Evaluación clínico-epidemiológica de pacientes con neumonía adquirida en la comunidad del Hospital General Isidro Ayora de Loja, durante enero-diciembre del 2015

Abstract

Abstract: The objective of the present study was to establish the clinical-epidemiological relationships of patients with community-acquired pneumonia by reviewing medical records in order to evaluate the management performed. A descriptive, transverse and retrospective study was carried out. The observation sheet was used to identify the characteristics: epidemiological, clinical, diagnostic and therapeutic. The epidemiological characteristics found that NAC is more frequent in people over 65 years of age and female; Its main pathological antecedents are: hypertension, DM type 2 and COPD. The main clinical features are cough, dyspnea, fever, expectoration and chest pain. The exams performed were: complete blood count and blood chemistry 100%, chest x-ray 88%, PCR 71%, ESR 30% and arterial blood gas analysis 35%. The main alterations were: neutrophilia 26%, leukocytosis 19%, high CRP 76%, high VSG 22%, respiratory acidosis 19%, interstitial infiltrate 51%. The CURB-65 score is <1 at 59%. The therapeutic management used was of short cycles 55%, use of oxygen therapy 76%, time of hospitalization less than one week 64%.