the development of strategies to prevent burns , especially in home
Características clínicas y epidemiológicas de pacientes con diagnóstico de cuerpos extraños en vía respiratoria y digestiva atendidos en el servicio de pediatría del hospital Vicente Corral Moscoso. Cuenca, Ecuador. 2014-2018
(Universidad de Cuenca, 2021-05-27) Delgado Ponce, María Eugenia; Maestre Calderón, Manolo Patricio; Bermeo Guartambel, Ximena Margoth
BACKGROUND. - In pediatrics, unintentional accidents; as the ingestion of foreign bodies occurs, the exploratory capacity of children and the interest to recognize objects, being a common cause of morbidity. OBJECTIVE. - Determine the clinical and epidemiological characteristics of patients with a diagnosis of foreign bodies in the respiratory and digestive tract treated at the Pediatric Service of the Vicente Corral Moscoso Hospital in the city of Cuenca, Ecuador during the period 2014-2018. METHODOLOGY. - This research is quantitative, descriptive. The universe consisted of 510 patients treated in the Pediatric Emergency and Hospitalization area with a foreign body diagnosis, with a sample of 241. The information was recorded from the medical records in a form prepared by the author, and analyzed in the SPSS program, and the qualitative variables are presented in frequencies and percentages and the quantitative variables as mean. RESULTS. - The age group 2 to 5 years was the most frequent (51%); the predominant female sex with (52.7%), the frequent sign cyanosis (14.5%) and the frequent symptoms dysphagia (27%) and cough (21.6%); the most frequent location in the digestive tract was the esophagus (34.9%) and in the respiratory tract the pharynx (28.2%); the predominant type of foreign body was inorganic (88.0%), the most widely used diagnostic method was thoracoabdominal radiography (78.4%), the most widely used extraction techniques: endoscopy (29.0%), and bronchoscopy (27.4%), among complications cricopharyngeal edema (22.8%). CONCLUSIONS. - A timely diagnosis reduces complications as this study showed.
Características clínico-epidemiológicas de los recién nacidos con bajo peso, Hospital Vicente Corral Moscoso, Cuenca. Enero- agosto, 2021
(Universidad de Cuenca, 2023-05-05) Peñaloza Orellana, Carolina Michelle; Santacruz Pérez, Paola Daniela; Bermeo Guartambel, Ximena Margoth
Background: Low birth weight is a worldwide problem, especially prevalent in developing countries, which can be present in both premature and full-term infants. Objective: to identify the clinical-epidemiological characteristics of low-birth-weight neonates born at the Vicente Corral Moscoso Hospital during the period January-August 2021. Methods: study carried out with 334 neonates who were born in the Obstetric Center of the Vicente Corral Moscoso Hospital and who met the inclusion criteria. The data was collected from the neonatology and gynecology clinical history, in a form made by the author, and was analyzed in the SPSS V.23 software, using descriptive statistics. Results: 68% of mothers were between 20-35 years old, with approximately 50% having secondary education and belonging to the urban area. The AEG weight prevailed with 75%, the adequate height with 65% and the female sex with 52%. Digestive malformations were observed in 2%. The most frequent prenatal antecedents were: obesity (25.7%), anemia (24.5%) and preeclampsia (24.3%). The most frequent postnatal antecedents were: icterus (42.5%), respiratory distress (36.5%) and sepsis (32.9%). 50.8% of neonates required hospitalization. Most received enteral feeding (82.6%) and supplementation with ACD vitamins (30.5%). Mortality was 4.5%. Conclusions: Most of the patients with low weight were adequate for gestational age, with obesity as a predominance and preeclampsia in small for gestational age.
