Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil

Detalhes bibliográficos
Autor(a) principal: Pinheiro, Maria De Fátima Da Silva
Data de Publicação: 1987
Outros Autores: Ulson, Cecília Mattos
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/28525
Resumo: Study of acute infant lung infections through transthoracic pulmonary aspiration. In the period of April 1979 to July 1980 were studied 45 children of both sexes aged from 2 months to 5 years, selected from patients at the "INSTITUTO DA CRIANÇA DO HOSPITAL DAS CLÍNICAS" of the, "FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULO", and suffering from a acute lung infection. Of the 45 patients studied, the majority (46.7%) were in the age group of 2 to 12 months and, in terms of nutritional conditions, 42.2% were in eutrophic condition and 57.8% were undernourished, with this malnutrition varying from first to third degree. By using samples obtained through pulmonary aspiration and examining them through Gram staining and culture, it was possible to identify the etiological agent in 26 (57.8%) bacillary pneumonias of the 45 cases studied. Direct identification by the Gram staining method proved useful for initial orientation of antibiotic therapy in 44 4% of the cases. There was a distinct predominance of Streptococcus pneumoniae as the bacillary etiological agent in the acute infant lung infections of the various age groups studied, followed by Haemophilus influenzae and Staphylococcus aureus. The comparative study of cultures of pulmonary aspirate and hemocultures permitted greater diagnostic precision (56.7%), demonstrating a positive hemoculture in only 30.0% of the cases. There was no evidence of participation by anaerobic germs in the lung infections of the samples estudied.
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spelling Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil Etiological study of acute pneumonias in infancy through transthoracic lung aspiration Pneumopatias agudasInfânciaAspiração pulmonar transtorácica Study of acute infant lung infections through transthoracic pulmonary aspiration. In the period of April 1979 to July 1980 were studied 45 children of both sexes aged from 2 months to 5 years, selected from patients at the "INSTITUTO DA CRIANÇA DO HOSPITAL DAS CLÍNICAS" of the, "FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULO", and suffering from a acute lung infection. Of the 45 patients studied, the majority (46.7%) were in the age group of 2 to 12 months and, in terms of nutritional conditions, 42.2% were in eutrophic condition and 57.8% were undernourished, with this malnutrition varying from first to third degree. By using samples obtained through pulmonary aspiration and examining them through Gram staining and culture, it was possible to identify the etiological agent in 26 (57.8%) bacillary pneumonias of the 45 cases studied. Direct identification by the Gram staining method proved useful for initial orientation of antibiotic therapy in 44 4% of the cases. There was a distinct predominance of Streptococcus pneumoniae as the bacillary etiological agent in the acute infant lung infections of the various age groups studied, followed by Haemophilus influenzae and Staphylococcus aureus. The comparative study of cultures of pulmonary aspirate and hemocultures permitted greater diagnostic precision (56.7%), demonstrating a positive hemoculture in only 30.0% of the cases. There was no evidence of participation by anaerobic germs in the lung infections of the samples estudied. No período de abril de 1979 a julho de 1980 foram estudadas 45 crianças, de ambos os sexos, na faixa etária de 2 meses a 5 anos de idade, selecionadas entre as atendidas no Instituto da Criança "Pedro Alcântara" do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, e acometidas de pneumopatias agudas. Dos 45 pacientes estudados, a maioria (46,7%) encontrava se na faixa de 2-12 meses de idade e, quanto ao estado nutricional, 42,2% eutróficos e 57,8% desnutridos, variando essa desnutrição do grau I ao grau III. Empregando amostras obtidas por aspiração pulmonar e examinando-as pelo método de coloração de Gram e cultura, foi possível identificar o agente etiológico de 26 (57,7%) pneumonias bacterianas nos 45 casos estudados. A identificação direta pelo método de Gram mostrou-se útil como orientação inicial para antibioticoterapia em 44,4% dos casos. Houve nítida predominância do Streptococcus pneumoniae como agente etiológico bacteriano nas pneumopatias agudas da criança nas várias faixas etárias estudadas seguido do Haemophilus influenzae e o Staphylococcus aureus. O estudo comparativo da cultura do aspirado pulmonar e da hemocultura permitiu maior precisão diagnostica (56,7%), revelando-se a hemocultura positiva em apenas 30,0% dos casos. Não foi constatada nenhuma participação de germes anaeróbios nas pneumopatias da amostragem estudada. