Martinez C.D.,Hospital Pediatrico Docente Juan Manuel Marquez |
Mendoza D.V.,Hospital Pediatrico Docente Juan Manuel Marquez |
Gilda Torano Peraza C.,Instituto Pedro Kouri IPK |
Carmenate M.A.,Hospital Docente Pediatrico del Cerro |
Morera A.B.,Hospital Pediatrico Docente Juan Manuel Marquez
Revista Cubana de Medicina General Integral | Year: 2012
Pertussis-like syndrome, a clinical picture similar to whooping cough, is one of the most common lower respiratory syndromes in the pediatric practice in recent years. Whooping cough continues to be one of the oldest preventable diseases in infants, which still causes significant outbreaks mainly in children, but also in adolescents and adults. The objective of this review was to provide general physicians and pediatricians at the primary and the secondary health care levels with information about this present re-emerging epidemiological problem. The management of this disease is difficult for both the developed and the developing countries. One of the major obstacles that lead to delayed epidemiological intervention and treatment of whooping cough in several countries has been the poor clinical suspicion of the presence of the disease on the part of health workers and physicians, and the lack of knowledge within the family setting. It is required to know and to accept the re-emergence of whooping cough at present, in order to make a timely diagnosis and to apply a line of treatment.
Diagnosis delays of smear- negative pulmonary tuberculosis patients in a municipality and some hospitals of Havana [Demora del diagnóstico de tuberculosis pulmonar baciloscópicamente negativa en un municipio y hospitales de La Habana]
Diaz Castrillo A.O.,University of Medical Sciences of Costa Rica |
Ramos Molina D.,University of Medical Sciences of Costa Rica |
Zarut Cruz R.S.,University of Medical Sciences of Costa Rica |
Armas Perez L.,Instituto Pedro Kouri IPK |
Gonzalez Ochoa E.,Instituto Pedro Kouri IPK
Revista Cubana de Medicina Tropical | Year: 2015
Introduction: The tuberculosis is supported like a problem of important world health, associated with determinants socioeconomic. Objective: To estimate the diagnosis delay of smear- negative cases of pulmonary Tuberculosis in a municipality and several hospitals of Havana. Methods: Descriptive Audit study in nine Clinical Surgical hospitals of Havana (July, 2004 - June, 2005) and in the Boyeros municipality (2003-2011). Data on age, delays both attributable to patients and the health service (days) as total delay. Results: In the hospitals the median total delay was 194 days for the smearnegative, with culture + pulmonary Tuberculosis (TBp cult +), while for the xR pTB positive (pTB RC) the total median delay was 71 days. In Boyeros the delay attributable to patients the smear -/culture positive pulmonary tuberculosis had a median of 102 days, whereas for the confirmatory diagnosis it reached 54 days. For the xR TB positive delay was 18 and 36 days for both attributable to patients and the service respectively. Major delay exists in concluding the diagnosis of the patients 60 years and over. Conclusion: An early diagnosis would save time by the beginning of the treatment and would prepare additionally the transmission of the TB in the evaluated context. © 2015, Editorial Ciencias Medicas. All rights reserved.