Please use this identifier to cite or link to this item: http://tcc.fps.edu.br:80/jspui/handle/fpsrepo/469
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dc.contributor.authorLIMA, Luziene Alencar Bonates-
dc.contributor.authorVASCONCELOS, Gabriela Barreto Almeida-
dc.contributor.authorFERREIRA, Myrelle Stephane Batista-
dc.contributor.authorCARDOSO, Yane Ferreira-
dc.date.accessioned2019-11-14T11:14:26Z-
dc.date.available2019-11-14T11:14:26Z-
dc.date.issued2019-
dc.identifier.urihttp://tcc.fps.local:80/handle/fpsrepo/469-
dc.descriptionOrientadora: Mônica Maria Coentro Moraespt_BR
dc.description.abstractObjetivos: descrever o perfil epidemiológico, clínico, laboratorial e terapêutico de pacientes internados com doença de Kawasaki (DK) no Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) entre janeiro/2008 e dezembro/2017. Métodos: realizou-se um estudo transversal, entre janeiro/2019 e junho/2019, com análise de prontuários de pacientes com suspeita de DK. Foram verificadas as características epidemiológicas, clínicas, laboratoriais e terapêuticas apenas dos casos confirmados. Os dados foram dispostos em planilha Excel e analisados pelo software STATA/SE 12.0. O trabalho obteve aprovação do Comitê de Ética do IMIP. Resultados: foram analisados 57 casos e, dentre esses, 41 confirmaram o diagnóstico de DK. Foi obtida a média de 2,7 (± 2,4) anos de idade com predominância do sexo masculino. Registrou-se, em ordem decrescente de ocorrência, os seguintes achados: febre, rash cutâneo, conjuntivite, alterações orais, adenopatia cervical e alterações de extremidades. A maioria dos casos apresentou contagens de hemoglobina, leucócitos, plaquetas e PCR alteradas. Foram analisados 73 ecocardiogramas e, desses, 39 apresentaram alterações. O ácido acetilsalicílico foi administrado em 92,7% dos pacientes, porém seu uso simultâneo à imunoglobulina foi realizado somente em 31,7% dos casos. Os diagnósticos diferenciais prevalentes foram escarlatina, estreptococcia a esclarecer e arboviroses. Conclusão: os dados obtidos são, em maioria, condizentes com a literatura, embora a prática terapêutica se encontre fora dos padrões ideais.pt_BR
dc.description.sponsorshipObjectives: to describe the epidemiological, clinical, laboratory and therapeutic profile of hospitalized patients with Kawasaki Disease (KD) at the Instituto de Medicina Integral Prof. Fernando Figueira (IMIP) between January/2008 and December/2017. Methods: a crosssectional study was conducted between January/2019 and June/2019 with analysis of medical records of patients with KD suspect. The epidemiological, clinical, laboratorial and therapeutic characteristics were verified only in confirmed cases. The collected data were arranged at Excel 2010 for Windows and statistically analyzed through the software STATA/SE 12.0. The study was approved by the Ethics Committee at IMIP. Results: 57 cases were analyzed and 41 of these met the diagnostic criteria for KD. The average age of 2.7 (± 2.4) years old was obtained with male predominance. The following findings were recorded in descending order of occurrence: fever, skin rash, conjunctivitis, oral changes, cervical adenopathy, and extremity changes. Most cases had altered hemoglobin, leukocyte, platelet and CRP counts. 73 echocardiograms were analyzed and, of these, 39 presented alterations. The acetylsalicylic acid was administered in 92.7% of the patients, but the simultaneous use with intravenous immunoglobulin was performed only in 31.7% of the cases. The prevalent differential diagnoses were scarlet fever, undefined streptococcal infection and arboviruses. Conclusion: Most of the data obtained are consistent with the literature, although the therapeutic practice is outside the ideal standards.pt_BR
dc.language.isootherpt_BR
dc.subjectSíndrome de linfonodos mucocutâneospt_BR
dc.subjectPerfil em saúdept_BR
dc.subjectVasculitept_BR
dc.titlePerfil de pacientes internados com doença de Kawasaki em hospital de referência entre 2008 e 2017pt_BR
dc.typeOtherpt_BR
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