Abstract

SOSA, Mónica; CASTRO, Marcela; SALOMON, Sergio  and  GIACHETTO, Gustavo. Características epidemiológicas y clínicas de niños hospitalizados con tos convulsa durante el 2012 en el Hospital Pediátrico del Centro Hospitalario Pereira Rossell. Arch. Pediatr. Urug. [online]. 2014, vol.85, n.1, pp.10-17. ISSN 1688-1249.

Introduction: notifications of whooping cough was significantly reduced by in Uruguay since the introduction of the vaccine antipertussis in 1963. In the year 2011 is recorded an increase in the number of cases with severe forms specially in children younger than 4 months. In February 2012 was incorporated acellular pertussis vaccine at age 12. Objectives: to describe the clinical and epidemiological characteristics of children hospitalized with a diagnosis of cough whooping confirmed in HP-CHPR. Material and methods: retrospective descriptive study. It includes children hospitalized with whooping cough diagnostic confirmed from 1/1 to 31/12/12. Variables: age, sex, criteria for hospitalization, complications, immunizations, hospital stay, admission to CTI, deaths. Results: entered 84 children with whooping cough confirmed, to UCI 18 (21,4%); less than 4 months 42 (50%) children; presented certified 58 existing immunization schedule (69%) children; the average hospital stay was 7 days (range 1-25 days); 21 children presented complications: apneas 7 (33,3%), atelectasis 3 (14,3%), pneumonia 4 (19%), seizures 3 (14,3%), 1 respiratory failure (4,8%), pulmonary hypertension - hiperleucocitosis 2 (9,5%), functional respiratory syndrome 1 (4,8%). The most serious cases admitted to ICU, which developed HTP and received exchange transfusion, found a statistically significant association between high WBC count (30.000-60.000 elements/mm³), younger age, repeated apneas and admission to ICU. Died 1 child in ICU. Discussion and conclusion: the whooping cough affects mainly children under 12 months; gravity is associated with age, the presence of repeated apneas, hiperleucocitosis and pulmonary hypertension. Must be vigilance and strengthen vaccination strategies

Keywords : WHOOPING COUGH; CHILD, HOSPITALIZED.

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