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[Safety of a clinical prediction rule for initial management of children with pneumonia in an ambulatory setting]. / Seguridad de una regla de predicción para el manejo inicial de niños con neumonía tratados en forma ambulatoria.
Torres, Fernando A; Passarelli, Irma; Cutri, Adrián; Leonardelli, Araceli; Ossorio, María F; Ferrero, Fernando.
Afiliação
  • Torres FA; Departamento de Consultorios Externos, Hospital General de Niños Pedro de Elizalde. torresf@intramed.net
Arch Argent Pediatr ; 108(6): 511-5, 2010 Dec.
Article em Es | MEDLINE | ID: mdl-21132247
INTRODUCTION: Despite many cases of pneumonia in children are due to viruses, initial management includes antibiotics. To avoid unnecessary antibiotic use, a clinical rule to predict etiology in children hospitalized for pneumonia was developed (BPS: Bacterial Pneumonia Score), but it performance in ambulatory settings has not been yet tested. We aimed to evaluate the safety of using BPS in children with pneumonia in an ambulatory setting. METHODS: This cohort study included children aged 3-60 months, assisted for pneumonias as outpatients. BPS (range: -3 to 15 points) was calculated in all of them, and only those with ≥ 4 points received antibiotics. Clinical outcome was evaluated 1, 2, 3, 5, 7, and 10 days after the first visit. RESULTS: 108 patients were included, aged 25.3 ± 16.5 months. From them, 48 (44.4%) showed BPS ≥ 4, and received antibiotics. After 10 days, there were no differences in clinical outcome between groups (with and without antibiotics) (p = 0.5; RR: 0.39; IC 95%: 0.01-5.74). Only 3 patients showed unsatisfactory clinical outcome; 1 of them had not received antibiotics. CONCLUSIONS: Using BPS was safe for initial management of children with pneumonia in an outpatient setting.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child, preschool / Humans / Infant Idioma: Es Revista: Arch Argent Pediatr Ano de publicação: 2010 Tipo de documento: Article País de publicação: Argentina

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Child, preschool / Humans / Infant Idioma: Es Revista: Arch Argent Pediatr Ano de publicação: 2010 Tipo de documento: Article País de publicação: Argentina