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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Nos &#250;ltimos anos tem sido descrita&#44; no mundo ocidental&#44; uma redu&#231;&#227;o da incid&#234;ncia da pneumonia aguda da comunidade &#40;PAC&#41; nas crian&#231;as&#44; parodoxalmente associada a maior gravidade dos casos internados&#46; O presente estudo pretendeu caracterizar os casos de PAC internados e compar&#225;-los com um estudo anterior a 2001&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Recolhemos dados referentes a 63 internamentos&#44; durante seis meses&#46; Houve predom&#237;nio do grupo dos 0-2 anos&#46; Na radiografia tor&#225;cica&#44; em 58 casos &#40;92&#44;1&#37;&#41; detectou-se condensa&#231;&#227;o&#47;atelectasia e em 17 &#40;27&#44;0&#37;&#41; derrame pleu ral &#40;DP&#41;&#46; Onze dos DP corresponderam a empiema &#40;17&#44;4&#37; dos internamentos&#41;&#46; Isolou-se agente bacteriano em cinco casos&#58; <span class="elsevierStyleItalic">Streptococcus pyogenes</span> &#40;dois&#44; l&#237;quido pleural&#41;&#44; <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> &#40;dois&#44; hemocultura&#41; e <span class="elsevierStyleItalic">Haemophilus influenzae</span> &#40;um&#44; hemocultura&#41;&#46; Foi prescrita antibioticoterapia em 61 &#40;96&#44;8&#37;&#41; crian&#231;as&#46; A dura&#231;&#227;o mediana de internamento foi de cinco dias&#46; Constatou-se&#44; nos casos de DP&#44; idade superior&#44; maior dura&#231;&#227;o de febre&#44; prote&#237;na C reactiva mais alta e maior dura&#231;&#227;o de internamento e de antibioticoterapia endovenosa&#46; Comparativamente com o estudo anterior&#44; constatou-se haver maior gravidade dos casos internados&#44; traduzida por maior incid&#234;ncia de DP e empiema&#59; paradoxalmente&#44; registou-se menor dura&#231;&#227;o da febre em meio hospitalar e menor dura&#231;&#227;o do internamento&#46; No estudo actual houve menor prescri&#231;&#227;o antibi&#243;tica pr&#233;via &#224; admiss&#227;o e maior prescri&#231;&#227;o de ampicilina durante o internamento&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Na literatura&#44; a maior gravidade das pneumonias internadas nos &#250;ltimos anos tem sido associada &#224; emerg&#234;ncia de serotipos mais agressivos de <span class="elsevierStyleItalic">Stretococcus pneumoniae</span> n&#227;o integrados na vacina heptavalente&#44; assumindo interesse crescente a introdu&#231;&#227;o de vacinas que os incluam&#46; As pneumonias complicadas devem ser orientadas para centros de refer&#234;ncia com experi&#234;ncia no seu diagn&#243;stico e tratamento&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 287-305</span></p></span>"
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        "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 &#40;CAP&#41; in children in the western world&#44; although this has gone hand-in-hand with more serious cases needing hospital admission&#46; Our study characterises cases of CAP admitted to hospital and compares this data with a 2001 study&#46; We collected data on 63 admissions over a six-month period&#46; The majority were aged 0-2 years old&#46; Chest X-ray showed consolidation&#47;atelectasy in 58 &#40;92&#46;1&#37;&#41; and pleural effusion &#40;PE&#41; in 17 &#40;27&#46;0&#37;&#41;&#44; of which 11 were empyema &#40;17&#46;4&#37; of all admissions&#41;&#46; The bacterial agent was isolated in five cases&#58; <span class="elsevierStyleItalic">Streptococcus pyogenes</span> &#40;two&#44; pleural fluid&#41;&#44; <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> &#40;two&#44; blood culture&#41; and <span class="elsevierStyleItalic">Haemophilus influenzae</span> &#40;one&#44; blood culture&#41;&#46; Sixty-one children &#40;96&#46;8&#37;&#41; were prescribed antibiotherapy&#46; The median length of hospital stay was five days&#46; Patients with PE were older&#44; had a longer course of fever&#44; higher inflammatory parameters&#44; longer hospital stay and longer course of iv antibiotics&#46; Compared to the prior study we found greater severity of CAP&#44; with higher prevalence of PE and empyema&#46; Nevertheless there was a shorter course of fever during hospital stay and shorter hospital stay&#46; We also noticed less antibiotic prescription prior to admission and greater prescription of ampicillin during hospital stay&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">In the literature&#44; 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&#46; There is therefore a greater interest in new vaccines containing them&#46; Complicated CAP should be referred to centres specialising in its diagnosis and management&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 287-305</span></p></span>"
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Artigo Original/Original Article
Estarão diferentes as pneumonias agudas adquiridas na comunidade com internamento hospitalar em idade pediátrica na última década?
Are there any differences in the community acquired pneumonias admitted to hospital over the past decade?
