Estudo da etiologia das pneumopatias agudas da infância através da aspiração pulmonar transtorácica, São Paulo, Brasil
Autor(a) principal: | |
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Data de Publicação: | 1987 |
Outros Autores: | |
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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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 info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
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 |
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Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
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IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
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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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1798951637209841664 |