1. Tos Ferina y Síndrome Coqueluchoide en Niños Menores de 1 Año de Edad: Factores de Riesgo Asociada a Mortalidad. Estudio Transversal Descriptivo de 48 Casos.
- Author
-
Gómez-Rivera, Norberto, García-Zarate, María Guadalupe, Álvarez-Hernández, Gerardo, Villalobos-García, Luis, Fonseca-Chon, Ignacio, Cano-Rangel, Manuel Alberto, Vázquez-Pizaña, Elba, and López-Miranda, Adela
- Subjects
- *
WHOOPING cough , *LEUCOCYTOSIS , *JUVENILE diseases , *RISK assessment , *ANTI-infective agents , *CHILD mortality , *VACCINATION of children - Abstract
Objective: To describe the clinical presentation of 48 cases and the risk factors associated with mortality. Study Design: Transversal, descriptive, between January 2009 and March 2010. Materials y Methods: Two groups were compared for the descriptive analysis: group 1; patients who passed away, group 2, patients who survived. The selected variables were: Age, sex, cough characteristics, vaccination history, leukocytosis, X-ray, antimicrobial treatment and mortality. The statistic significance was evaluated by Student T test, Pearson Χ² test and Fisher's Exact Test. Results of p <.05 were considered significant. Results: Positive samples to patients in 18 cases (38%), positive samples to relatives in 5 cases (10%). Positive samples group 1; 7 cases (100%), positive samples group 2, 11 cases (61%). Apneas: group 1; 7 cases, group 2: 5 cases; 42% when p = 0.001 (significant). Pneumonias: group 1; 7 cases, group 2; 25 cases, when p= 0.0001 (significant). Starting leucocytes (average) group1; 74,457 mm3. Group 2 51,667 mm3, p = 0.0177. Leukocytosis on day 4; group 1 80,014. Group 2 20,428 mm3, when p = 0.0001. Mortality 15%. Conclusions: Presence of apnea, leukocytosis and pneumonia can be considered as a risk factor considering they were significantly higher in G1 in comparison to G2. [ABSTRACT FROM AUTHOR]
- Published
- 2011