Clinical-epidemiological factors related to sepsis in pediatric ages

Authors

  • Sarah Álvarez Reinoso Especialista de Segundo Grado en Pediatría. Máster en Urgencias Médicas. Profesora Consultante y Auxiliar.
  • Efren Montero Sotolongo Hospital Pediatrico Pepe Portilla
  • Jorge Enrique Cabrera Hernandez Hospital Pediatrico Pepe Portilla
  • Enrique Caridad Gonzalez Lobo Hospital Pediatrico Pepe Portilla
  • Yensy Lazara Rodriguez González Hospital Pediatrico Pepe Portilla

Keywords:

Sepsis/epidemiology, Child.

Abstract

Introduction: Sepsis is the secondary systemic inflammatory response to infection, and represents a major challenge for its diagnosis and management.

Objective: To characterize the clinical and epidemiological factors associated with sepsis in children aged 28 days to 18 years in the service of Intensive Care of the Pediatric Provincial Teaching Hospital  "Pepe Portilla" of Pinar del Rio, from January to December 2014.

Method: A descriptive cross-sectional observational study was conducted, including all septic patients from the community to match the sample with the universe.

Results: 561 children were admitted to intensive care, 21% of them at some stage of sepsis. Children   under one year prevailed (44 patients, 36.9%), followed by preschoolers (38, 31.9%) . The male sex dominated in 56.3%, patients who arrived in advanced stages (11 of the 19 children) had a chronic illness, malnourished children arrived in advanced stages of sepsis, respiratory infections predominated in 47.1% and in 18.4% no specific organ system was found.

Conclusions: sepsis predominated in male children under 5 years. Advanced stages related to malnutrition and chronic diseases.

Recommendations: Raise these results to the provincial leadership of the Program for Maternal and Child Care in order to elaborate strategies to reduce sepsis and so the numbers of infant mortality.

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Author Biographies

Sarah Álvarez Reinoso, Especialista de Segundo Grado en Pediatría. Máster en Urgencias Médicas. Profesora Consultante y Auxiliar.

Jefa del Grupo Provincial de Pediatría. Vicedirectora de Atención al Paciente Grave. Hospital Pediátrico Pepe Portilla.

Efren Montero Sotolongo, Hospital Pediatrico Pepe Portilla

Especialista de Primer grado en Pediatria

Jorge Enrique Cabrera Hernandez, Hospital Pediatrico Pepe Portilla

Especialista de Primer Grado en Cirugia Pediátrica Instructor

Enrique Caridad Gonzalez Lobo, Hospital Pediatrico Pepe Portilla

Licenciado en Imagenología. Instructor.

Yensy Lazara Rodriguez González, Hospital Pediatrico Pepe Portilla

Licenciada en Ciencias Informaticas. Instructora.

References

1. Ferreira Sernache de Freitas ER. Perfil y gravedad de los pacientes de las unidades de terapia intensiva: aplicación prospectiva del puntaje APACHE II. Rev. Latino Am Enfermagem [Internet] 2010 May-Jun [citado 23 May 2015] 18 (3): [aprox. 9 p.]. Disponible enhttp://www.scielo.br/pdf/rlae/v18n3/es_04.pdf

2. Leteurtre S, Martinot A, Duhamel A, Proulx F, Grandbastien B, Cotting J, et al. Validation of the pediatric logistic organ dysfunction (PELOD) scores: prospective, observational, multicentre study. Lancet. 2003; 362(9379):192-7.

3. Silva E, Pedro Mde A, Sogayar AC, Mohovic T, Silva CL, Brazilian Sepsis epidemiologic study (BASES study).Crit Care. 2004; 8(4):251-60. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC522852/

4. Guillen Cánovas A, Esquijarosa Roque B, Pérez N, Reinoso S, Gonzáles Ungo E. Proyección hospitalaria a la comunidad: repercusión en la morbilidad y mortalidad por sepsis. Revista de Ciencias Médicas de Pinar del Río [Internet]. 2013 [citado 24 Jun 2015]; 17(6):[aprox. 10 p.]. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/1049

5. Valle Martínez KV. Abordaje del paciente pediátrico con sepsis grave. Tesis monográfica para optar por el título de Especialista en Pediatría. Documentos.mx 2015. (Internet). Disponible en: http://documents.mx/documents/abordaje-del-paciente-pediatrico-con-sepsis-grave.html.