Características de las infecciones nosocomiales en el servicio de cuidados intensivos pediátricos del Hospital Vicente Corral Moscoso, Cuenca 2014 -2015
(Universidad de Cuenca, 2016-11-11) Salcedo González, Rosa Karina; Bermeo Guartambel, Ximena Margoth; Morocho Malla, Manuel Ismael
Objective: To determine the characteristics of nosocomial infections in the Pediatric Intensive Care Service of Vicente Corral Moscoso Hospital during the years of 2013 to 2014. Materials and methods: Descriptive study conducted on 32 patients diagnosed with nosocomial infection in the Pediatric Intensive Care Unit of the Vicente Corral Moscoso Hospital; Data was collected on a form; it was tabulated in version 15 of SPSS and for the analysis we used frequencies, percentages, measures of central tendency and location. Results:The studied population corresponds to 32 cases, with an average age of 38,87 months; the most frequent groups were: 71,9% of male sex;50% under 12 months old; 56,3% of underweight patients, with an average of 20,31 days of hospitalization. The most common site of infection was blood with 59,4% being the Gram-positive cocci responsible for 46,9% of infections, the most frequently isolated specific germ was Staphylococcus aureus with 25% of isolates. The average time of device usage was as follows: bladder catheter 15,23 days; 14,07 days of venous catheter; central catheter 18,08 days; parenteral nutrition 10,57 days; nasogastric catheter 14,53 days and 10,92 days of mechanical ventilation. The most used antibiotic was from penicillin group, these was before entering PICU (Pediatric Intensive Care Unit), meanwhile in the PICU the antibiotic group used the most was cephalosporin with 68,8% of usage. Conclusions:Nosocomial infections in the Pediatric Intensive CareServices were more frequent in males and in patients with pneumonia on admission
Características epidemiológicas del paciente pediátrico con pólipos rectales
(2022) Auquilla Cobos, Olga Margarita; Quizhpi Montero, Jorge Geovanny; Bermeo Guartambel, Ximena Margoth
Introduction: Gastrointestinal polyps are found in 1% of preschoolers and schoolchildren, hamartomatous-type rectal polyps being the most frequent lesion in this age group, whose usual clinical presentation is rectal bleeding.Objective: to determine the clinical epidemiological profile of patients with rectal polyps in the Pediatrics area of the José Carrasco Arteaga and Vicente Corral Moscoso Hospitals. Cuenca, Ecuador, period 2012-2017.Methodology: a descriptive study was carried out, with the participation of 79 patients who met the inclusion criteria. The information of interest was collected from the medical records of the participants and the AS400 system of the José Carrasco Arteaga Hospital and MEDISYS of the Vicente Corral Moscoso Hospital. For the statistical analysis, the SPSS version 15 program was used, the qualitative variables are presented in the form of frequencies and percentages, while for the quantitative variables, measures of central tendency were used as the mean.Results: predominance was found in the male sex (60.8%), mainly in the school stage (50.6%), rectal bleeding being the most frequent symptomatology with 75.9%, the 22.8% presented a palpable mass, depending on the type of polyp morphologically a 79.7% were pedunculated, histologically 67.1% were hamartomatous and according to the number 88.6% were unique.Conclusions: rectal polyps are common in males and rectal bleeding is the main symptom, being the hamartomatous-type polyps the predominant one.
Cardiopatías congénitas y factores asociados en menores de 5 años hospitalizados en el departamento de pediatría del Hospital Vicente Corral Moscoso. Marzo 2016 a Febrero 2017
(2018) Bermeo Guartambel, Ximena Margoth; Mosquera Vallejo, Lorena Elizabeth; Sempértegui Cárdenas, Pablo Xavier
Background: Congenital heart disease is the main cause of mortality in patients with congenital malformations, it represents the third cause of death in our country. Objective: To determine the factors associated with congenital heart disease in patients under 5 years of age hospitalized in pediatrics of the Vicente Corral Moscoso Hospital. March 2016 to February 2017. Methodology: A study of paired cases and controls was carried out, with a relation 1:2, obtaining 83 cases and 166 controls. Association was determined by the chi-squared test according to Mantel and Haenszel, and it was quantified by OR with a 95% confidence interval, and with a level of significance with the value of p <0.05. For