Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo

Detalhes bibliográficos
Autor(a) principal: Souto, Débora Daiana Oliveira
Data de Publicação: 2019
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFBA
Texto Completo: https://repositorio.ufba.br/handle/ri/40203
Resumo: ASPECTOS RADIOLÓGICOS E ETIOLOGIA DA PNEUMONIA ADQUIRIDA NA COMUNIDADE: UM ESTUDO PROSPECTIVO. Introdução : pneumonia adquirida na comunidade (PAC) continua sendo uma das principais causas de morte e uma causa comum de internação hospitalar em crianças menores de 5 anos em todo o mundo. Objetivo : avaliar os achados radiológicos em crianças com PAC com infecção bacteriana ou exclusivamente viral. Metodologia : estudo transversal prospectivo realizado na Emergência Pediátrica do Hospital da Universidade Federal da Bahia, em Salvador, Brasil. Crianças menores de 5 anos de idade hospitalizadas com PAC confirmada r adiologicamente foram avaliadas. Para investigação etiológica (11 vírus, 8 bactérias) foram coletados aspirado nasofaríngeo, hemocultura aguda, buffy coat e amostras de soro pareadas (2 4 semanas de intervalo). A radiografia d o tórax (RXT) foi obtida na ad missão, quando os dados clínicos foram colhidos. A RXT foi lida por um radiologista pediátrico independente, cego para informações clínicas e etiológicas. Resultados : dos 165 pacientes, 158 (95,8%) e 18 (10,9%) apresentaram infiltrado pulmonar e derrame pl eural, respectivamente. O infiltrado pulmonar foi classificado como alveolar (n=152) ou intersticial (n=6). Pacientes com apenas infiltrado intersticial não apresentaram derrame pleural. Hiperinsuflação (7,9%), atelectasia (7,3%), linfonodos aumentados ( 6%), abscesso (0,6%) e pneumatocele (0,6%) foram descritos. No geral, a mediana (IQR) da idade e da duração da doença foram 18 (9 28) meses e 7 (4 12,5) dias, respectivamente e infecções bacteriana (n=86; 52,1%) e exclusivamente viral (n 79; 47,9%) foram d iagnosticadas. Entre os 152 pacientes com infiltrado alveolar, 53,3% e 46,7% apresentaram infecção bacteriana ou exclusivamente viral, respectivamente. Entre os 6 pacientes com apenas infiltrado intersticial, 33,3% e 66,7% tiveram infecção bacteriana ou ex clusivamente viral, respectivamente. Nenhuma diferença significativa foi encontrada quando o achado radiológico foi comparado entre crianças com infecção bacteriana ou exclusivamente viral. Conclusão : nenhum achado radiológico está associado à infecção bacteriana ou viral.
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spelling 2024-09-16T17:39:05Z2024-08-082024-09-16T17:39:05Z2019-04-12SOUTO, Débora Daiana Oliveira. Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo. Salvador, 2019.https://repositorio.ufba.br/handle/ri/40203ASPECTOS RADIOLÓGICOS E ETIOLOGIA DA PNEUMONIA ADQUIRIDA NA COMUNIDADE: UM ESTUDO PROSPECTIVO. Introdução : pneumonia adquirida na comunidade (PAC) continua sendo uma das principais causas de morte e uma causa comum de internação hospitalar em crianças menores de 5 anos em todo o mundo. Objetivo : avaliar os achados radiológicos em crianças com PAC com infecção bacteriana ou exclusivamente viral. Metodologia : estudo transversal prospectivo realizado na Emergência Pediátrica do Hospital da Universidade Federal da Bahia, em Salvador, Brasil. Crianças menores de 5 anos de idade hospitalizadas com PAC confirmada r adiologicamente foram avaliadas. Para investigação etiológica (11 vírus, 8 bactérias) foram coletados aspirado nasofaríngeo, hemocultura aguda, buffy coat e amostras de soro pareadas (2 4 semanas de intervalo). A radiografia d o tórax (RXT) foi obtida na ad missão, quando os dados clínicos foram colhidos. A RXT foi lida por um radiologista pediátrico independente, cego para informações clínicas e etiológicas. Resultados : dos 165 pacientes, 158 (95,8%) e 18 (10,9%) apresentaram infiltrado pulmonar e derrame pl eural, respectivamente. O infiltrado pulmonar foi classificado como alveolar (n=152) ou intersticial (n=6). Pacientes com apenas infiltrado intersticial não apresentaram derrame pleural. Hiperinsuflação (7,9%), atelectasia (7,3%), linfonodos aumentados ( 6%), abscesso (0,6%) e pneumatocele (0,6%) foram descritos. No geral, a mediana (IQR) da idade e da duração da doença foram 18 (9 28) meses e 7 (4 12,5) dias, respectivamente e infecções bacteriana (n=86; 52,1%) e exclusivamente viral (n 79; 47,9%) foram d iagnosticadas. Entre os 152 