Conocer a la Enfermedad ayuda a Contrarrestar la Misma para Tener Buena Salud.

in #introduceyourself2 years ago

Buen día soy Venezolano: El día de hoy compartiré un poco sobre neumonía en la edad pediátrica ya que cubre una tasa de mortandad considerable para analizar detenidamente a nivel mundial mueren 2.7 millones de niños menores de <5 años reportado por la Organización Mundial de la salud. Los países de Latinoamérica (Perú, Bolivia, Guayana).Tienen alta mortalidad en mayor proporción son virales.

Los Virus son: Adeno-Virus,
Corona-Virus, Rino-Virus, Influenza y Para influenza, VSR.

La fisiopatología o la forma como afecta histológicamente dan 4 fases
Fase 1 de Congestión: donde ay un exudado proteico puede proliferar bacteria en 24 horas.

Fase 2 o de Hepatización Roja: Eritrocitos, fibrina intraalveolares crepitantes esto se da de 48 a 72 horas.

Fase Hepatización Gris: Abundantes Neutrófilos y depósitos de Fibrina Murmullo Vesicular disminuido esto ocurre de 3 a 5 días.

Fase de Resolución abundantes macrófagos ausencia de neutrófilos depósitos de fibrina y en esta fase puede proliferar bacteria, Ausencia de edema de 8 a 10 días.

Los Factores de Riesgo Niños no vacunados, con bajo peso al nacer, desnutrición, hacinamiento, contaminación intradomiciliaria, tabaquismo materno.

Vías de diseminación:

Broncogena, Hematógena y Continuidad.

Cuadro clínico:
Inspección toma del estado general posición antalgica.

Palpación: Hipoexpansibilidad torácica, Vibraciones Vocales Aumentadas.

Percusión: Matidez.

Auscultación: Crepitantes, Murmullo vesicular disminuido soplo tubarico, broncofonía.

Diagnóstico Clínico:
1)- Fiebre más síntomas respiratorio auscultación positiva para neumonía.
2)-Fiebre mayor de >72 horas más síntomas respiratorios.
3)-Fiebre sin foco de infección mayor de 5 días.

Diagnostico Radiológico: Radiografía Simple de tórax Postero anterior (PA)

La clínica se sobre impone a la imagen radiológica.

Es frecuente que en las primeras 12 horas la radiografía sarga normal.

Indicaciones de hospitalización:
a) NAC severa:
Sat <93%, apnea, signos de shock o compromiso de conciencia.
b) Menor de 5 meses de edad.
c) Patógeno causal de virulencia mayor a la habitual.
d) Deshidratación o mala tolerancia oral.
e) Condiciones que impidan tratamiento o seguimiento adecuado.
f) Comorbilidad significativa.
Exámenes de Laboratorio: Recuento leucocito en sangre periférica:
N. vírica: normal o ↑ - no supera las 20.000 células/ mm, con predominio de linfocitos.
N. bacterianas: 15.000 y 40.000 células/mm’, con predominio de neutrófilos.

Ecografía pulmonar

Protocolos diagnóstico-terapéuticos de la AEP: Infectología pediátrica


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