PREVALENCE OF COMMUNITY INFECTION IN THE PEDIATRICS OF A PUBLIC HOSPITAL FROM PARAÍBA
DOI:
https://doi.org/10.32435/envsmoke.20214234-41Keywords:
Diagnósticos de infecções; Infecção adquirida; Infecção em Crianças.Abstract
Community infection, despite not being a major concern for health agencies, is a major concern for hospitals, as it can be a risk to already frail patients who come to health services. Therefore, the present study intends to describe the clinical profile and the prevalence of community infections of children residing in Vale do Mamanguape – PB, who were admitted to the pediatrics at the Hospital Geral de Mamanguape – PB. The methodology is a retrospective, exploratory, descriptive study with a quantitative approach. Data were extracted from electronic and printed medical records of children hospitalized for a period of more than 24 hours, between the months of January 2016 to October 2017, in the pediatric sector of the hospital. The sample included 711 children, of both sexes, aged from 0 to 15 years. The diagnosis of community infection was based on filling out the medical record, in the fields: reason for admission and anamnesis. Data were submitted to the R software, where descriptive and inferential data analysis was performed. In the inferential analysis, the non-parametric Pearson's Chi-Square Test was applied in order to verify the correlation between the dependent variable and the factor variables. Thus, it was observed that 83.5% children were hospitalized for some type of community infection and 16.5% were hospitalized with no infection, the average number of hospitalization days was 4.94 days 44.5% of the children hospitalized were from the municipality of Mamanguape and 55.3% from the other municipalities that make up the Vale do Mamanguape. The most frequent infections were of the respiratory tract 47.11% and gastroenteritis 14.3%. Male children spent more days in hospital than female children with p-value=0.020. It can be concluded that community infections are the most common causes of hospitalization in pediatrics at the Hospital Geral de Mamanguape-PB, respiratory tract infections are the most common in children living in Vale do Mamanguape.
Downloads
References
ALDOUS, M.B.; HOLBERG C.J.; WRIGHT, A.L.; MARTINEZ F.D.; TAUSSIG, L.M. Evaporative cooling and other home factors and lower respiratory tract illness during the first year of life. American journal of epidemiology, v. 143, n. 5, p. 423-430, 1996.
BRASIL. Ministério da Saúde. Diário Oficial da União, Portaria número 2616 de 12 de maio de 1998 [Internet]. Brasília, 1998 [cited 2017 March 16]. Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/1998/prt2616_12_05_1998.html.
_______. Instituto Brasileiro de Geografia e Estatística. IBGE cidades. 2019 [cited 2020 Jul 14]. Disponível em: https://cidades.ibge.gov.br/brasil/pb/mamanguape.
______. Conselho Nacional de Saúde. Resolução número 466, de 12 de dezembro de 2012 [cited 2018 Jul 04]. Brasília. Disponível em: http://www.conselho.saude.gov.br/web_comissoes/conep/index.html.
CARVALHO, F.C. Epidemiologia descritiva da Síndrome Respiratória Aguda Grave pelo vírus sincicial respiratório no Brasil, 2014 – 2017 (até SE 32) [monography]. [Brasília]: Faculdade de Ciências da Educação e Saúde; 21p. 2017.
EPIFANIO, M.; PORTELA, J.D.L.; PIVA, J.P.; FERREIRA, C.H.T.; SARRIA, E.E.; MATTIELLO, R. Bromopride, metoclopramide, or ondansetron for the treatment of vomiting in the pediatric emergency department: a randomized controlled trial. Jornal de pediatria, v. 94, p. 62-68, 2018.
ESPOSITO, S.; ZAMPIERO, A.; TERRANOVA, L.; IERARDI, V.; ASCOLESE, B.; DALENO, C.; PRINCIPI, N. Pneumococcal Bacterial Load Colonization as a Marker of Mixed Infection in Children With Alveolar Community-acquired Pneumonia and Respiratory Syncytial Virus or Rhinovirus Infection. The Pediatric infectious disease journal, v. 32, n. 11, p. 1199-1204, 2013.
FARTHING, M.; SALAM, M. A.; LINDBERG, G.; DITE, P.; KHALIF, I.; SALAZAR-LINDO, E.; LEMAIR, A. Acute diarrhea in adults and children: a global perspective. Journal of clinical gastroenterology, v. 47, n. 1, p. 12-20, 2013.