the preponderance of the factors, binary logistic regression analysis was carried out. Results: Cases and controls were homogeneous in sex, residence and age. The Chi square of Mantel and Haenszel determined statistically significant relationship between congenital heart diseases with chromossomopathies OR 11, 98 IC 3.36-42.74 p 0.000; exposure to toxic (alcohol) OR 2.85 IC 1.23-6.61 p 0.010; Family history of heart disease OR 8.30 IC 2.14-30.65 p 0.000. In the multivariate logistic regression analysis the association for chromossomopathies was maintained (OR 17.65 IC 4.87-63.88 p 0.000); toxic exposure (alcohol) OR 4.21 IC 1.77-10.05 p 0.001 and family history of heart disease OR 12.10 CI 3.21-45-59 p 0.000. Conclusions: There is a statistically significant relationship between congenital heart diseases and chromossomopathies, toxic exposure (alcohol) and family history of heart disease
Conocimientos de los cuidadores en relación al manejo y diagnóstico de la fiebre y factores asociados en los niños de 3 a 36 meses, en el servicio de emergencia del Hospital Vicente Corral Moscoso, Cuenca 2014
(Universidad de Cuenca, 2016-11-11) Viteri Barriga, María Fernanda; Bermeo Guartambel, Ximena Margoth; Huiracocha Tutivén, María de Lourdes
Objective: To determine the knowledge of caregivers in relation to the management and diagnosis of fever and associated factors in children 3-36 months who presented to the emergency room of the Hospital "Vicente Corral Moscoso" Cuenca 2014. Methods and Procedures: Cross-sectional study of 399 caregivers of children 3-36 months about their knowledge of diagnosis and management of fever; information was taken directly by validated survey. The information was processed in SPSS 15.0 and was obtained: frequency, percentage, mean, standard deviation, chi square, Tau-b of Kendall and Kendall Tau-c and correspondece analysis. Results: The caregivers more interviewed were mothers, aged 15-24 (44.1%). 56.1% of caregivers dedicated to QQDD and married (45.9%). The predominant group of children were infants, younger males. The most frequent diagnosis was infection of upper airway (27.6%). The time evolution had a median income of 24 hours, and the average temperature of 38.2ºC income. 99.2% of respondents had insufficient knowledge. 8.8% of caregivers indicate that fever is beneficial. 86.5% and 72.4% of surveyed indicate that fever may cause convulsions at any age and lead to brain damage respectively. It is detected by touch (70.4%), 21.1% use the thermometer. Antipyretics used 79.2% and 70.8% paracetamol. Mothers have insufficient knowledge (P: 0.043). Significant differences between demographic variables and certain general knowledge and management were found
Frecuencia de la insuficiencia pre-renal aguda, características clínicas y sociodemográficas. En pacientes ingresados al área de cuidados intensivos pediátricos del Hospital José Carrasco Arteaga. Cuenca, Ecuador. Enero 2017 - diciembre 2019
(Universidad de Cuenca, 2021-06-03) Muñoz Mora, Andrea Karina; González Pazmiño, Giovanni Paolo; Bermeo Guartambel, Ximena Margoth
BACKGROUND. Acute kidney injury is an entity that causes damage to the internal environment, exacerbating its clinical picture during hospital stay. OBJECTIVE. To determine the frequency and clinical characteristics of Acute Renal Insufficiency of pre-renal cause in children admitted to the Pediatric Intensive Care area of the José Carrasco Arteaga Hospital. METHODOLOGY. A descriptive study was carried out. The universe consisted of all patients admitted to the Intensive Care unit, of which those who met the inclusion criteria (96 patients) were analyzed; the information was collected from the medical records in a form prepared by the author. In statistical analysis, the SPSS version 15 program was used, the qualitative variables are presented in the form of frequencies and percentages, and in the quantitative variables, measures of central tendency were used as the mean. RESULTS: The frequency of Acute Kidney Injury of prerenal cause is 19%, in this study there is a higher frequency in males with 58.3% and in the age group of 2 to 5 years with 61.4%, according to the pRIFLE categorization, most patients are were at Risk (54.17%). The onset of Acute Renal Damage in 43.8% of patients was less than 24 hours after admission and the resolution was presented in the68.8%between 24 to 48 hours. Mortality in these patients was 21.9%. CONCLUSIONS: Acute Kidney Injury is frequent and increases morbidity and mortality in patients.
