儿科重症登革热:阿根廷布宜诺斯艾利斯有10例登革热病例
María E Sevilla1, Vivian Bokser1, Laura Miño1
1Health Promotion and Protection Division, Hospital General de Niños Pedro de Elizalde, City of Buenos Aires, Argentina.
Archivos argentinos de pediatria
|April 1, 2025
概括
严重的登革热可以影响有或没有危险因素的儿童,影响肝脏等器官. 这项儿科研究强调了2023-2024年爆发期间的严重登革热病例.
科学领域:
- 儿童传染病 儿童传染病
- 病毒学 病毒学
- 流行病学 流行病学
背景情况:
- 儿童的登革热通常是轻微的.
- 严重的登革热病例可能会发生,需要详细的研究.
- 了解严重的登革热对于疫情期间的儿科医疗保健至关重要.
研究的目的:
- 在2023-2024年登革热爆发期间,对儿科患者的严重登革热病例进行鉴定.
- 确定儿童严重登革热的危险因素和临床表现.
主要方法:
- 回顾性描述性横截面研究.
- 包括所有被诊断患有严重登革热的儿科患者.
- 对临床数据,实验室结果和结果的分析.
主要成果:
- 在205例登革热住院病例中,发现了10例严重登革热病例.
- 一半的严重登革热病例发生在没有先前风险因素的儿童中.
- 在6名患者中观察到高转氨酶水平 (>1000U/L);1例死亡.
- DEN-2血清型占主导地位 (7例).
- 肝脏感染是最常见的,但脑炎和心肌炎也发生.
结论:
- 在儿童群体中,严重的登革热可以不论伴随疾病或年龄表现出来.
- 肝脏是主要的目标器官,但神经和心脏并发症是可能的.
- 早期识别和管理对于改善儿科严重登革热的结果至关重要.
相关概念视频
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As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
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01:25Increased Body Temperature
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
01:22Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
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01:14Assessing Body Temperature - Axilla
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:25Types of Fever
Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Here are the different types of fever:
01:29Respiratory Syncytial Virus Disease
Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...