Consensus document on community-acquired pneumonia in children. SENP-SEPAR-SEIP

Andrés-Martín, Anselmo; Montaner, Amparo Escribano; Mulet, J. Figuerola; García, María Luz; Murua, Javier Korta; Moreno-Pérez, David; Liria, Carlos Rodrigo-Gonzalo de; Galdó, Antonio Moreno

doi:10.1016/j.arbr.2020.09.002

Cited by 7 publications

(4 citation statements)

References 128 publications

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“…In fact, imaging examinations are widely used. A common belief is that patients with suspected pneumonia should undergo chest X-ray examination once they are admitted to the hospital [ 12 , 13 ]. Sometimes sputum microscopy and sputum culture are also performed to understand the types of pathogenic bacteria to assist in the diagnosis and treatment of some complex and refractory cases.…”

Section: Principle and Overviewmentioning

confidence: 99%

Based on the Auxiliary Effect of X-Ray in the Treatment of Severe Pneumonia in Children with Arterial and Venous Blood Gas

Guo

Zhang

2022

Journal of Healthcare Engineering

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Pediatric severe pneumonia clinical is a conceptual term for the diagnosis and treatment of pediatric clinical diseases. At present, domestic and foreign standards for clinical diagnosis of severe pneumonia, which is a childhood disease, are still inconsistent. At present, the first book of the main pediatric medical textbook in the society interprets the clinical definition of severe pneumonia in children as follows: severe pneumonia refers to pulmonary function in heart failure or other comorbidities in other important organs except the lung. This article is based on X-ray medical film and television examinations, through the analysis of arterial and venous blood gas in children with severe pneumonia to play a certain role in adjuvant therapy for children with pneumonia. Prospective clinical studies have found significant changes in the function of auxiliary coagulation and blood fibrinolysis indicators in patients with severe pneumonia in late childhood. The obvious difference between the pretreatment and the late-stage treatment for 1 week and the direct influence on the blood gas quantitative analysis and liver function of advanced patients provide a scientific basis for the diagnosis of typical advanced childhood severe pneumonia patients with adjuvant anticoagulant therapy. The data analysis of the clinical laboratory found that the blood coagulation and fibrinolysis functions of the typical patients with severe pneumonia in the typical late stage of childhood were significantly activated, and the anticoagulant antibody substances were significantly reduced, fibrinolytic coagulation inhibitors and anticoagulants are significantly increased, fibrinolytic activators are significantly reduced, and the body is in a procoagulant state for a long time. Adjuvant anticoagulation therapy through quantitative analysis of blood gas in patients can not only effectively increase the success rate of early treatment of typical late-stage severe pneumonia in children by 64.28% but also significantly reduce the inflammatory coagulation indexes of patients with late-stage severe pneumonia in children. The functions of coagulation, anticoagulation, and coagulation fibrinolysis have been significantly restored. The advantages of X-ray-based adjuvant treatment of severe pneumonia in children with arteriovenous blood gas are good contrast, clear imaging, and clear development of fine lesions or thick parts, and objective records are kept for comparison during review and consultation and discussion. The disadvantage is that the operation is more complicated, and it is not convenient to observe the activity function of the organ.

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Section: Principle and Overviewmentioning

confidence: 99%

Based on the Auxiliary Effect of X-Ray in the Treatment of Severe Pneumonia in Children with Arterial and Venous Blood Gas

Guo

Zhang

2022

Journal of Healthcare Engineering

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“…Analysis of risk factors for negative emotions in patients with severe pneumonia and their impact on prognosis in the intensive care unit (ICU) (4). Patients with severe pneumonia in ICU often experience negative emotions such as irritability, anxiety, and depression due to the physical pain caused by the disease, the long duration of the disease, and the poor treatment outcome and prognosis of most of them, which cause great pressure and distress to the family economically and mentally plus the patient's concern about the disease and fear of prognosis (5).…”

Section: Original Articlementioning

confidence: 99%

“…Pneumonia can occur at any age, but the incidence is higher in groups with low or impaired body immunity, smokers, and those within a poor living environment ( 1 - 3 ). Severe pneumonia (SP) is a common and critical medical condition with an acute onset, rapid progression in addition to many complications, and is one of the leading causes of death in the intensive care unit (ICU) ( 4 ). Patients with severe pneumonia in ICU often experience negative emotions such as irritability, anxiety, and depression due to the physical pain caused by the disease, the long duration of the disease, and the poor treatment outcome and prognosis of most of them, which cause great pressure and distress to the family economically and mentally plus the patient’s concern about the disease and fear of prognosis ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for negative emotions in patients with severe pneumonia and their impact on prognosis

