RESUMEN
OBJECTIVE: This study aims at evaluating the usefulness of suprapubic bladder aspiration (SBA) in order to diagnose urinary tract infection (UTI), enumerating the complications and describes those found in the existing literature. PATIENTS AND METHODS: We have reviewed the 668 SBAs carried out on 642 children over a period of 3 years. The ages of the children varied from neonate to 5 years. Urine cultures were regarded as positive when any one single germ showed bacterial growth signs. RESULTS: Ninety-four UTIs, 14.6% of the total samples studied, were detected, five of which were in newborns. Infection by Escherichia coli comprised 87.2% of the total. Two complications were observed: needle breakage and vaginal bleeding. CONCLUSIONS: SBA is a reliable method, with hardly any complications, and is essential for the accurate diagnosis of UTI. However, it must be used with a more restrictive criterion in the neonatal period.
Asunto(s)
Vejiga Urinaria/microbiología , Infecciones Urinarias/microbiología , Preescolar , Escherichia coli/aislamiento & purificación , Femenino , Humanos , Lactante , Recién Nacido , Klebsiella/aislamiento & purificación , Masculino , Proteus mirabilis/aislamiento & purificación , Estudios Retrospectivos , Staphylococcus aureus/aislamiento & purificación , Streptococcus/aislamiento & purificación , Vejiga Urinaria/fisiopatología , Infecciones Urinarias/fisiopatologíaRESUMEN
Out of patients with petechial lesions attended during a 5 year period, 90 (45%) were diagnosed a meningococcal disease. The generalized distribution of the petechial lesions proved to be very helpful as an orientation about the disease. The presence of a series of altered laboratory determinations (white blood cell count, band cells count, erythrocyte sedimentation rate 1st hour. C reactive protein (PCR) in blood and blood coagulation study) was highly significant in patients with the disease mentioned before.
Asunto(s)
Infecciones Meningocócicas/diagnóstico , Púrpura/etiología , Niño , Preescolar , Humanos , Infecciones Meningocócicas/etiología , Púrpura/diagnósticoAsunto(s)
Conjuntivitis Bacteriana/etiología , Meningitis Meningocócica , Humanos , Lactante , Recién NacidoRESUMEN
One hundred eleven children with intestinal giardiasis, are studied taken into account: age, sex, place of residence, seasonal frequency, clinic, symptomatology, analyses, treatment and it efficacy and reinfections. Authors have investigated mainly the stools: presence of parasite in them, with only one sample, has been of 56.2%, reaching 70.7% when several samples were examined. Patients have been treated with metronidazole with good response in 93.3%, but 28.3% were infected again. Closed relatives of 99 children have also been examined and 21.4% presented infection.
Asunto(s)
Giardiasis/epidemiología , Niño , Preescolar , Femenino , Giardiasis/transmisión , Humanos , Lactante , Masculino , Recurrencia , Estudios Retrospectivos , EspañaRESUMEN
Seventy four cases of meningococcal infection were studied. They attended the "Valle del Nalón" Hospital in Asturias, from february 1979 until january 1985. Seven children died (9.4%). We divided them into two groups: A, without any previous antibiotic treatment when they arrived at the hospital (58 cases), and B, with previous antibiotic treatment (16 cases). All the children who died belonged to group A. Only 56.2% from group B had petechias, contrasting greatly with the 93.1% in group A. The most predominant meningococcus was from the serum group B. In the 22 cases of meningitis brainstem auditory evoked response was carried out to detect any hearing impairment. This was found in 21.7% of the cases.