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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249


ALONSO, Bernardo et al. Implementación de una unidad de vigilancia respiratoria para la asistencia de niños con infección respiratoria aguda baja en el hospital pediátrico del Centro Hospitalario Pereira Rossell. Arch. Pediatr. Urug. [online]. 2010, vol.81, n.3, pp.163-168. ISSN 1688-1249.

Introduction: a Respiratory Surveillance Unit (RSU) was implemented together with the 2008 Winter Plan of the Pediatric Hospital of the Pereira Rossell Hospital Centre to provide more personalized care to children with severe Acute Low Respiratory Infection (ALRI). Objective: evaluate the outcomes of the implementation of the RSU. Methodology: the unit worked from 17-6 to 31-10-08 and counted with 6 beds and medical and nursing staff and physical therapists around the clock. Admission criteria were: age < 2 years, respiratory failure, Tal score > 9. Exclusion criteria: unstable hemodynamics, consciousness disorders, mechanical complications, respiratory or mixed acidosis. All patients received the same support treatment. The number of admissions, their characteristics and course were all analyzed. Results: a total 147 children were admitted, 5.4% of the total hospital admissions due to ALRI. A 62% were < of 6 months, average age 5.9 months. Bronchiolitis was diagnosed in 71% and 63.9% presented the Tal 6 score. The average duration of stay was 4 days and 24 hours in 37%. A 69.4% presented a favorable course; 30.6% (n=45) were sent to the ICU, 27 of whom required ventilatory support, and one died. Conclusions: individualized support care is essential in children with ALRI. It is necessary to to prioritize age as a risk factor, and clinical monitoring by means of scores evaluating respiratory work. Although it is not possible to state that the RSU contributed to reduce admissions to the ICU, the experience was beneficial and strengthened the care strategy for children with severe ALRI


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