RESUMO
El virus papiloma humano es una infección de transmisión sexual frecuente en las adolescentes. En la mayoría de los casos la infección es asintomática. Sin embargo en un porcentaje de los casos, la infección produce manifestaciones clínicas como verrugas genitales, alteraciones citológicas e histológicas cuyo manejo es distinto que en las mujeres adultas debido a las características especificas de la infección por HPV en este grupo etario.
Human papilloma virus is a frecuent sexually transmitted disease in adolescents. The infection is asintomatic in most cases and needs no treatment spontaneously eliminated. However, in a few cases, the infection produces clinical manifestations as genital warts, citological and histologycal abnormalities whose management differs from adult women because of especific characteristics of HPV infection in adolescents.
Assuntos
Humanos , Adolescente , Feminino , Infecções por Papillomavirus/fisiopatologia , Infecções por Papillomavirus/terapia , Infecções por Papillomavirus/diagnóstico , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/transmissão , Displasia do Colo do Útero/etiologia , Displasia do Colo do Útero/terapia , Papillomaviridae/patogenicidade , Fatores de RiscoRESUMO
La hernia diafragmática congénita es un defecto del diafragma que permite el desplazamiento de los órganos abdominales hacia la cavidad torácica. A pesar de los avances en el manejo prenatal y postnatal, esta malformación se asocia a una elevada mortalidad. Se presenta una revisión de los casos clínicos con diagnóstico prenatal de hernia diafragmática ingresados al CERPO durante el período 2003-2005. Se analiza en cada caso la edad gestacional al diagnóstico, lado afectado, compromiso hepático, asociación con otras malformaciones y cromosomopatías, resultado perinatal, cirugía y evolución.
Assuntos
Humanos , Adolescente , Adulto , Feminino , Gravidez , Recém-Nascido , Doenças Fetais , Hérnia Diafragmática/congênito , Hérnia Diafragmática , Ultrassonografia Pré-Natal , Evolução Clínica , Ecocardiografia , Idade Gestacional , Hérnia Diafragmática/cirurgia , Hérnia Diafragmática/complicações , Hérnia Diafragmática/mortalidade , Assistência Perinatal , Prognóstico , Taxa de SobrevidaRESUMO
Streptococcus pneumoniae is the leading bacterial cause of childhood pneumonia in the developing world. This study describes the type distribution and antimicrobial susceptibility of invasive pneumococcal isolates from Colombian children and is part of the Sistema Regional de Vacunas (SIREVA), a PAHO regional initiative designed to determine the ideal serotype composition of a protein polysaccharide pneumococcal conjugate vaccine for use in children less than 5 years old in Latin America. In Colombia, during the study period, centres in Bogota, Medellin, and Cali collected 324 S. pneumoniae isolates from invasive diseases, 238 (73.5%) from children under the age of 2. Pneumonia was the clinical diagnosis in 41.3% cases, meningitis in 41%, and sepsis in 11.2%. The seven most frequent types included 14(21.9%), 5(10.5%), 23F(9.6%), 1(9%), 6B(9%), 19F(7.1%), and 6A(6.2%). The frequency of diminished susceptibility to penicillin (DSP) was 12%, with 8.9% of isolates showing intermediate level resistance and 3.1% showing high level resistance. Among DSP isolates, 23% were also resistant to cefotaxime, 33.3% to erythromycin, 48.7% to chloramphenicol, and 74.3% to trimethoprim/sulfamethoxazole. Multiple resistance was detected in 59% of the isolates that have DSP. Penicillin resistance was associated with types 23F (53.8%) and 14 (25.6%). These data provides information on capsular types prevalent in Colombia that will not only allow the formulation of an ideal vaccine for the region but also reinforce the need for ongoing regional surveillance.