Infecciones en pacientes pediátricos con diagnóstico de Linfoma entre los años 2020-2021 en una IPS de Barranquilla (Atl, CO)
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Fecha
2022
Autores
Ospino Cure, Gisselle Paola
Arcos Ruales, Carlos Andrés
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
Los linfomas son neoplasias que afectan las células linfoides y órganos del sistema inmune. Corresponden a la tercera causa de enfermedad neoplásica y se observan en un 11% de los diagnósticos nuevos en los menores de 15 años. Este aumenta en un 21% en los adolescentes en edades de 15 a 19 años. Los tipos de linfomas encontrados presentan una alta tasa de infecciones durante el tratamiento.
Objetivo: Caracterizar las infecciones en pacientes pediátricos con diagnóstico de linfoma entre los años 2020-2021 en un servicio de consulta externa de Barranquilla (Atl, CO).
Metodología: Estudio trasversal retrospectivo tipo analítico con una medida cuantitativa. Se realizó en el servicio de consulta externa de tres instituciones prestadoras de salud del distrito de Barranquilla (Atl, CO). La población de estudio, fueron menores de 18 años con diagnóstico de linfoma quienes presentaron infecciones documentadas por historia clínica. A los datos se les realizó medidas de tendencia central (media, moda y desviación estándar).
Resultados: De los 27 pacientes, la mayoría fueron hombres (71%). El linfoma más prevalente fue el tipo NO Hodgkin. El tipo de infección de mayor frecuencia fueron las Bacteriana (77%). La mayor tasa de infección se dio en el segundo ciclo. No se encontró asociación entre el ingreso a unidad de cuidados intensivos pediátrico por causa de la infección y el fallecimiento del paciente, pero, si se encontró asociación entre la recurrencia de la infección y la estancia hospitalaria.
Conclusión: Las infecciones que más se presenta en el paciente con Linfoma son las de tipo bacteriana, están más asociadas a los efectos de la inmunosupresión del tratamiento que a otro evento.
Lymphomas are neoplasms that affect lymphoid cells and organs of the immune system. They correspond to the third cause of neoplastic disease and are observed in 11% of new diagnoses in those under 15 years of age. This increases by 21% in adolescents between the ages of 15 and 19. The types of lymphomas found present a high rate of infection during treatment. Objective: To characterize infections in pediatric patients diagnosed with lymphoma between the years 2020-2021 in an outpatient service in Barranquilla (Atl, CO). Methodology: Retrospective cross-sectional analytical study with a quantitative measure. It was carried out in the outpatient service of three health-providing institutions in the district of Barranquilla (Atl, CO). The study population was under 18 years of age with a diagnosis of lymphoma who presented infections documented by clinical history. Central tendency measures (mean, mode and standard deviation) were performed on the data. Results: Of the 27 patients, the majority were men (71%). The most prevalent lymphoma was the non-Hodgkin type. The most frequent type of infection was Bacterial (77%). The highest rate of infection occurred in the second cycle. No association was found between admission to the pediatric intensive care unit due to infection and patient death, but an association was found between infection recurrence and hospital stay. Conclusion: The infections that most often occur in patients with lymphoma are the bacterial type, they are more associated with the effects of immunosuppression of the treatment than with another event.
Lymphomas are neoplasms that affect lymphoid cells and organs of the immune system. They correspond to the third cause of neoplastic disease and are observed in 11% of new diagnoses in those under 15 years of age. This increases by 21% in adolescents between the ages of 15 and 19. The types of lymphomas found present a high rate of infection during treatment. Objective: To characterize infections in pediatric patients diagnosed with lymphoma between the years 2020-2021 in an outpatient service in Barranquilla (Atl, CO). Methodology: Retrospective cross-sectional analytical study with a quantitative measure. It was carried out in the outpatient service of three health-providing institutions in the district of Barranquilla (Atl, CO). The study population was under 18 years of age with a diagnosis of lymphoma who presented infections documented by clinical history. Central tendency measures (mean, mode and standard deviation) were performed on the data. Results: Of the 27 patients, the majority were men (71%). The most prevalent lymphoma was the non-Hodgkin type. The most frequent type of infection was Bacterial (77%). The highest rate of infection occurred in the second cycle. No association was found between admission to the pediatric intensive care unit due to infection and patient death, but an association was found between infection recurrence and hospital stay. Conclusion: The infections that most often occur in patients with lymphoma are the bacterial type, they are more associated with the effects of immunosuppression of the treatment than with another event.
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Palabras clave
Linfoma, Pediátrica, Infecciones, Mortalidad, Lymphoma, Pediatric, Infections, Mortality
