Revista Médica del Uruguay
Print version ISSN 0303-3295
GIACHETTO, Gustavo et al. Seguimiento de niños oxigenodependientes con secuelas pulmonares debidas a probable infección viral: Primera descripción nacional. Rev. Méd. Urug. [online]. 2002, vol.18, n.2, pp. 161-166. ISSN 0303-3295.
Summary Objective: To describe the first experience of ambulatory assistance of oxygen-dependent children suffering chronic respiratory disease probably caused by viral infection. Materials and methods: Clinic histories of every affected child between April of 1999 and April of 2000 were analized. Results: Sixteen children fulfilled the diagnostic criteria. At the beginning of the disease the average age was 10 months. Twelve out of sixteen needed long mechanic ventilatory assistance (26 days mean). The respiratory syncytial virus (RSV) was identified in two patients, adenovirus in other two patients and influenza B in one. During the follow-up period, all patients had cough and chest tightness. Hyper-insuflation and diffuse interstitial compromise appeared as constant radiological findings. Mosaic tomographic pattern was predominant (9/10). Only one patient developed pulmonary hypertension. It was possible to interrupt oxygen-therapy in six cases. The main cause of re-enter was low respiratory infection that caused the only death that was registered during that period. Conclusions: Institutional support is seen as essential to continue with this home-assistance project.
Keywords : ENFERMEDADES RESPIRATORIAS; ENFERMEDAD CRÓNICA; TERAPIA POR INHALACIÓN DE OXÍGENO; SERVICIOS DE ATENCIÓN A DOMICILIO PROVISTO POR HOSPITAL; ESTUDIOS DE SEGUIMIENTO; NIÑOS; URUGUAY.