Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2012 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/15602 |
Resumo: | Texto completo: acesso restrito. p. 363-369 |
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Fontoura, M. S. H.Matutino, A. R.Silva, C. C.Santana, M. C.Bastos, Monalisa NobreOliveira, F.Barreto, Bruna B.Araujo Neto, Cesar Augusto deAndrade, Sandra Cristina S.Brim, Rosa Vianna Dias da SilvaCardoso, Maria Regina AlvesCarvalho, Cristiana Maria Costa Nascimento deFontoura, M. S. H.Matutino, A. R.Silva, C. C.Santana, M. C.Bastos, Monalisa NobreOliveira, F.Barreto, Bruna B.Araujo Neto, Cesar Augusto deAndrade, Sandra Cristina S.Brim, Rosa Vianna Dias da SilvaCardoso, Maria Regina AlvesCarvalho, Cristiana Maria Costa Nascimento de2014-08-13T15:34:05Z2012-050019-6061http://repositorio.ufba.br/ri/handle/ri/15602v. 49, n. 5Texto completo: acesso restrito. p. 363-369Objective To identify differences in the evolution of children with non-severe acute lower respiratory tract infection between those with and without radiographically diagnosed pneumonia. Design Prospective cohort study. Setting A public university pediatric hospital in Salvador, Northeast Brazil. Patients Children aged 2-59 months. Methods By active surveillance, the pneumonia cases were prospectively identified in a 2-year period. Each case was followed-up for changes in various clinical symptoms and signs. Demographic, clinical and radiographic data were recorded in standardized forms. Exclusion was due to antibiotic use in the previous 48 hours, signs of severe disease, refusal to give informed consent, underlying chronic illness, hospitalization in the previous 7 days or amoxicillin allergy. Chest X-ray (CXR) was later read by at least 2 independent pediatric radiologists. Main Outcome Measures. Radiographic diagnosed pneumonia based on agreed detection of pulmonary infiltrate or pleural effusion in 2 assessments. Results A total of 382 patients receiving amoxicillin were studied, of whom, 372 (97.4%) had concordant radiographic diagnosis which was pneumonia (52%), normal CXR (41%) and others (7%). By multivariate analysis, age (OR=1.03; 95% CI: 1.02–1.05), disease ≥ 5days (OR = 1.04; 95% CI: 1.001-1.08), reduced pulmonary expansion (OR = 3.3; 95% CI: 1.4–8.0), absence of wheezing (OR = 0.5; 95% CI: 0.3–0.9), crackles on admission (OR = 2.0; 95% CI: 1.2–3.5), inability to drink on day 1 (OR = 4.2; 95% CI: 1.05–17.3), consolidation percussion sign (OR = 7.0; 95% CI: 1.5–32.3), tachypnea (OR = 2.0; 95% CI: 1.09–3.6) and fever (OR = 3.6; 95% CI: 1.4–9.4) on day 2 were independently associated with pneumonia. The highest positive predictive value was at the 2nd day of evolution for tachypnea (71.0%) and fever (81.1%). Conclusion Persistence of fever or tachypnea up to the second day of amoxicillin treatment is predictive of radiographically diagnosed pneumonia among children with non-severe lower respiratory tract diseases.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-08-12T12:33:57Z No. of bitstreams: 1 M. S. H. Fontoura.pdf: 540917 bytes, checksum: 81900ae1e1b624eaa09a542bbb611fef (MD5)Approved for entry into archive by Delba Rosa (delba@ufba.br) on 2014-08-13T15:34:05Z (GMT) No. of bitstreams: 1 M. S. H. Fontoura.pdf: 540917 bytes, checksum: 81900ae1e1b624eaa09a542bbb611fef (MD5)Made available in DSpace on 2014-08-13T15:34:05Z (GMT). No. of bitstreams: 1 M. S. H. Fontoura.pdf: 540917 bytes, checksum: 81900ae1e1b624eaa09a542bbb611fef (MD5) Previous issue date: 2012-05http://dx.doi.org/ 10.1007/s13312-012-0085-6reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAcute respiratory infectionChildrenFeverLower respiratory tract diseaseLung diseaseRespiratory discomfortDifferences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumoniaIndian Pediatricsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALM. S. H. Fontoura.pdfM. S. H. Fontoura.pdfapplication/pdf540917https://repositorio.ufba.br/bitstream/ri/15602/1/M.%20S.%20H.%20Fontoura.pdf81900ae1e1b624eaa09a542bbb611fefMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/15602/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTM. S. H. Fontoura.pdf.txtM. S. H. 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| dc.title.pt_BR.fl_str_mv |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| dc.title.alternative.pt_BR.fl_str_mv |
Indian Pediatrics |
| title |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| spellingShingle |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia Fontoura, M. S. H. Acute respiratory infection Children Fever Lower respiratory tract disease Lung disease Respiratory discomfort |
| title_short |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| title_full |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| title_fullStr |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| title_full_unstemmed |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| title_sort |
Differences in evolution of children with non-severe acute lower respiratory tract infection with and without radiographically diagnosed pneumonia |
| author |
Fontoura, M. S. H. |
| author_facet |
Fontoura, M. S. H. Matutino, A. R. Silva, C. C. Santana, M. C. Bastos, Monalisa Nobre Oliveira, F. Barreto, Bruna B. Araujo Neto, Cesar Augusto de Andrade, Sandra Cristina S. Brim, Rosa Vianna Dias da Silva Cardoso, Maria Regina Alves Carvalho, Cristiana Maria Costa Nascimento de |
| author_role |
author |
| author2 |
Matutino, A. R. Silva, C. C. Santana, M. C. Bastos, Monalisa Nobre Oliveira, F. Barreto, Bruna B. Araujo Neto, Cesar Augusto de Andrade, Sandra Cristina S. Brim, Rosa Vianna Dias da Silva Cardoso, Maria Regina Alves Carvalho, Cristiana Maria Costa Nascimento de |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Fontoura, M. S. H. Matutino, A. R. Silva, C. C. Santana, M. C. Bastos, Monalisa Nobre Oliveira, F. Barreto, Bruna B. Araujo Neto, Cesar Augusto de Andrade, Sandra Cristina S. Brim, Rosa Vianna Dias da Silva Cardoso, Maria Regina Alves Carvalho, Cristiana Maria Costa Nascimento de Fontoura, M. S. H. Matutino, A. R. Silva, C. C. Santana, M. C. Bastos, Monalisa Nobre Oliveira, F. Barreto, Bruna B. Araujo Neto, Cesar Augusto de Andrade, Sandra Cristina S. Brim, Rosa Vianna Dias da Silva Cardoso, Maria Regina Alves Carvalho, Cristiana Maria Costa Nascimento de |
| dc.subject.por.fl_str_mv |
Acute respiratory infection Children Fever Lower respiratory tract disease Lung disease Respiratory discomfort |
| topic |
Acute respiratory infection Children Fever Lower respiratory tract disease Lung disease Respiratory discomfort |
| description |
Texto completo: acesso restrito. p. 363-369 |
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2012 |
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2012-05 |
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2014-08-13T15:34:05Z |
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info:eu-repo/semantics/publishedVersion |
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0019-6061 |
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v. 49, n. 5 |
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0019-6061 v. 49, n. 5 |
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