{"title":"La odisea de ser pacienteen un mundo impaciente","authors":"","doi":"10.31134/ap.91.1.8","DOIUrl":"https://doi.org/10.31134/ap.91.1.8","url":null,"abstract":"","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41814954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Gómez, M. Pujadas, V. Parodi, Juan Kenny, D. Iglesias, O. Martínez
{"title":"Dolor abdominal: ¿cuándo pensar enapendicitis aguda? Característicasepidemiológicas y clínicas de niñosingresados en el Hospital Policial(junio 2008 - noviembre 2014)","authors":"N. Gómez, M. Pujadas, V. Parodi, Juan Kenny, D. Iglesias, O. Martínez","doi":"10.31134/ap.91.2.2","DOIUrl":"https://doi.org/10.31134/ap.91.2.2","url":null,"abstract":"diagnosed were confirmed intraoperatively and through pathological anatomical analysis. Pain as a symptom had a better diagnostic performance. Vomiting and fever are associated with a higher probability of acute appendicitis. 40% of the patients had fever, mainly between 38 and 38.9°C. Leukocytosis and C-reactive protein were leading factors for the diagnosis of appendicitis. Abdominal ultrasound was also inconclusive.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42601757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pandemia por coronavirus (COVID-19);sorpresa, miedo y el buen manejo de laincertidumbre en la familia","authors":"Catalina Pinchak","doi":"10.31134/ap.91.2.1","DOIUrl":"https://doi.org/10.31134/ap.91.2.1","url":null,"abstract":"","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44521043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lucía Maurente, Silvina Babio, Helena Dogliani, J. Pérez, Diego Abdala, Fiorella Cavaleri, Loreley García, Walter Pérez
{"title":"Una experiencia en la evaluación decompetencias en la lectura deelectrocardiogramas por parte de posgradosde Pediatría","authors":"Lucía Maurente, Silvina Babio, Helena Dogliani, J. Pérez, Diego Abdala, Fiorella Cavaleri, Loreley García, Walter Pérez","doi":"10.31134/ap.91.1.3","DOIUrl":"https://doi.org/10.31134/ap.91.1.3","url":null,"abstract":"approach. and The population included ECGs of children aged between 5-15 years of old who attended the Pre-Assessment Sports Day. A pneumologist-cardiologist performed ECGs on 12 children. Materials: A pre-coded file was used to record the variables: heart rate, rhythm, p wave, PR interval, electric axis, QRS, QTc, T wave and ST segment. 60-110 bpm was considered a normal heart rate; PR interval 0.12-0.20 sec, QTC normal value between 0.33-0.44 sec. Results : the study analyzed results of 209 children and adolescents’ ECGs. There was 100% concordance between the rhythm and the electrical axis for the P wave. The concordance index exceeded 73% for all the variables and it reached a concordance of about 95%. However, for heart rate and QRS, although the Kappa point value can be considered acceptable, the confidence interval lower limits were lower than acceptable.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47377902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uso de probióticos en el tratamiento y laprevención de diarrea aguda en niños","authors":"Karina Machado","doi":"10.31134/AP.91.1.6","DOIUrl":"https://doi.org/10.31134/AP.91.1.6","url":null,"abstract":"El principio del uso de probióticos proviene de la utilización de productos fermentados, desde tiempos muy antiguos. Se definen como microorganismos vivos, que administrados en cantidades adecuadas, confieren beneficios para la salud. Entre las utilidades atribuidas a los probióticos, las más extensamente estudiadas han sido los efectos en niños con diarrea aguda. Existe abundante bibliografía sobre la utilización de estos productos en el tratamiento y la prevención de diarrea aguda infecciosa, y prevención de diarrea nosocomial y de diarrea asociada al uso de antibióticos. Los estudios son heterogéneos en su metodología y muestran resultados dispares, incluso contradictorios. En la interpretación de éstos es imprescindible tener en cuenta las cepas de probióticos utilizadas, las dosis administradas y las características de los pacientes en quienes fueron probadas. Existe evidencia del beneficio de algunas cepas de probióticos en el tratamiento y la prevención de diarrea aguda en niños. Varias guías de práctica clínica los recomiendan. En Uruguay existe poca oferta de estos productos, y la información disponible es escasa, lo cual dificulta su prescripción segura. Se revisa en este documento la evidencia científica publicada sobre el uso de probióticos en niños con diarrea aguda.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41477104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interpretación de los tests de sospecha einicio de la terapia antibiótica empírica eninfecciones urinarias","authors":"Natalia Kuster, Luciana Robino","doi":"10.31134/ap.91.1.4","DOIUrl":"https://doi.org/10.31134/ap.91.1.4","url":null,"abstract":",","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45042794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Martínez, L. Pardo, Andrés Broggi, Victoria Larbanois, Gabriela Fontoura, Faustina Freire, Gabriela García, R. Guerendiaín, C. Juambeltz, G. Giachetto
