Scientific Electronic Library Online

 
vol.3 no.2La Enfermedad celiaca en el ParaguayConocimientos, prácticas y actitud del personal de enfermería acerca de los cuidados del neurodesarrollo del recién nacido prematuro  índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de seriadas  

DEL NACIONAL
ISSN 2072-8174 versión impresa

 
 
Como citar este artículo
 
 

Resumen

SEGOVIA VAZQUEZ, María Raquel. Neumonía aguda asociada a enfermedad tipo influenza en gestantes y no gestantes del Hospital Nacional de Itauguá, Paraguay. Rev. Nac. (Itauguá), dic. 2011, vol.3, no.2, p.16-22. ISSN 2072-8174.

ABSTRACT Introduction: The emergence and global spread of the new strain of influenza virus A H1 N1 has resulted in the first pandemic of the century. Pregnant women are at higher risk for severe disease and complications from influenza A H1N1. Objective: To determine the proportion of community acquired pneumonia associated with influenza-like illness in pregnant and non pregnant woman and compare the clinical characteristics and outcome in both groups of patients admitted to the National Hospital. Material and methods: A retrospective cohort design which compared 67 pregnant with 27 non-pregnant with community acquired pneumonia , admited to the Hospital during the pandemic pediod from July to September 2009. Results: The proportion of pregnant women with community acquired pneumonia was 67 (71.2%) and 27 non-pregnant women (28.7%), the average age of both groups was 27 ± 10 years. Non-pregnant women had a higher respiratory rate 27 ± 4 vs. 24 ± 5 (p = 0.01, t test). Results of hemogram and O2 saturation did not differ. In lung semiology Pregnant women had more wheezing 16 (23.8%) vs. 12 (44.4%) (RR = 0.38 95% CI 0.22 to 0.66 p = 0.02), crepts 28 (41.8%) vs. 15 (55.5%) (RR = 0.62 95% p = 0.01) and rhonchi 13 (19.4%) vs. 8 (29.6%) (RR = 0.2 95% CI 0.2 to 1.07 p = 0.08). The predominant lung involvement was bilateral in both cohorts. Required admission to ICU 25 (27%) of both cohort, pregnant 16 (23.9%), no pregnant 9 (33.3%), mortality in the pregnant group was 6 (8.9%) vs. 5 (18.5%) in non-pregnant women. Conclusion: The frequency of hospitalization in community acquired pneumonia associated with influenza-like illness was higher in pregnant women, clinical features and outcome were similar in both groups and the overall mortality was 11.7%.

Palabras claves: Keywords: influenza A virus, human influenza, orthomyxoviridae, pregnancy, Paraguay.

        · resumen en español     · texto en español     · pdf en español


 

© 2014  Hospital Nacional (Itauguá)

Avda. Gral. Marcial Samaniego. Itauguá Guazú. Itauguá, Paraguay. Teléf. 595-294-321-450/4



hn.biblioteca@gmail.com