Posts tagged ‘Atención Primaria’

Neumonia Adquirida en la Comunidad: Consenso Chileno 2010

La neumonía adquirida por adultos en la comunidad (NAC) permanece como una de las infecciones más serias que afectan a los pacientes ambulatorios, representando una morbilidad y mortalidad significativa. En E.U.A. es la sexta causa principal demuerte. De hecho, se estima que, aproximadamente, 5,6 millones de casos de NAC ocurren cada año en ese país y al menos un millón de ellos requieren hospitalización. Además, la NAC es, probablemente, una de las infecciones que afectan a los pacientes ambulatorios para la cual se escribieron la mayor diversidad de lineamientos en todo el mundo.

Neumonía aguda adquirida en la comunidad en adultos: Actualización de los lineamientos para el tratamiento antimicrobiano inicial basado en la evidencia local del Grupo de Trabajo de Sudamérica (ConsenSur II) Rev Chil Infect 2010; 27 (Supl 1): 9-38

4 septiembre, 2010 at 1:00 Deja un comentario

Guía Clínica Hipertensión Arterial o esencial en personas de 15 años o más

La importancia de la hipertensión arterial como problema de salud pública radica en su rol causal de morbimortalidad cardiovascular.
La prevalencia mundial de HTA en el año 2000 se estimó en 26,4%. Para el año 2001 se le atribuyen 7,6 millones de muertes prematura (13,5% del total) y 92 millones (6% del total) de años de vida saludables perdidos (AVISA∗).
La HTA es el principal factor de riesgo para enfermedad cerebrovascular (ECV) y enfermedad coronaria. Se le atribuye el 54% de las ECV y 47% de la enfermedad cardíaca isquémica
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27 agosto, 2010 at 2:40 Deja un comentario

Fiebre sin Foco en menores de 3 años.

Fever, one of the most common chief complaints of children seeking medical
attention, prompted over 5 million emergency department (ED) visits in
2002 . Most of these children have identifiable causes of their fevers, but many
will have fever without an apparent source (FWS) after conclusion of the history
and physical examination. Despite the frequency of fever as a chief complaint,
there is considerable controversy in the management of the young child who
has FWS . The challenge in the evaluation of the febrile young child lies
in balancing the minimization of risk to the patient with the costs of testing
and treatment.

Fever Without Source in Children 0 to 36 Months of Age : Paul Ishimine; Pediatr Clin N Am 53 (2006) 167 – 194

15 agosto, 2010 at 20:20 Deja un comentario

Enuresis: Manejo basado en la evidencia BMJ

Bedwetting is a common symptom with many causes. Nocturnal enuresis is the most frequent cause; it is recognised by the absence of other urinary symptoms or signs of disease. Most children presenting with nocturnal enuresis have never been reliably dry, but in a minority enuresis has started after they had become dry, possibly triggered by stressful life events. If daytime wetting is present the child is most likely to have the urge syndrome, with or without urge incontinence as well, or dysfunctional voiding—functional  bladder disturbances that result in incontinence. Rarely, incontinence may be due to structural abnormalities of the urinary tract,  such as posterior urethral valves, or abnormalities of the nervous system, such as spinal dysraphism.

Evidence based paediatrics: Evidence based management of nocturnal enuresis Jonathan H C Evans BMJ 2001;323;1167-1169

10 julio, 2010 at 20:13 Deja un comentario

Dolor Abdominal Recurrente

Recurrent abdominal pain (RAP) is a frequent and troublesome complaint in childhood and adolescence, and the search for a cause and a credible approach to management can be taxing for both family and physician. The term “recurrent abdominal pain” was coined by the British pediatrician John Apley, who first published on the subject in 1958. His definition included at least three attacks of pain occurring over a period of 3  months that were severe enough to affect activities and for which no organic cause was identified. In practice, the definition may include any child or adolescent who has RAP for which the family seeks medical attention and explanation, even if the duration of the pain does not adhere strictly to the Apley definition. The definition explicitly excludes the many causes of acute abdominal pain, which lie outside the scope of this review.


Recurrent Abdominal Pain Paul N. Thiessen, MD Pediatrics in Review Vol.23 No.2 February 2002

5 julio, 2010 at 22:39 1 comentario

Diarreas Bacterianas

“Foodborne bacterial diarrhea is an emerging health threat that is attributable to the increased consumption of fresh vegetables and fruits, the challenges associated with producing large quantities of inexpensive foods, the increasing importation of foods from developing regions, and the growing pattern of consumption of foods in public restaurants.1 Of the more than 5.2 million cases of bacterial diarrhea that occur each year in the United States, 80% are a result of foodborne transmission.2 Person to-person spread occurs if only a small amount of a pathogen is required for infection; these pathogens include shigella, Shiga toxin–producing Escherichia coli, and protozoal and viral agents.”

Bacterial Diarrhea duPont, Herbert L. at : n engl j med 361;16  nejm.org  october 15, 2009

29 mayo, 2010 at 23:18 Deja un comentario

Preguntas Frecuentes sobre la Migraña

“Migraine is a common disabling primary headache disorder associated with pronounced disability and hence marked economic and public health implication.”

Answer to frecuently ask question about migraine : Garza I. Swanson J at. Mayo Clin Proc October 2006;81(10),1387-1392

22 abril, 2010 at 19:01 Deja un comentario

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