{"title":"Infecciones de heridas quirúrgicas encirugías de urgencia en un hospitalpediátrico de referencia en Uruguay.Período enero-julio 2016","authors":"F. Martínez, L. Pardo, Andrés Broggi, Victoria Larbanois, Gabriela Fontoura, Faustina Freire, Gabriela García, R. Guerendiaín, C. Juambeltz, G. Giachetto","doi":"10.31134/ap.91.1.2","DOIUrl":"https://doi.org/10.31134/ap.91.1.2","url":null,"abstract":") and 9 patients had fever. The most common infection was appendectomy (43 cases). All patients with surgical infections received antibiotic therapy after surgery. Conclusion: eventhough this paper has some methodological constraints, the infection rate was high in this Hospital during the period January-July 2016. Factors such as the surgery time, duration and type were key to this result. It is essential to reinforce the national epidemiological surveillance of these infections for emergency surgeries as well as for sch-eduled ones, in order to devise better strategies to be able to control this problem.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47599305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alejandra Vomero, Ana Inés Vázquez, M. Delfino, Catalina Pírez
{"title":"Celulitis de cara y cuello por Haemophilus influenzae tipo b. A propósito de un caso clínico","authors":"Alejandra Vomero, Ana Inés Vázquez, M. Delfino, Catalina Pírez","doi":"10.31134/ap.90.1.3","DOIUrl":"https://doi.org/10.31134/ap.90.1.3","url":null,"abstract":"Haemophilus influenzae tipo b es una bacteria capsulada gramnegativa de distribución mundial. Es responsable de diferentes formas clinicas de enfermedad invasiva entre las que se encuentran: meningitis, epiglotitis, bacteriemia, artritis séptica, celulitis, osteomielitis y pericarditis. Estas enfermedades son inmunoprevenibles. La celulitis facial por Haemophilus influenzae tipo b es una infección invasiva potencialmente grave que afecta predominantemente a menores de 2 años de edad, dado que es una población inmunológicamente susceptible. Existen elementos clínicos característicos, pero no patognomónicos que permiten sospechar esta infección. Se presenta el caso clínico de un lactante de 8 meses de edad, únicamente calmetizado, que acude al servicio de urgencias con una tumefacción extensa de cara que ingresa a sala de cuidados moderados con planteo clínico de celulitis. Dada la rápida extensión del proceso infeccioso, requiere traslado a unidad de cuidados intensivos. Se realizó analítica de valoración infecciosa y tomografía computada que delimitó el proceso y confirmó la existencia de una colección. Se inició antibioticoterapia empírica y drenaje quirúrgico con lo que se obtuvo una buena evolución clínica. En el hemocultivo se aisló Haemophilus influenzae tipo b. Se destaca la importancia de la vacunación, así como de la vigilancia epidemiológica activa.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45677662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Una nueva plataforma tecnológica para Archivos de Pediatría: OJS","authors":"Cecilia Valenzuela","doi":"10.31134/ap.90.1.1","DOIUrl":"https://doi.org/10.31134/ap.90.1.1","url":null,"abstract":"Es un placer anunciar desde la revista Archivos de Pediatria, de fecunda y larga trayectoria desde 1927, que siguiendo las nuevas tecnologias de la informacion y edicion de revistas cientificas, adoptara a partir del presente ano el software Open Journal System (OJS) como plataforma de edicion cientifica.","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69596115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Telechea, Leticia Idiarte, L. Pardo, Sissina Mondada, A. Silva, Lucía Silveira, Daniela Tucuna, M. Margalef, A. Menchaca
{"title":"Evaluación del uso de sedación y analgesia en niños con asistencia ventilatoria mecánica","authors":"H. Telechea, Leticia Idiarte, L. Pardo, Sissina Mondada, A. Silva, Lucía Silveira, Daniela Tucuna, M. Margalef, A. Menchaca","doi":"10.31134/ap.90.1.2","DOIUrl":"https://doi.org/10.31134/ap.90.1.2","url":null,"abstract":"","PeriodicalId":34269,"journal":{"name":"Archivos de Pediatria del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.31134/ap.90.1.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45356550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}