Comportamento da osteomielite em pacientes pediátricos
DOI:
https://doi.org/10.5281/zenodo.10620909Palavras-chave:
osteomielite, microbiologia, tratamento farmacológico, terapia, cirurgiaResumo
Introdução: a osteomielite é uma infeção óssea, que afecta frequentemente afecta frequentemente doentes do grupo etário pediátrico, com um comportamento variado, dependendo da via de entrada no osso, do tipo de germe e da resposta do hospedeiro.
Objectivo: mostrar o comportamento de um grupo de doentes pediátricos com osteomielite.
Método: foi realizado um estudo observacional descritivo em 39 pacientes tratados no Hospital Pediátrico Provincial Dr. Eduardo Agramonte Piña, na cidade de Camagüey, no período de 1 de janeiro de 2018 a 31 de dezembro de 2022, e um total de 60 meses com diagnóstico de osteomielite.
Resultados: dos 39 pacientes investigados, o sexo masculino predominou sobre o feminino (2,2 para 1). A idade média foi de 9 anos. A média de permanência hospitalar foi de 14,8 dias. As regiões mais acometidas foram as mãos, o fêmur e a tíbia distal. O tratamento cirúrgico predominou (2,2 para 1) sobre o tratamento conservador. A via hematogénica para o osso foi a mais frequente em 86,4% dos casos. A transição para a cronicidade é a complicação mais frequentemente encontrada (33%). O germe mais frequentemente isolado foi o Staphylococcus aureus (em 85% dos doentes). Os antimicrobianos mais frequentemente indicados foram a cefazolina, a amicacina e a fosfocina.
Conclusões: os resultados obtidos na pesquisa fornecem elementos importantes do ponto de vista epidemiológico em pacientes pediátricos portadores de osteomielite, permitindo a implementação de estratégias diagnósticas e terapêuticas neste grupo de pacientes.
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Copyright (c) 2024 Alejandro Alvarez López, Valentina Valdebenito-Aceitón, Sergio Ricardo Soto-Carrasco, Yenima de la Caridad García Lorenzo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