pacientes com infiltrado alveolar, 53,3% e 46,7% apresentaram infecção bacteriana ou exclusivamente viral, respectivamente. Entre os 6 pacientes com apenas infiltrado intersticial, 33,3% e 66,7% tiveram infecção bacteriana ou ex clusivamente viral, respectivamente. Nenhuma diferença significativa foi encontrada quando o achado radiológico foi comparado entre crianças com infecção bacteriana ou exclusivamente viral. Conclusão : nenhum achado radiológico está associado à infecção bacteriana ou viral.RADIOLOGICAL ASPECTS AND ETIOLOGY OF PNEUMONIA ACQUIRED IN COMMUNITY: A PROSPECTIVE STUDY. Introduction: pneumonia acquired in community (PAC) continues to be one of the main causes of death and a common hospital admission for children under 5 years of age worldwide. Objective: to evaluate radiological findings in children with CAP and bacterial infection or exclusively viral. Methodology: prospective cross-sectional study carried out in Pediatric Emergency at the Federal University of Bahia Hospital, in Salvador, Brazil. Children under 5 years of age hospitalized with confirmed CAP radiologically were evaluated. For etiological investigation (11 viruses, 8 bacteria) nasopharyngeal aspirate, acute blood culture, buffy coat and blood samples were collected. paired serum samples (2 4 weeks apart). A chest x-ray (CXR) was obtained at the ad mission, when clinical data were collected. The CXR was read by a radiologist independent pediatrician, blinded to clinical and etiological information. Results: of 165 patients, 158 (95.8%) and 18 (10.9%) had pulmonary infiltrate and effusion plural, respectively. The pulmonary infiltrate was classified as alveolar (n=152) or interstitial (n=6). Patients with only interstitial infiltrate did not present pleural effusion. Hyperinflation (7.9%), atelectasis (7.3%), enlarged lymph nodes ( 6%), abscess (0.6%) and pneumatocele (0.6%) have been described. Overall, the median (IQR) age and disease duration were 18 (9 28) months and 7 (4 12.5) days, respectively and bacterial (n=86; 52.1%) and exclusively viral (n 79; 47.9%) were diagnosed. Among the 152 patients with alveolar infiltrate, 53.3% and 46.7% had bacterial or exclusively viral infection, respectively. Between of the 6 patients with only interstitial infiltrate, 33.3% and 66.7% had infection bacterial or exclusively viral, respectively. No significant difference was found when the radiological finding was compared between children with infection bacterial or exclusively viral. Conclusion: no radiological findings are associated with bacterial or viral infection.Fundação de Amparo à Pesquisa do Estado da Bahia FAPESB; Conselho Nacional de Desenvolvimento Científico e Tecnológico ( CNPqporUniversidade Federal da BahiaPós-Graduação em Ciências da Saúde (POS_CIENCIAS_SAUDE) UFBABrasilFaculdade de Medicina da BahiaAcute respiratory infectionChildTract infection lower respiratoryLung diseaseRadiography in pneumoniaCNPQ::CIENCIAS DA SAUDEInfecção respiratória agudaCriançaInfecção do trato respiratório inferiorDoença pulmonarRadiografia na pneumoniaAspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivoMestrado Acadêmicoinfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/publishedVersionRamos, Regina Terse TrindadeRamos, Regina Terse TrindadeNunes, Ceuci de Lima XavierCarvalho, Cristiana Maria Costa Nascimento dehttp://lattes.cnpq.br/0825019344158729Souto, Débora Daiana Oliveira1. Atkinson TP, Waites KB . 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dc.title.pt_BR.fl_str_mv Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
title Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
spellingShingle Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
Souto, Débora Daiana Oliveira
CNPQ::CIENCIAS DA SAUDE
Infecção respiratória aguda
Criança
Infecção do trato respiratório inferior
Doença pulmonar
Radiografia na pneumonia
Acute respiratory infection
Child
Tract infection lower respiratory
Lung disease
Radiography in pneumonia
title_short Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
title_full Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
title_fullStr Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
title_full_unstemmed Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
title_sort Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo
author Souto, Débora Daiana Oliveira
author_facet Souto, Débora Daiana Oliveira
