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Caracterización de los pacientes pediátricos hospitalizados desde el servicio de urgencias y la concordancia entre el inicio de antibiótico y la continuidad de éste en el servicio de hospitalización en el Hospital Militar Central
| dc.contributor.advisor | Luengas Monroy, Miguel Angel | spa |
| dc.contributor.author | Luengas Monroy, Miguel Angel | |
| dc.contributor.author | Hernandez Ortega, Carolina | |
| dc.contributor.author | Rebolledo Zamora, Alejandra | |
| dc.contributor.author | Barrera, Pedro | |
| dc.coverage.spatial | Medicina | spa |
| dc.date.accessioned | 2016-02-01T21:28:53Z | |
| dc.date.accessioned | 2019-12-30T19:07:25Z | |
| dc.date.available | 2016-02-01T21:28:53Z | |
| dc.date.available | 2019-12-30T19:07:25Z | |
| dc.date.issued | 2015-08-13 | |
| dc.identifier.uri | http://hdl.handle.net/10654/7270 | |
| dc.description.abstract | Las enfermedades infecciosas son la mayor causa de consulta en el servicio de urgencias pediátricas. Se ha establecido que casi un 88% de los casos son de origen viral y no ameritan el inicio de manejo antibiótico. Diversos estudios han demostrado sobreprescripción de estos medicamentos para manejo ambulatorio, lo cual ha impactado de forma negativa sobre los patrones de resistencia bacteriana. En Colombia y el mundo son pocos los estudios que determinan la prescripción de antibióticos en pacientes pediátricos hospitalizados, lo cual incentiva a realizar este estudio. Métodos: Se realizó un estudio multifase. Mediante revisión de historia clínicas se obtuvieron los datos de los pacientes de 0 a 14 años hospitalizados desde el servicio de urgencias en el Hospital Militar Central durante los meses de abril a junio de 2013. Se realizó una fase inicial descriptiva transversal y posteriormente una fase de análisis de concordancia. Resultados: Se obtuvieron 466 pacientes, el 60,1% fueron mayores de 1 año. Se prescribió antibiótico al 17,6% de los pacientes en urgencias, con concordancia de ésta conducta en hospitalización estimada como buena (kappa de 0,721). La mayoría de los antibióticos prescritos corresponden a medicamentos de primera línea. La solicitud de paraclínicos tuvo una diferencia global significativa (p0,003) como factor influyente en la prescripción de antibióticos, siendo la Radiografía de tórax (p 0,01), el hemograma (p 0,00) y la PCR (p 0,009), los que presentaron mayor significancia estadística. No hubo relación entre las conductas y la mortalidad. Conclusiones: La prescripción de antibióticos en pacientes pediátricos hospitalizados en el Hospital Militar Central, es más baja que la reportada en la literatura actual, sin evidenciar aumento en mortalidad y con una concordancia buena de la conducta en el servicio de hospitalización. La edad mayor a 1 año y algunos paraclínicos podrían influenciar esta conducta. | spa |
| dc.format | spa | |
| dc.language.iso | spa | spa |
| dc.publisher | Universidad Militar Nueva Granada | spa |
| dc.title | Caracterización de los pacientes pediátricos hospitalizados desde el servicio de urgencias y la concordancia entre el inicio de antibiótico y la continuidad de éste en el servicio de hospitalización en el Hospital Militar Central | spa |
| dc.type | info:eu-repo/semantics/bachelorThesis | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.subject.lemb | URGENCIAS PEDIATRICAS | spa |
| dc.subject.lemb | ANTIBIOTICOS | spa |
| dc.publisher.department | cultad de Medicina | spa |
| dc.type.local | Trabajo de grado | spa |
| dc.description.abstractenglish | Infectious diseases are the mean reason for referal in pediatric emergency department. There has been set that almost 88% of this cases are caused by virus and hereby don´t require treatment with antibiotics. Many studies have displayed up-prescription of antibiotics in the ambulatory settings, this have had a negative impact about bacterial resistance patterns. In Colombia and world are few studies about antibiotic prescription in hospitalized pediatric patients, which encourage this study. Methods: It was held a multiphase study. We obtained information from medical history of pediatric patients of 0 to 14 years old, admitted from emergency department in the Hospital Militar Central during april to june of 2013. We get an initial descriptive statistics phase and then a concordance analysis. Results: We get 466 patients, 60,1% were older than 1 year. There was prescribed antibiotics to 17,6% of patients in the emergency department, with a good concordance analysis for this behavior in hospitalization (kappa: 0,721). The majority of antibiotics prescribed were first line medications of treatment. Diagnostic aids presented a global significant difference (p 0,003) as a factor that can influence antibiotic prescription. Chest X-ray (p 0,01), CBC (p 0,00) and PCR (0,009) presented the greatest impact. There were no relation between this findings and mortality. Conclusions: Antibiotic prescription in admitted pediatric population of Hospital Militar Central is lower than reported in current literature, without increase mortality and with a good concordance analysis of this behavior during hospitalization. Age and some diagnostic aids could influence the behavior. | eng |
| dc.title.translated | Characterization of pediatric hospitalized patients from emergency service and agreement between antibiotic prescription and its continuity in the Hospital MIlitar Central hospitalization service. | spa |
| dc.subject.keywords | Antibiotics | spa |
| dc.subject.keywords | Prescription | spa |
| dc.subject.keywords | Pediatrics | spa |
| dc.subject.keywords | Emergency | spa |
| dc.subject.keywords | Hospitalization | spa |
| dc.publisher.program | Pediatría | spa |
| dc.creator.degreename | Especialista en Pediatría | spa |
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| dc.subject.proposal | Antibióticos | spa |
| dc.subject.proposal | Prescripción | spa |
| dc.subject.proposal | Pediatría | spa |
| dc.subject.proposal | Urgencias | spa |
| dc.subject.proposal | Hospitalizacion | spa |
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