6. Reyna FigueroaI J, Richardson López VI, Vidal Vázquez PC. De las definiciones, las vacunas y la identificación del paciente séptico en pediatría RevPanam Salud Publica [Internet]. 2010 Ene [citado 24 May 2015]; 27(6): [aprox. 6 p.].Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000600010&lng=en. 7. Donoso A, Arriagada D, Cruces P, Díaz F .Shock séptico en pediatría I: Enfoque actual en el diagnóstico y tratamiento. Rev Chil Pediatr [Internet]. 2013 Oct [citado 20 Feb 2014]; 84(5): [aprox. 14 p.]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062013000500002&lng=es .

8. Caggiani M, Ferrari AM, Guariglia R, Gutiérrez C, Menchaca A, Pirez C, et al. Informe del Comité de Auditoría de Fallecidos: Hospital Pediátrico. Centro Hospitalario Pereira Rossell Actualización 2011. ArchPediatrUrug [Internet]. 2013 [citado 20 Feb 2014]; 84(1): [aprox. 10 p.].Disponible en: http://www.scielo.edu.uy/scielo.php?pid=S1688-12492013000100009&script=sci_arttext

9. Pastrana Román I, Corrales Varela A, Quintero Pérez W, Rodríguez Rodríguez M, Álvarez Reinoso S. Estrategia de capacitación en atención primaria y emergencias hospitalarias. Indicadores de calidad en sepsis. Revista de Ciencias Médicas de Pinar del Río[Internet]. 2012 [citado 02 Jul 2015]; 16(3): [aprox. 18 p.]. Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/935/html

10. González Velásquez A, Valdés Armas F, Fernández Reverón F, Ardisana Cruz O, Álvarez González AI, Francisco Pérez JC. Comportamiento de la sepsis en terapia intensiva pediátrica. Revista Cubana de Medicina Intensiva y Emergencias [Internet]. 2010 [citado 20 May 2011]; 6(3): [aprox. 11 p.]. Disponible en: http://bvs.sld.cu/revistas/mie/vol6_3_07/mie08307.htm#categoria.

11. Derek C, Angus MD, Randy S, Wax MD. Epidemiology of sepsis: An update. Critical Care oMedicine[Internet]. 2001 Jul [cited 2014 02 Feb]; 29(7): [about 9 p.]. Availablefrom: http://www.researchgate.net/profile/Randy_Wax/publication/11895192_Epidemiology_of_sepsis_an_update/links/0a85e5322496ab930f000000.pdf.

12. Montalván González G. Shock séptico en pediatría: un acercamiento a su manejo. Revista Cubana Pediatr [Internet] 2008 [citado 20 Jun 2015]; 80(1): http://scielo.sld.cu/scielo.php?pid=s0034-75312008000100008&script=sci_arttext.

13. Solis C. ¿Qué hay de nuevo en sepsis?. BSCP Can Ped. 2007 Ago-May;31(3):21-32.

14. Sundararajan V, MacIsaac CM., Presneill JJ, Cade JF, Visvanathan, K. Epidemiology of Sepsis in Victoria, Australia. Crit Care Med [Internet]. 2005 [citado 20 Jun 2015]; 33(1): [aprox. 12 p.]. Disponible en:

15. Cuba. Sistema de Vigilancia Epidemiológica del Síndrome de Respuesta Inflamatoria Sistémica en las UTIP. Departamento Nacional Programa Materno Infantil Reunión Metodológica PAMI. Habana; 2011.

16. Reyna Figueroa J, Richardson López Collada V. Vidal Vázquez P. De las definiciones, las vacunas y la identificación del paciente séptico en pediatría. Rev Panam Salud Pública [Internet]. 2010 Ene [citado 12 Jul 2015]; 27(6): [aprox. 4 p.]. Disponible en: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892010000600010&lng=en

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Published

2016-03-18

How to Cite

1.
Álvarez Reinoso S, Montero Sotolongo E, Cabrera Hernandez JE, Gonzalez Lobo EC, Rodriguez González YL. Clinical-epidemiological factors related to sepsis in pediatric ages. Rev Ciencias Médicas [Internet]. 2016 Mar. 18 [cited 2025 Aug. 21];20(1):68-74. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2373

Issue

Vol. 20 No. 1 (2016)

Section

ORIGINAL ARTICLES

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