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Anales de la Facultad de Medicina

On-line version ISSN 2301-1254

Abstract

MACHADO, Karina et al. Low acute respiratory infections in children under 2 years. 2014 winter hospitalizations. Anfamed [online]. 2018, vol.5, n.1, pp.82-103. ISSN 2301-1254.  http://dx.doi.org/10.25184/anfamed2018v5n1a9.

During the winter, low acute respiratory infections (LARI) determine an increase in care demand, especially affecting younger children. The objective of the research was to describe the clinical characteristics, treatment modalities and evolution of children under 2 years of age hospitalized at the Hospital Pediátrico-Centro Hospitalario Pereira Rossell for viral etiology LARI during the 2014 winter. A descriptive, retrospective study was conducted, describing the characteristics of children under 2 years hospitalized between 9/6 and 9/21/2014 for LARI of probable viral etiology. The following features were described: epidemiological and clinical characteristics, treatment performed and patient’s evolution. During the period evaluated, 742 children were discharged (34% of the institution's admissions). They had a median age of 4 months; 18% had at least one risk factor for severe LARI. Respiratory syncytial virus was identified in 59.6%. The hospital stay had a median of 4 days. In moderate care rooms noninvasive ventilation was applied to 46 children, and high flow oxygenation to 129 children, achieving clinical improvement in 87.0% and 87.6%, respectively. Two hundred and seventeen children were admitted 54% required mechanical ventilation. Two patients died. In the evaluated period small children with LARI represented a significant proportion of the discharges, with an important burden of care. The majority were children without risk factors. The application of treatment techniques in moderate care was effective, allowed a decrease in the demand for intensive care beds.

Keywords : Acute Respiratory Infections; Respiratory Syncytial Virus Infectious; Bronchiolitis; Noninvasive Ventilation; Oxygen Inhalation Therapy..

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