Cláudia Calado1,
Corresponding author
claudiasilvacalado@hotmail.com

Correspondência/Correspondence to: Cláudia Calado, Hospital de Faro EPE. Serviço de Pediatria, Rua Penedo Leão, 8000 Faro
, Pedro Nunes2, Luísa Pereira3, Teresa Nunes3, Celeste Barreto3, Teresa Bandeira3
1 Hospital de Faro EPE. Serviço de Pediatria. Director: Dr. José Maio/Hospital de Faro EPE. Paediatrics Unit. Director Dr. José Maio
2 Hospital Fernando da Fonseca. Serviço de Pediatria. Director: Dra Helena Carreiro/Hospital Fernando da Fonseca. Paediatrics Unit. Director Dr. Helena Carreiro
3 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
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Nos &#250;ltimos anos tem sido descrita&#44; no mundo ocidental&#44; uma redu&#231;&#227;o da incid&#234;ncia da pneumonia aguda da comunidade &#40;PAC&#41; nas crian&#231;as&#44; parodoxalmente associada a maior gravidade dos casos internados&#46; O presente estudo pretendeu caracterizar os casos de PAC internados e compar&#225;-los com um estudo anterior a 2001&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Recolhemos dados referentes a 63 internamentos&#44; durante seis meses&#46; Houve predom&#237;nio do grupo dos 0-2 anos&#46; Na radiografia tor&#225;cica&#44; em 58 casos &#40;92&#44;1&#37;&#41; detectou-se condensa&#231;&#227;o&#47;atelectasia e em 17 &#40;27&#44;0&#37;&#41; derrame pleu ral &#40;DP&#41;&#46; Onze dos DP corresponderam a empiema &#40;17&#44;4&#37; dos internamentos&#41;&#46; Isolou-se agente bacteriano em cinco casos&#58; <span class="elsevierStyleItalic">Streptococcus pyogenes</span> &#40;dois&#44; l&#237;quido pleural&#41;&#44; <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> &#40;dois&#44; hemocultura&#41; e <span class="elsevierStyleItalic">Haemophilus influenzae</span> &#40;um&#44; hemocultura&#41;&#46; Foi prescrita antibioticoterapia em 61 &#40;96&#44;8&#37;&#41; crian&#231;as&#46; A dura&#231;&#227;o mediana de internamento foi de cinco dias&#46; Constatou-se&#44; nos casos de DP&#44; idade superior&#44; maior dura&#231;&#227;o de febre&#44; prote&#237;na C reactiva mais alta e maior dura&#231;&#227;o de internamento e de antibioticoterapia endovenosa&#46; Comparativamente com o estudo anterior&#44; constatou-se haver maior gravidade dos casos internados&#44; traduzida por maior incid&#234;ncia de DP e empiema&#59; paradoxalmente&#44; registou-se menor dura&#231;&#227;o da febre em meio hospitalar e menor dura&#231;&#227;o do internamento&#46; No estudo actual houve menor prescri&#231;&#227;o antibi&#243;tica pr&#233;via &#224; admiss&#227;o e maior prescri&#231;&#227;o de ampicilina durante o internamento&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Na literatura&#44; a maior gravidade das pneumonias internadas nos &#250;ltimos anos tem sido associada &#224; emerg&#234;ncia de serotipos mais agressivos de <span class="elsevierStyleItalic">Stretococcus pneumoniae</span> n&#227;o integrados na vacina heptavalente&#44; assumindo interesse crescente a introdu&#231;&#227;o de vacinas que os incluam&#46; As pneumonias complicadas devem ser orientadas para centros de refer&#234;ncia com experi&#234;ncia no seu diagn&#243;stico e tratamento&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 287-305</span></p></span>"
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        "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 &#40;CAP&#41; in children in the western world&#44; although this has gone hand-in-hand with more serious cases needing hospital admission&#46; Our study characterises cases of CAP admitted to hospital and compares this data with a 2001 study&#46; We collected data on 63 admissions over a six-month period&#46; The majority were aged 0-2 years old&#46; Chest X-ray showed consolidation&#47;atelectasy in 58 &#40;92&#46;1&#37;&#41; and pleural effusion &#40;PE&#41; in 17 &#40;27&#46;0&#37;&#41;&#44; of which 11 were empyema &#40;17&#46;4&#37; of all admissions&#41;&#46; The bacterial agent was isolated in five cases&#58; <span class="elsevierStyleItalic">Streptococcus pyogenes</span> &#40;two&#44; pleural fluid&#41;&#44; <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> &#40;two&#44; blood culture&#41; and <span class="elsevierStyleItalic">Haemophilus influenzae</span> &#40;one&#44; blood culture&#41;&#46; Sixty-one children &#40;96&#46;8&#37;&#41; were prescribed antibiotherapy&#46; The median length of hospital stay was five days&#46; Patients with PE were older&#44; had a longer course of fever&#44; higher inflammatory parameters&#44; longer hospital stay and longer course of iv antibiotics&#46; Compared to the prior study we found greater severity of CAP&#44; with higher prevalence of PE and empyema&#46; Nevertheless there was a shorter course of fever during hospital stay and shorter hospital stay&#46; We also noticed less antibiotic prescription prior to admission and greater prescription of ampicillin during hospital stay&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">In the literature&#44; 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&#46; There is therefore a greater interest in new vaccines containing them&#46; Complicated CAP should be referred to centres specialising in its diagnosis and management&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010&#59; XVI &#40;2&#41;&#58; 287-305</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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