Tai¹,

Zhou²

2023

J Thorac Dis

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Background: Severe pneumonia (SP) is a common acute and critical illness in internal medicine, with typical symptoms such as cough, fever, generalized aches and pains, loss of appetite, weakness, and shortness of breath. Patients feel threatened by the disease and are prone to negative emotions, resulting in reduced compliance with treatment, which in turn affects treatment outcome. The purpose of this study is to analyze the risk factors of negative emotions in patients with SP and their impact on prognosis, to provide a reference basis for improving the prognosis of patients.Methods: We retrospectively analyzed 243 patients with SP admitted to our hospital from June 2017 to June 2021. The general characteristics of the study subjects were compiled using a general information questionnaire designed by the researcher. The t-test, ANOVA, and chi-square test were used to analyze the relationship between the negative emotions of patients and prognosis. Binary logistic regression and multiple linear regression were used to analyze the independent risk factors for the occurrence of negative emotions and poor prognosis.Results: Binary logistic regression analysis showed gender, fertility or not, spouse or not, APACHE II score, and complications such as infectious shock and hemoptysis were independent risk factors for anxiety, whereas a history of underlying disease, monthly household income, fertility or not, spouse or not, APACHE II score, and complications such as bronchodilation and hemoptysis were independent risk factors for depression. Multiple linear regression analysis showed albumin, CRP, duration of mechanical ventilation, and negative emotions were independent risk factors for patient prognosis.Conclusions: SP patients have serious conditions and are prone to complications and psychological disorders such as anxiety and depression, which affect treatment outcome. Therefore, the negative emotions of patients and independent risk factors should be identified in a timely manner in clinical work, and targeted and effective measures should be actively taken to improve the prognosis of patients.

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“…Clinical management of pediatric dengue was performed by the attending physicians following the revised World Health Organization 2009 guidelines, which classified the disease as dengue without warning signs (DNS), dengue warning signs (DWS), and severe dengue (SD). 16 Based on previous studies and clinical guidelines, 5,[17][18][19][20] SBI was defined as any clinical and/or imaging diagnosis of this entity determined by the attending physicians, and/or the isolation of bacteria in the blood, urine, bronchoalveolar lavage, or cerebrospinal fluid cultures or nucleic acid amplification tests (NAATs) for bacteria, from body fluids samples taken within 48 hours of hospital admission. This timeframe was chosen to exclude healthcare-associated (nosocomial) infections.…”

Section: Study Population and Definitionsmentioning

confidence: 99%

Frequency, Markers and Costs of Secondary Bacterial Infection in Pediatric Dengue

Salgado,

Silva,

Salcedo

et al. 2023

Pediatric Infectious Disease Journal

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Background: Secondary bacterial infection (SBI) occurs in a proportion of individuals with dengue and results in longer hospitalization, higher mortality, and increased health-related costs. However, the frequency, risk factors and predictive biomarkers of this comorbidity in pediatric dengue is partially known. Methods: We conducted a retrospective multicenter study in a dengue hyperendemic region of Colombia, analyzing 1597 children from two pediatric cohorts. We included children with confirmed dengue (mild to severe disease) and evaluated the rate of SBI, their clinical characteristics, diagnostic predictors and attention costs. We also assessed the diagnostic performance of plasma interleukin (IL)-6 for detecting SBI in pediatric dengue. Results: The frequency of SBI in children with dengue with warning signs in cohorts 1 and 2 was 2.4% and 7.3%, respectively, and this rate reached 30.7% and 38.2% in children with severe disease. Staphylococcus aureus and Escherichia coli were the more frequent infectious agents. Increased total leukocytes and C-reactive protein levels, as well as high IL-6 at hospital admission, in children <48 months of age were early indications of SBI in dengue. Higher rates of organ dysfunction, the requirement of a longer hospitalization and a 2.3-fold increase in attention costs were observed in SBI. Conclusions: An important proportion of children with dengue course with SBI and exhibit higher morbidity. Elevated leukocytes, C-reactive protein and IL-6 in young children are early markers of SBI. Physicians should identify children with dengue and risk factors for SBI, microbiologically confirm the bacterial infection, and rationally and timely provide antimicrobial therapy.

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Consensus document on community-acquired pneumonia in children. SENP-SEPAR-SEIP

Cited by 7 publications

References 128 publications

Based on the Auxiliary Effect of X-Ray in the Treatment of Severe Pneumonia in Children with Arterial and Venous Blood Gas

Based on the Auxiliary Effect of X-Ray in the Treatment of Severe Pneumonia in Children with Arterial and Venous Blood Gas

Analysis of risk factors for negative emotions in patients with severe pneumonia and their impact on prognosis

Frequency, Markers and Costs of Secondary Bacterial Infection in Pediatric Dengue

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