author_role author
dc.contributor.advisor1.fl_str_mv Ramos, Regina Terse Trindade
dc.contributor.referee1.fl_str_mv Ramos, Regina Terse Trindade
dc.contributor.referee2.fl_str_mv Nunes, Ceuci de Lima Xavier
dc.contributor.referee3.fl_str_mv Carvalho, Cristiana Maria Costa Nascimento de
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0825019344158729
dc.contributor.author.fl_str_mv Souto, Débora Daiana Oliveira
contributor_str_mv Ramos, Regina Terse Trindade
Ramos, Regina Terse Trindade
Nunes, Ceuci de Lima Xavier
Carvalho, Cristiana Maria Costa Nascimento de
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE
topic CNPQ::CIENCIAS DA SAUDE
Infecção respiratória aguda
Criança
Infecção do trato respiratório inferior
Doença pulmonar
Radiografia na pneumonia
Acute respiratory infection
Child
Tract infection lower respiratory
Lung disease
Radiography in pneumonia
dc.subject.por.fl_str_mv Infecção respiratória aguda
Criança
Infecção do trato respiratório inferior
Doença pulmonar
Radiografia na pneumonia
dc.subject.other.pt_BR.fl_str_mv Acute respiratory infection
Child
Tract infection lower respiratory
Lung disease
Radiography in pneumonia
description ASPECTOS RADIOLÓGICOS E ETIOLOGIA DA PNEUMONIA ADQUIRIDA NA COMUNIDADE: UM ESTUDO PROSPECTIVO. Introdução : pneumonia adquirida na comunidade (PAC) continua sendo uma das principais causas de morte e uma causa comum de internação hospitalar em crianças menores de 5 anos em todo o mundo. Objetivo : avaliar os achados radiológicos em crianças com PAC com infecção bacteriana ou exclusivamente viral. Metodologia : estudo transversal prospectivo realizado na Emergência Pediátrica do Hospital da Universidade Federal da Bahia, em Salvador, Brasil. Crianças menores de 5 anos de idade hospitalizadas com PAC confirmada r adiologicamente foram avaliadas. Para investigação etiológica (11 vírus, 8 bactérias) foram coletados aspirado nasofaríngeo, hemocultura aguda, buffy coat e amostras de soro pareadas (2 4 semanas de intervalo). A radiografia d o tórax (RXT) foi obtida na ad missão, quando os dados clínicos foram colhidos. A RXT foi lida por um radiologista pediátrico independente, cego para informações clínicas e etiológicas. Resultados : dos 165 pacientes, 158 (95,8%) e 18 (10,9%) apresentaram infiltrado pulmonar e derrame pl eural, respectivamente. O infiltrado pulmonar foi classificado como alveolar (n=152) ou intersticial (n=6). Pacientes com apenas infiltrado intersticial não apresentaram derrame pleural. Hiperinsuflação (7,9%), atelectasia (7,3%), linfonodos aumentados ( 6%), abscesso (0,6%) e pneumatocele (0,6%) foram descritos. No geral, a mediana (IQR) da idade e da duração da doença foram 18 (9 28) meses e 7 (4 12,5) dias, respectivamente e infecções bacteriana (n=86; 52,1%) e exclusivamente viral (n 79; 47,9%) foram d iagnosticadas. Entre os 152 pacientes com infiltrado alveolar, 53,3% e 46,7% apresentaram infecção bacteriana ou exclusivamente viral, respectivamente. Entre os 6 pacientes com apenas infiltrado intersticial, 33,3% e 66,7% tiveram infecção bacteriana ou ex clusivamente viral, respectivamente. Nenhuma diferença significativa foi encontrada quando o achado radiológico foi comparado entre crianças com infecção bacteriana ou exclusivamente viral. Conclusão : nenhum achado radiológico está associado à infecção bacteriana ou viral.
publishDate 2019
dc.date.issued.fl_str_mv 2019-04-12
dc.date.accessioned.fl_str_mv 2024-09-16T17:39:05Z
dc.date.available.fl_str_mv 2024-08-08
2024-09-16T17:39:05Z
dc.type.driver.fl_str_mv Mestrado Acadêmico
info:eu-repo/semantics/masterThesis
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv SOUTO, Débora Daiana Oliveira. Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo. Salvador, 2019.
dc.identifier.uri.fl_str_mv https://repositorio.ufba.br/handle/ri/40203
identifier_str_mv SOUTO, Débora Daiana Oliveira. Aspectos radiológicos e etiologia da pneumonia adquirida na comunidade: um estudo prospectivo. Salvador, 2019.
url https://repositorio.ufba.br/handle/ri/40203
dc.language.iso.fl_str_mv por
language por
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dc.publisher.none.fl_str_mv Universidade Federal da Bahia
dc.publisher.program.fl_str_mv Pós-Graduação em Ciências da Saúde (POS_CIENCIAS_SAUDE) 
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Faculdade de Medicina da Bahia
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