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Neumonia Aspirativa en Pediatria

Neumonia Aspirativa en Pediatria

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Published by Franklin Aranda
Exposición del tema "Neumonia aspirativa en Pediatria" en el Servicio de Medicina "D" del Instituto de Salud del Niño de Lima-Perú por el Residente de Pediatría, Dr. Gustavo Herrera y la interna de Medicina Roxana Sandoval, durante su rotación en el año 2007.
Exposición del tema "Neumonia aspirativa en Pediatria" en el Servicio de Medicina "D" del Instituto de Salud del Niño de Lima-Perú por el Residente de Pediatría, Dr. Gustavo Herrera y la interna de Medicina Roxana Sandoval, durante su rotación en el año 2007.

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Published by: Franklin Aranda on May 18, 2009
Copyright:Attribution Non-commercial

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08/21/2013

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NEUMONIA ASPIRATIVANEUMONIA ASPIRATIVA
MR3 GUSTAVO HERRERAMR3 GUSTAVO HERRERASALAZARSALAZARINSN AGOSTO 2007INSN AGOSTO 2007
 
MICOORGANISMOSDETECTADOS:
GRAM NEGATIVOS (48.1%):-
Klebsiella
(24%)-
Escherichia coli
(4.9%)-
Enterobacter cloacae
(4.9%)-
Pseudomonas aeruginosa
(4.9%)-
Haemophilus influenzae
(3.7%)GRAM POSITIVOS (40.7%)-MRSA(12.3%)-
S. aureus
(9.8%)-
Streptococcus pneumoniae
(4.9%).
 
CHEST 2005; 127:1276–1282
ASPIRATION PNEUMONIA:
-Aspiration of colonized oropharyngealMaterial-Acute pulmonary inflammatoryresponseto bacteria and bacterial roducts .-Gram-positive cocci, gram-negativerods, and (rarely) anaerobic bacteria-Dysphagia and gastric dysmotility.-Institutionalized patient withdysphagia.-in whom clinical features of pneumoniaand an infiltrate in a dependentbronchopulmonary segment develop-Tachypnea, cough, and signs of pneumonia
 
N Engl J Med, Vol. 344, No. 9 March 12001
 
Scoring Criteria for PneumoniaBased on Chest RadiographFindings of Area of Involvement 
*Pneumonia score Area of Involvement:0 No abnormal infiltrates1 Very small infiltrates limited to oneintercostal site2 Between one and three intercostalsites3 Infiltrate involving one tenth of onelung4 Between three and five intercostalsites5 Infiltrate involving one third of onelung6 Between five and seven intercostalsites7 Infiltrate involving two thirds of one lung8 Infiltrate involving nearly oneentire lungFigure 1. escor de neumoníabasado en radiografía de tórax yel área comprometida .
CHEST 2005; 127:1276–1282)

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