RESUMO
Background: There is paucity of information about viral etiology of community acquired pneumonia in adults. Aim: To investigate the viral etiology of pneumonia among hospitalized patients. Material and Methods: All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A microbiological and viral assessment was carried out. Viral assessment included direct immunofluorescence of nasopharyngeal aspirates for influenza A and B virus and serum samples obtained during the acute phase of the disease and during convalescence for Hanta virus. Results: Between April 1 2005 and March 31 2006,159 adults aged 62 ± 20 years (58 % males), were admitted to the hospital for pneumonia. Mean hospital stay was 11.9 ± 8.6 days. Four patients had Hantavirus acute infection. Other viruses were identified in twelve patients (7.7%). Nine had influenza A, one syncytial respiratory virus, one syncytial and influenza A virus and one varicella zoster virus. Excluding patients with Hantavirus, no significant differences in age, clinical presentation, chest X ray findings, laboratory results and mortality were observed between patients with bacterial or viral etiology of the pneumonia. Conclusions: Viral etiology was confirmed in 10% of adult patients hospitalized with community acquired pneumonia.
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/virologia , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/virologia , Hospitalização , Hospitais Gerais , Pneumonia Viral/diagnóstico , Pneumonia Viral/microbiologia , Estudos ProspectivosRESUMO
BACKGROUND: There is paucity of information about viral etiology of community acquired pneumonia in adults. AIM: To investigate the viral etiology of pneumonia among hospitalized patients. MATERIAL AND METHODS: All adults with pneumonia that were hospitalized were prospectively enrolled at Puerto Montt hospital. A microbiological and viral assessment was carried out. Viral assessment included direct immunofluorescence of nasopharyngeal aspirates for influenza A and B virus and serum samples obtained during the acute phase of the disease and during convalescence for Hanta virus. RESULTS: Between April 1 2005 and March 31 2006,159 adults aged 62 ± 20 years (58 % males), were admitted to the hospital for pneumonia. Mean hospital stay was 11.9 ± 8.6 days. Four patients had Hantavirus acute infection. Other viruses were identified in twelve patients (7.7%). Nine had influenza A, one syncytial respiratory virus, one syncytial and influenza A virus and one varicella zoster virus. Excluding patients with Hantavirus, no significant differences in age, clinical presentation, chest X ray findings, laboratory results and mortality were observed between patients with bacterial or viral etiology of the pneumonia. CONCLUSIONS: Viral etiology was confirmed in 10% of adult patients hospitalized with community acquired pneumonia.
Assuntos
Pneumonia Viral/virologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Comunitárias Adquiridas/diagnóstico , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/virologia , Feminino , Hospitalização , Hospitais Gerais , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/diagnóstico , Pneumonia Viral/microbiologia , Estudos ProspectivosRESUMO
We present a new method of myocardial revascularization. The radial artery is used in combination with the left internal mammary artery, thereby providing three distal end-to-side anastomoses to the left anterior descending coronary artery and other sites as determined by the coronary artery lesions. Arterial conduits form an anastomotic network between the left internal mammary artery and the radial artery in a horseshoe pattern. Three coronary arteries are revascularized by two arterial conduits in the left coronary system.
Assuntos
Ponte de Artéria Coronária/métodos , Artéria Radial/transplante , Anastomose Cirúrgica/métodos , Doença das Coronárias/cirurgia , HumanosAssuntos
Deficiência de Glucosefosfato Desidrogenase/complicações , Icterícia Neonatal/etiologia , Bilirrubina/sangue , Costa Rica , Feminino , Deficiência de Glucosefosfato Desidrogenase/sangue , Deficiência de Glucosefosfato Desidrogenase/epidemiologia , Humanos , Recém-Nascido , Icterícia Neonatal/enzimologia , MasculinoAssuntos
Eclampsia/epidemiologia , Adolescente , Adulto , Feminino , Morte Fetal , Humanos , Idade Materna , Mortalidade Materna , Paridade , Gravidez , VenezuelaAssuntos
Mola Hidatiforme/epidemiologia , Aborto Terapêutico , Adolescente , Adulto , Brasil , Transformação Celular Neoplásica , Chile , Coriocarcinoma/diagnóstico , Colômbia , Curetagem , Diagnóstico Diferencial , Feminino , Idade Gestacional , Hospitais Especializados , Humanos , Mola Hidatiforme/diagnóstico , México , Pessoa de Meia-Idade , Lesões Pré-Cancerosas , Gravidez , Gravidez Ectópica/diagnóstico , Fatores Socioeconômicos , Doenças Uterinas/terapia , VenezuelaAssuntos
Líquido Amniótico/análise , Bilirrubina/análise , Idade Gestacional , Adulto , Feminino , Humanos , Recém-Nascido , Gravidez , Espectrofotometria , GêmeosAssuntos
Cesárea , Adolescente , Adulto , Criança , Feminino , Hospitais Especializados , Humanos , Mortalidade Materna , MéxicoRESUMO
PIP: The study reports on 1624 cases of pregnancy in girls aged 14 or less, treated at a Venezuelan hospital over a 30-year period. The frequency of such cases was 1.95/1000 admissions to the maternity clinic, i.e., 1 case for every 512. The most common ages were 13 and 14, only 33 cases were of ages 11 and 12. 70.7% were single. The most common age of puberty was 12 and of 1st sexual relations, 13. 95.5% were primipara. 49.1% had not received prenatal care. The frequency of abortions was normal, but premature births were higher than normal at 17.2%. The incidence of mola and toxemia was considerably above average. On the other hand, there was a very low incidence of multiple pregnancies. There were no major alterations in the process of delivery. The sex and average weight of the newborn were within normal limits, as were the number of congenital malformations and the perinatal death rate.^ieng