GARNER, J.S.; JARVIS, W.R.; EMORI, T.G.; HORAN, T.C.; HUGHES, J.M. CDC definitions for nosocomial infections, 1988. American journal of infection control, v. 16, n. 3, p. 128-140, 1988.
HENDERSON, K.L.; MÜLLER-PEBODY, B.; JOHNSON, A.P.; WADE, A.; SHARLAND, M.; GILBERT, R. Community-acquired, healthcare-associated and hospital-acquired bloodstream infection definitions in children: a systematic review demonstrating inconsistent criteria. Journal of Hospital Infection, v. 85, n. 2, p. 94-105, 2013.
KENNELEY, I.L. Infection control and the home care environment. Home Health Care Management & Practice, v. 22, n. 3, p. 195-201, 2010.
LIMA, H.K.S; CARVALHO, H.E.F.; SOUSA, A.F.L.; MOURA, M.E.B.; ANDRADE, D.; VALLE, A.R.M.C. Distribuição e custo de antimicrobianos na Atenção Primária. Acta Paulista de Enfermagem, v. 31, n. 1, p. 95-101, 2018.
MARIZ, C. Mamanguape: passado e presente-1943. In: Ramos JO. Pedaços da História de Mamanguape. João Pessoa: Persona. 2003.
MARTINS, A.L.O.; NASCIMENTO, D.S.F.; SCHNEIDER, I.J.C.; SCHUELTER-TREVISOL, F. Incidência de infecções comunitárias de vias aéreas inferiores em crianças. Revista Paulista de Pediatria, v. 34, p. 204-209, 2016.
OLIVEIRA, B.R.G.; VIERA, C.S.; FURTADO, M.C.C.; MELO, D.F.; LIMA, R.A.G. Perfil de morbidade de crianças hospitalizadas em um hospital público: implicações para a Enfermagem. Revista Brasileira de Enfermagem, v. 65, p. 586-593, 2012.
PASSOS, S.D.; MAZIERO, F.F.; ANTONIASSI, D.Q.; SOUZA, L.T.D.; FELIX, A.F.; DOTTA, E.; GAZETA, R.E. Doenças Respiratórias Agudas em crianças brasileiras: os cuidadores são capazes de detectar os primeiros sinais de alerta? Revista Paulista de Pediatria, v. 36, p. 3-9, 2018.
SANTOS, J.S. História e Desenvolvimento Regional em Cidades da Paraíba: Construção para o desenvolvimento histórico do 37 Estado. Campina Grande: Cópias e Papéis. 2011.
SES-PB. Secretaria de Saúde do Estado da Paraíba. Hospital Geral de Mamanguape – PB [Internet]. 2017 [cited 2017 Jun 12]. Disponível em: http://paraiba.pb.gov.br/hospital-geral-de-mamanguape-registra-mais-de-6-mil atendimentos-em-maio/.
SOUSA, A.F.L.; QUEIROZ, A.A.F.L.N.; OLIVEIRA, L.B.; VALLE, A.R.M.C.; MOURA, M.E.B. Social representations of community-acquired infection by primary care professionals. Acta Paulista de Enfermagem, v. 28, p. 454-459, 2015.
SIEGEL, S.; CASTELLAN, N.J. Estatística Não-Paramétrica para Ciências do Comportamento. 2a ed. Porto Alegre: Artmed, 2006.
UNICEF. United Nations Children’s Fund. Every child counts : revealing disparities, advancing children’s rights. 2014 [cited 2018 Jul 14]. Disponível em: https://www.unicef.org/gambia/SOWC_report_2014.pdf
VALLE, A.R.M.C. Competências do enfermeiro para ações preventivas na atenção domiciliar com ênfase nos riscos de infecção. Tese de doutorado. 262 p. São Paulo: USP, 2013.
WARDLAW, T.M.; JOHANSSON, E.W.; HODGE, M. Pneumonia: the forgotten killer of children. Geneva: World Health Organization; 2006.
WHITE, R.; SWALES, B.; BUTCHER, M. Principles of infection management in community-based burns care. Nursing Standard, v. 27, n. 2, p. 64, 2012.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Waldner Gomes Barbosa Filho, Ana Karina Holanda Leite Maia
This work is licensed under a Creative Commons Attribution 4.0 International License.
The copyright for manuscripts published in Environmental Smoke belongs to the author, with first publication rights for the journal. The published articles are of total and exclusive responsibility of the authors.