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Acta Pediátrica de México

Órgano Oficial del Instituto Nacional de Pediatría
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2014, Number 5

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Acta Pediatr Mex 2014; 35 (5)

Experience of ten years of neutropenic enterocolitis in intensive care at Instituto Nacional de Pediatría

Muñoz-Ramírez M, Márquez-González H, Zárate-Castañón P, Márquez-Aguirre MP
Full text How to cite this article

Language: Spanish
References: 18
Page: 381-387
PDF size: 541.97 Kb.


Key words:

neutropenic enterocolitis, leukemia, abdominal pain.

ABSTRACT

Neutropenic enterocolitis (NEC) is a disease characterized by an inflammatory process with damage to the intestinal mucosa and occurs as a complication of cytotoxic chemotherapy in oncological diseases, and severe neutropenia secondary to other diseases.

Objective: To describe the population of patients with NEC who are served in the pediatric intensive care unit at Instituto Nacional de Pediatría.
Methods: 10-year data of patients registered with a diagnosis of NEC (1 500 cel/μL less neutropenia, acute abdomen, consistent studies cabinet) on admission to the intensive therapy that consisted of: age, type of cancer, organ failure, stage of sepsis, medical treatment and surgical management. Frequencies and percentages for qualitative; statistical analysis for measures of dispersion and central tendency were used for quantitative variables.
Results: Population of 116 patients, 69 (60%) were men. The leukemia is the most common malignancy in 55%. 35% of patients corresponded to stage school. Sepsis was the most common presentation. Abdominal pain symptom most frequently found. 33% died as a result.
Conclusions: The present study is exploratory in nature and compares the local epidemiology of the Instituto Nacional de Pediatría with UTIP world.


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Acta Pediatr Mex. 2014;35