Frecuencia y características clínico epidemiológicas de los pacientes menores de 5 años automedicados que acuden al servicio de emergencias del Hospital Vicente Corral Moscoso, Cuenca 2021
(Universidad de Cuenca, 2023-05-03) Peñaloza Ganán, Edison Mario; Escalante Canto, Paúl; Bermeo Guartambel, Ximena Margoth
Background: Self-medication is the act of consuming medicines and home remedies without consulting a doctor, this can cause adverse effects or complications of the disease. Objective: Identify the frequency and clinical-epidemiological characteristics of self-medicated patients under 5 years of age who attend the emergency service of the Vicente Corral Moscoso Hospital. Cuenca 2021. Methods: Descriptive study, infinite universe made up of patients under 5 years of age who attended the pediatric emergency service of the Vicente Corral Moscoso Hospital during 2021. The sample was 295 patients, it was calculated considering an infinite universe, based on 95% confidence, 20% lower prevalence and 5% precision. Data collection was carried out by reviewing medical records and applying a survey designed by the author. The information was analyzed applying descriptive statistics. the variables are presented in frequencies and percentages. Results: The prevalence of self-medication was 21.4%, with a predominance of: Men (58.7%), preschoolers (49.2%), the most prevalent caregivers were mothers (88.9%), The most common symptom was fever (41.3%) The most used medication was NSAIDs analgesics (33.3%), the most common origin of the medication was the recommendation of a friend (34.9%). None of the caregivers knew of possible adverse effects of self-medication. Conclusion: One in every 5 children under 5 years of age who went to the emergency service of the Vicente Corral Moscoso Hospital during 2021 was self-medicated.
Hipoglicemia y factores asociados en recién nacidos del Hospital Vicente Corral Moscoso. Cuenca, Ecuador. 2018-2019
(Universidad de Cuenca, 2021-06-10) Vera Morales, Sandy Lisseth; Santacruz Pérez, Paola Daniela; Bermeo Guartambel, Ximena Margoth
Background: Hypoglycemia is one of the most frequent metabolic pathologies in the neonatal period, which increases morbi-mortality in the newborn and can leave permanent sequelae; however, it could be prevented or diagnosed and treated early. Objective: To determine the factors associated with neonatal hypoglycemia, in newborns in the neonatology service of the Vicente Corral Moscoso Hospital during 2018 – 2019. Methodology: An analytical, case-control study was performed, matched by the scale of gestational age, sex and maternal residence. With a 2: 1 ratio, the sample was 101 cases and 202 controls. The data were tabulated using SPSS program version 15.0. Association analysis was performed with Chi-square, and quantified by Odds Ratio with 95% confidence interval, and with a significance level of p <0.05. Results: Paired data were comparable: gestational age (p =1), sex (p = 0.2) and, maternal residence (p = 0.673). Statistically significant factors associated with neonatal hypoglycemia are small for gestational age (OR 2,54; CI 1,54-4,20; p 0,000) and intrauterine growth restriction (OR 2,1; CI 1,29-3,54; p 0,003); while gestational diabetes (OR 1.2; CI 0.37-4.88; p 0.649), macrosomia (OR 1.2; CI 0.28-5.1; p 0,800) and, respiratory distress syndrome (OR 0.89; CI 0.54-1.47; p 0.672) were not statistically significant. Conclusions: Neonatal hypoglycemia is associated with the factors such as intrauterine growth restriction and small for gestational age.
Influencia de la televisión en el rendimiento escolar y estado nutricional de los niños-as de la escuela Doce de Abril y Aurelio Aguilar Vázquez de la ciudad de Cuenca 2001-2002
(2003) Bermeo Guartambel, Ximena Margoth; Chacón Cedeño, Paula Adriana; Cobos Bermeo, Nelson Albino; Quizhpe Peralta, Arturo Octavio; Mosquera Vallejo, Lorena Elizabeth
Perfil clínico epidemiológico de pacientes con pólipos rectales en el área de pediatría de los hospitales José Carrasco Arteaga y Vicente corral Moscoso. Cuenca, ecuador, 2012-2017
(Universidad de Cuenca, 2021-05-26) Auquilla Cobos, Olga Margarita; Quizhpi Montero, Jorge Geovanny; Bermeo Guartambel, Ximena Margoth
Background: Gastrointestinal polyps in general represent 3 to 4% in children under 21 years of age, 1% are found in preschool and schoolchildren, with juvenile-type rectal polyps being the most frequent lesion in this age group, whose usual clinical presentation is rectal bleeding. Objective: To determine the epidemiological clinical profile of patients with rectal polyps in the Pediatrics area of the José Carrasco Arteaga and Vicente Corral Moscoso Hospitals. Cuenca, Ecuador during the period 2012-2017. Methodology: A descriptive study was carried out, with the participation of 79 patients who met the inclusion criteria. The information of interest was collected from the medical records of the participants and from the AS400 system of the Jose Carrasco Arteaga Hospital and MEDISYS of the Vicente Corral Moscoso Hospital. For the statistical analysis, the SPSS version 15 program was used, the qualitative variables were presented in the form of frequencies and percentages, while for the quantitative variables, measures of central tendency were used as the mean. Results: A predominance was found in males (60,8%), mainly in the school stage (50,6%), rectorrhagia being the most frequent symptoms with 75,9%, 22,8% presenting a palpable mass, according to the type of polyp morphologically a 79,7% were pedunculated, histologically 67,1%were hamartomatous, and according to the number, 88,6% were unique. Conclusions: Rectal polyp is common in males and rectal bleeding is the main symptom, with the hamartomatous polyp being the predominant one.
