Correspondência/Correspondence to: Cláudia Calado, Hospital de Faro EPE. Serviço de Pediatria, Rua Penedo Leão, 8000 Faro
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"apellidos" => "Severo" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591530026X?idApp=UINPBA00004E" "url" => "/08732159/0000001600000002/v1_201509151443/S087321591530026X/v1_201509151443/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Estarão diferentes as pneumonias agudas adquiridas na comunidade com internamento hospitalar em idade pediátrica na última década?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "287" "paginaFinal" => "305" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Cláudia Calado, Pedro Nunes, Luísa Pereira, Teresa Nunes, Celeste Barreto, Teresa Bandeira" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Cláudia" "apellidos" => "Calado" "email" => array:1 [ 0 => "claudiasilvacalado@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Pedro" "apellidos" => "Nunes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Luísa" "apellidos" => "Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "Teresa" "apellidos" => "Nunes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 4 => array:3 [ "nombre" => "Celeste" "apellidos" => "Barreto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 5 => array:3 [ "nombre" => "Teresa" "apellidos" => "Bandeira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Hospital de Faro EPE. Serviço de Pediatria. Director: Dr. José Maio/Hospital de Faro EPE. Paediatrics Unit. Director Dr. José Maio" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Hospital Fernando da Fonseca. Serviço de Pediatria. Director: Dra Helena Carreiro/Hospital Fernando da Fonseca. Paediatrics Unit. Director Dr. Helena Carreiro" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Hospital de Santa Maria, Centro Hospitalar Lisboa Norte. Unidade de Pneumologia Pediátrica. Clínica Universitária de Pediatria. Departamento da Criança e da Família. Director: Prof. Doutor J C Gomes Pedro/Hospital de Santa Maria, Centro Hospitalar Lisboa Norte. Paediatric Pulmonology Unit. University Paediatrics Clinic. Child and Family Department. Director Prof. Doctor J C Gomes Pedro" "etiqueta" => "3" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência</span>/<span class="elsevierStyleItalic"><span class="elsevierStyleBold">Correspondence to</span></span>: Cláudia Calado, Hospital de Faro EPE. Serviço de Pediatria, Rua Penedo Leão, 8000 Faro" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Are there any differences in the community acquired pneumonias admitted to hospital over the past decade?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-31" "fechaAceptado" => "2009-07-23" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570131" "palabras" => array:5 [ 0 => "Pneumonia" 1 => "internamento" 2 => "empiema" 3 => "vacina" 4 => "<span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570130" "palabras" => array:5 [ 0 => "Pneumonia" 1 => "hospital admission" 2 => "empyema" 3 => "vaccine" 4 => "<span class="elsevierStyleItalic">Streptococcus pneumoniae</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Nos últimos anos tem sido descrita, no mundo ocidental, uma redução da incidência da pneumonia aguda da comunidade (PAC) nas crianças, parodoxalmente associada a maior gravidade dos casos internados. O presente estudo pretendeu caracterizar os casos de PAC internados e compará-los com um estudo anterior a 2001.