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo1987-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/28525Revista do Instituto de Medicina Tropical de São Paulo; Vol. 29 No. 4 (1987); 237-242 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 29 Núm. 4 (1987); 237-242 Revista do Instituto de Medicina Tropical de São Paulo; v. 29 n. 4 (1987); 237-242 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTporhttps://www.revistas.usp.br/rimtsp/article/view/28525/30378Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessPinheiro, Maria De Fátima Da SilvaUlson, Cecília Mattos2012-07-02T00:57:42Zoai:revistas.usp.br:article/28525Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:50:15.391525Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true
dc.title.none.fl_str_mv Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
Etiological study of acute pneumonias in infancy through transthoracic lung aspiration
title Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
spellingShingle Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
Pinheiro, Maria De Fátima Da Silva
Pneumopatias agudas
Infância
Aspiração pulmonar transtorácica
title_short Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
title_full Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
title_fullStr Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
title_full_unstemmed Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
title_sort Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
author Pinheiro, Maria De Fátima Da Silva
author_facet Pinheiro, Maria De Fátima Da Silva
Ulson, Cecília Mattos
author_role author
author2 Ulson, Cecília Mattos
author2_role author
dc.contributor.author.fl_str_mv Pinheiro, Maria De Fátima Da Silva
Ulson, Cecília Mattos
dc.subject.por.fl_str_mv Pneumopatias agudas
Infância
Aspiração pulmonar transtorácica
topic Pneumopatias agudas
Infância
Aspiração pulmonar transtorácica
description Study of acute infant lung infections through transthoracic pulmonary aspiration. In the period of April 1979 to July 1980 were studied 45 children of both sexes aged from 2 months to 5 years, selected from patients at the "INSTITUTO DA CRIANÇA DO HOSPITAL DAS CLÍNICAS" of the, "FACULDADE DE MEDICINA DA UNIVERSIDADE DE SÃO PAULO", and suffering from a acute lung infection. Of the 45 patients studied, the majority (46.7%) were in the age group of 2 to 12 months and, in terms of nutritional conditions, 42.2% were in eutrophic condition and 57.8% were undernourished, with this malnutrition varying from first to third degree. By using samples obtained through pulmonary aspiration and examining them through Gram staining and culture, it was possible to identify the etiological agent in 26 (57.8%) bacillary pneumonias of the 45 cases studied. Direct identification by the Gram staining method proved useful for initial orientation of antibiotic therapy in 44 4% of the cases. There was a distinct predominance of Streptococcus pneumoniae as the bacillary etiological agent in the acute infant lung infections of the various age groups studied, followed by Haemophilus influenzae and Staphylococcus aureus. The comparative study of cultures of pulmonary aspirate and hemocultures permitted greater diagnostic precision (56.7%), demonstrating a positive hemoculture in only 30.0% of the cases. There was no evidence of participation by anaerobic germs in the lung infections of the samples estudied.
publishDate 1987
dc.date.none.fl_str_mv 1987-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/28525
url https://www.revistas.usp.br/rimtsp/article/view/28525
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rimtsp/article/view/28525/30378
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
publisher.none.fl_str_mv Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo
dc.source.none.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo; Vol. 29 No. 4 (1987); 237-242
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 29 Núm. 4 (1987); 237-242
Revista do Instituto de Medicina Tropical de São Paulo; v. 29 n. 4 (1987); 237-242
1678-9946
0036-4665
reponame:Revista do Instituto de Medicina Tropical de São Paulo
instname:Instituto de Medicina Tropical (IMT)
instacron:IMT
instname_str Instituto de Medicina Tropical (IMT)
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reponame_str Revista do Instituto de Medicina Tropical de São Paulo
collection Revista do Instituto de Medicina Tropical de São Paulo
repository.name.fl_str_mv Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)
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