Prevalencia de bullying y relación con la malnutrición en niños y adolescentes del servicio de emergencia del Hospital José Carrasco Arteaga Cuenca, Ecuador 2019
(Universidad de Cuenca, 2021-06-01) Jimbo Jimbo, Ana Cristina; Huiracocha Tutivén, María de Lourdes; Bermeo Guartambel, Ximena Margoth
Bullying occurs in 246 million children and adolescents worldwide, approximately; in Ecuador 2 out of 10 children are affected by this social unrest. It is associated with biopsychosocial factors and in the last decades it has been shown that affects the integral development of the child. This research determines the prevalence of bullying and the relationship with malnutrition in children and adolescents. It is a quantitative, analytical and cross-sectional study, developed in the pediatric emergency at José Carrasco Arteaga Hospital; the sample was made up of 325 children between 9 to 15-year-old kids. The European Bullying Intervention Project Questionnaire test was applied in this group (EBIPQ) in order to determine the presence or absence of bullying. In addition, weight and height data was collected to calculate the body mass index (BMI) with the purpose of knowing the nutritional status according to the obtained percentile. The Chi Square and Taub-Kendall tests were used in this research, the reliability interval was 95% and positive significance with (p =) less than 0.05. In conclusion and according to the results, the prevalence of bullying was 41.8%; the individuals concerned are of appropriate weight, that is, the nutritional status in this research is NOT related to the presence of bullying, in the same way it is not a factor to be a victim, aggressor or aggressor victim.
Prevalencia de morbilidad y mortalidad del recién nacido pretérmino de muy bajo peso y factores asociados a mortalidad. Hospital José Carrasco Arteaga. Cuenca, Ecuador. 2012 - 2018
(Universidad de Cuenca, 2021-05-25) Cabrera Garay, Ruth Irene; Merchán Astudillo, Karina Alexandra; Bermeo Guartambel, Ximena Margoth
Background. The group of preterm newborns with very low birth weight constitutes a major health problem in relation to morbidity and high mortality, the care they require after birth involves a great human and economic demand. General Objective. To determine the prevalence of morbidity and mortality in preterm newborns with very low birth weight and factors associated with mortality in the neonatology service of the José Carrasco Arteaga Hospital in the city of Cuenca, Ecuador, during the period 2012 - 2018. Method. A cross-sectional analytical study was conducted, the universe of which was 239 patients. For the statistical analysis the statistical program SPSS.15 was used, a descriptive analysis was performed and the Chi-square test was used to determine the association, and to determine the intensity of the association of risk factors with mortality, the OR was used with an interval confidence was 95% and positive significance with p = <0,05. Results. The main morbidities were: Hyaline membrane disease (64%), hyperbilirubinemia (47,3%), neonatal sepsis (39.3%), A mortality of 21,7% is evidenced, the main cause of death was neonatal sepsis (9,2%), the risk factors associated with mortality are: chorioamnionitis (OR: 5,66), extreme gestational age (OR: 3,7), respiratory distress syndrome (OR: 3,9), necrotizing enterocolitis (OR: 2,8). Conclusion. Very low weight premature infants have a high prevalence of morbidity and their mortality is associated with maternal and neonatal factors.