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Recolhemos dados referentes a 63 internamentos, durante seis meses. Houve predomínio do grupo dos 0-2 anos. Na radiografia torácica, em 58 casos (92,1%) detectou-se condensação/atelectasia e em 17 (27,0%) derrame pleu ral (DP). Onze dos DP corresponderam a empiema (17,4% dos internamentos). Isolou-se agente bacteriano em cinco casos: <span class="elsevierStyleItalic">Streptococcus pyogenes</span> (dois, líquido pleural), <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> (dois, hemocultura) e <span class="elsevierStyleItalic">Haemophilus influenzae</span> (um, hemocultura). Foi prescrita antibioticoterapia em 61 (96,8%) crianças. A duração mediana de internamento foi de cinco dias. Constatou-se, nos casos de DP, idade superior, maior duração de febre, proteína C reactiva mais alta e maior duração de internamento e de antibioticoterapia endovenosa. Comparativamente com o estudo anterior, constatou-se haver maior gravidade dos casos internados, traduzida por maior incidência de DP e empiema; paradoxalmente, registou-se menor duração da febre em meio hospitalar e menor duração do internamento. No estudo actual houve menor prescrição antibiótica prévia à admissão e maior prescrição de ampicilina durante o internamento.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Na literatura, a maior gravidade das pneumonias internadas nos últimos anos tem sido associada à emergência de serotipos mais agressivos de <span class="elsevierStyleItalic">Stretococcus pneumoniae</span> não integrados na vacina heptavalente, assumindo interesse crescente a introdução de vacinas que os incluam. As pneumonias complicadas devem ser orientadas para centros de referência com experiência no seu diagnóstico e tratamento.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 287-305</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">The past few years have seen a decline in community acquired pneumonia (CAP) in children in the western world, although this has gone hand-in-hand with more serious cases needing hospital admission. Our study characterises cases of CAP admitted to hospital and compares this data with a 2001 study. We collected data on 63 admissions over a six-month period. The majority were aged 0-2 years old. Chest X-ray showed consolidation/atelectasy in 58 (92.1%) and pleural effusion (PE) in 17 (27.0%), of which 11 were empyema (17.4% of all admissions). The bacterial agent was isolated in five cases: <span class="elsevierStyleItalic">Streptococcus pyogenes</span> (two, pleural fluid), <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> (two, blood culture) and <span class="elsevierStyleItalic">Haemophilus influenzae</span> (one, blood culture). Sixty-one children (96.8%) were prescribed antibiotherapy. The median length of hospital stay was five days. Patients with PE were older, had a longer course of fever, higher inflammatory parameters, longer hospital stay and longer course of iv antibiotics. Compared to the prior study we found greater severity of CAP, with higher prevalence of PE and empyema. Nevertheless there was a shorter course of fever during hospital stay and shorter hospital stay. We also noticed less antibiotic prescription prior to admission and greater prescription of ampicillin during hospital stay.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">In the literature, the higher severity of CAP has been partially attributed to the emergence of more aggressive serotypes of <span class="elsevierStyleItalic">Stretococcus pneumoniae</span> not included in the heptavalent vaccine. There is therefore a greater interest in new vaccines containing them. Complicated CAP should be referred to centres specialising in its diagnosis and management.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 287-305</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:59 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumonia aguda da comunidade na criança – Decisão terapêutica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Quintas" 1 => "A. Boto" 2 => "L. Pereira" 3 => "C. Barreto" 4 => "L. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumonia awarness year, 2004: scientific impact through publications in archivos de bronconeumologia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "O.R. Naranjo" 1 => "J.A. Marco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2006" "volumen" => "2" "numero" => "10" "paginaInicial" => "541" "paginaFinal" => "552" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Está aumentando la incidência de derrames pleurales paraneumónicos?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.B. Campana" 1 => "B.A. Reigosa" 2 => "S.J. Ruiz" 3 => "F.E. Olavarría" 4 => "M.A.M. 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Original language: Portuguese
Year/Month | Html | Total | |
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2024 November | 3 | 0 | 3 |
2024 October | 36 | 43 | 79 |
2024 September | 39 | 33 | 72 |
2024 August | 48 | 35 | 83 |
2024 July | 48 | 34 | 82 |
2024 June | 35 | 20 | 55 |
2024 May | 54 | 31 | 85 |
2024 April | 38 | 34 | 72 |
2024 March | 34 | 33 | 67 |
2024 February | 31 | 22 | 53 |
2024 January | 23 | 25 | 48 |
2023 December | 25 | 23 | 48 |
2023 November | 23 | 18 | 41 |
2023 October | 15 | 21 | 36 |
2023 September | 28 | 24 | 52 |
2023 August | 24 | 23 | 47 |
2023 July | 24 | 38 | 62 |
2023 June | 21 | 18 | 39 |
2023 May | 34 | 24 | 58 |
2023 April | 23 | 25 | 48 |
2023 March | 16 | 26 | 42 |
2023 February | 21 | 31 | 52 |
2023 January | 25 | 20 | 45 |
2022 December | 17 | 30 | 47 |
2022 November | 31 | 37 | 68 |
2022 October | 38 | 33 | 71 |
2022 September | 23 | 32 | 55 |
2022 August | 41 | 46 | 87 |
2022 July | 19 | 33 | 52 |
2022 June | 16 | 30 | 46 |
2022 May | 44 | 40 | 84 |
2022 April | 16 | 34 | 50 |
2022 March | 21 | 41 | 62 |
2022 February | 27 | 23 | 50 |
2022 January | 21 | 38 | 59 |
2021 December | 22 | 42 | 64 |
2021 November | 29 | 30 | 59 |
2021 October | 33 | 38 | 71 |
2021 September | 23 | 38 | 61 |
2021 August | 28 | 24 | 52 |
2021 July | 23 | 14 | 37 |
2021 June | 17 | 20 | 37 |
2021 May | 41 | 34 | 75 |
2021 April | 41 | 39 | 80 |
2021 March | 39 | 20 | 59 |
2021 February | 41 | 14 | 55 |
2021 January | 37 | 17 | 54 |
2020 December | 26 | 19 | 45 |
2020 November | 38 | 17 | 55 |
2020 October | 21 | 18 | 39 |
2020 September | 63 | 22 | 85 |
2020 August | 50 | 28 | 78 |
2020 July | 51 | 15 | 66 |
2020 June | 43 | 26 | 69 |
2020 May | 43 | 19 | 62 |
2020 April | 39 | 20 | 59 |
2020 March | 41 | 16 | 57 |
2020 February | 47 | 25 | 72 |
2020 January | 38 | 18 | 56 |
2019 December | 29 | 21 | 50 |
2019 November | 40 | 17 | 57 |
2019 October | 30 | 16 | 46 |
2019 September | 39 | 21 | 60 |
2019 August | 62 | 17 | 79 |
2019 July | 41 | 11 | 52 |
2019 June | 46 | 9 | 55 |
2019 May | 61 | 27 | 88 |
2019 April | 46 | 25 | 71 |
2019 March | 66 | 13 | 79 |
2019 February | 62 | 12 | 74 |
2019 January | 59 | 16 | 75 |
2018 December | 29 | 9 | 38 |
2018 November | 8 | 1 | 9 |
2018 October | 14 | 5 | 19 |
2018 September | 20 | 7 | 27 |
2018 August | 43 | 15 | 58 |
2018 July | 42 | 22 | 64 |
2018 June | 37 | 23 | 60 |
2018 May | 48 | 12 | 60 |
2018 April | 50 | 29 | 79 |
2018 March | 43 | 35 | 78 |
2018 February | 29 | 14 | 43 |
2018 January | 35 | 19 | 54 |
2017 December | 43 | 18 | 61 |
2017 November | 39 | 22 | 61 |
2017 October | 29 | 21 | 50 |
2017 September | 41 | 16 | 57 |
2017 August | 20 | 18 | 38 |
2017 July | 14 | 8 | 22 |
2017 June | 27 | 16 | 43 |
2017 May | 29 | 9 | 38 |
2017 April | 6 | 2 | 8 |
2017 March | 12 | 3 | 15 |
2017 February | 9 | 2 | 11 |
2017 January | 12 | 2 | 14 |
2016 December | 12 | 4 | 16 |
2016 November | 10 | 7 | 17 |
2016 October | 9 | 5 | 14 |
2016 September | 2 | 9 | 11 |
2016 August | 4 | 2 | 6 |
2016 July | 4 | 5 | 9 |
2016 May | 0 | 3 | 3 |
2016 April | 3 | 15 | 18 |
2016 March | 5 | 13 | 18 |
2016 February | 3 | 16 | 19 |
2016 January | 9 | 10 | 19 |
2015 December | 10 | 5 | 15 |
2015 November | 3 | 5 | 8 |
2015 October | 2 | 2 | 4 |