Prevalencia de virus sincitial respiratorio y complicaciones clínicas en pacientes menores de 3 años. Pediatría, Hospital José Carrasco Arteaga. Cuenca. Ecuador. 2016 – 2017
(Universidad de Cuenca, 2021-05-27) Vélez Domínguez, Karina Elizabeth; Vélez Paltín, Vicente Leonardo; Bermeo Guartambel, Ximena Margoth
BACKGROUND. Respiratory Syncytial Virus worldwide is the most common virus for lower respiratory tract infections in children under 3 years of age, presenting from mild symptoms to fatal complications, its identification was made by nasal aspirate chromatography. OVERALL OBJECTIVE. To determine the prevalence of respiratory syncytial virus infection and clinical complications in patients under 3 years of age admitted to the Pediatric Area of the José Carrasco Arteaga Hospital in the city of Cuenca, Ecuador. 2016 - 2017. METHODOLOGY.A descriptive cross-sectional study was carried out, the study population was the total of patients under 3 years hospitalized for respiratory causes in the Pediatric area of the José Carrasco Arteaga Hospital, the diagnosis of Respiratory Syncytial Virus was made by chromatography. The data were collected from the clinical records of the AS400 system and recorded in a form designed by the author, for the statistical analysis the SPSS program was used, the qualitative variables are presented in the form of frequencies, percentages and the quantitative variables by trend measures. central as average. RESULTS. The prevalence of RSV was 53.7%, with bronchiolitis being the most common presentation (61.7%), it was observed that 28.7% of patients did not suffer complications while 28.7% presented bacterial superinfection, mortality it was 1.2%. CONCLUSIONS: The prevalence of RSV is high, bronchiolitis was the main presentation of the virus, bacterial superinfection the most frequent complication, with low mortality.
Relación entre bullying y malnutrición en niños y adolescentes
(2022) Jimbo Jimbo, Ana Cristina; Bermeo Guartambel, Ximena Margoth; Huiracocha Tutivén, María de Lourdes
Introduction: bullying occurs in approximately 246 million children and adolescents worldwide, in Ecuador 2 out of 10 minors are affected, it is associated with biopsychosocial factors, including malnutrition.Objective: to determine the prevalence of bullying in children and adolescents, their roles and their association with malnutrition.Methodology: it is a quantitative, analytical and cross-sectional study, carried out in the pediatric emergency room of the “José Carrasco Arteaga” Hospital during 2019; the sample consisted of 325 patients aged between 9 and 15 years, to whom the European Bullying Intervention Project Questionnaire (EBIPQ) test was applied to determine the presence of bullying. In addition, the Body Mass Index (BMI) was calculated to determine the nutritional status of the participants. To establish the relationship with malnutrition, the Chi square test was used, and the Taub-Kendall test was used for correlation.Results: the prevalence of bullying was 41.8%, 50.7% for males and 49.3% for females; the 71.3% were adolescents, and 64% had an adequate nutritional status. No statistical association was found between bullying and malnutrition.Conclusions: the prevalence of bullying is similar in children and adolescents of both sexes, highlighting that their nutritional status was not altered, in addition, it does not constitute a condition to play the role of victim, aggressor or aggressor victim.
Utilidad clínica del hemocultivo en niños hospitalizados por neumonía adquirida en la comunidad. Hospital Vicente Corral Moscoso. Cuenca, Ecuador. 2019
(Universidad de Cuenca, 2021-05-11) Llanos Quilli, Fernanda Patricia; Neira Alvarado, Claro Vladimiro; Bermeo Guartambel, Ximena Margoth
BACKGROUND. Community-acquired pneumonia is the leading infectious cause of pediatric mortality worldwide, and its proper management is essential. To apply the appropriate therapy, several diagnostic methods are used, including blood culture, a microbiological test whose usefulness is controversial, and its clinical value needs to be reconsidered. OBJECTIVE. To determine the clinical utility of blood culture in children hospitalized for community-acquired pneumonia admitted to the Vicente Corral Moscoso Hospital in the city of Cuenca, Ecuador, from January to December 2019. METHODOLOGY. A cross-sectional, correlational study was carried out. The universe consists of all children hospitalized for CAP during the period described. The sample of 202 children was calculated with the Epi Info program. The information was compiled in a form designed by the author and processed using the SPSS version 15 program. The qualitative variables are presented with frequencies and percentages. Pearson's Chi square was used to determine the relationship between the variables. RESULTS. The sex variable was homogeneous (50%). The age group from four months to five years predominated (72.2%) and comes from the Sierra (93.5%). The frequency of positive blood cultures was 4%. Antibiotic based on blood culture was rotated in only 1 case. A relationship between the vaccination scheme, previous antibiotic and the severity of pneumonia with a positive blood culture was identified (p 0.012, 0.028 and 0.000 respectively). CONCLUSIONS. Blood culture is a microbiological diagnostic method with low clinical value.