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2014, Number 3

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Rev Cub Med Int Emerg 2014; 13 (3)

Obstetric patient gravely sick for illness type influenza in an intensive care unit

Sánchez PAJ, Sánchez VAJ, Somoza GME, Pérez AA

Language: Spanish
References: 18
Page: 288-301
PDF size: 191.13 Kb.


ABSTRACT

Introduction: They are approached epidemic, clinical and therapeutic aspects of the serious forms of the illness type influenza in obstetric patients during the first 120 days of the pandemics. Objective: Knowing the epidemic, clinical and therapeutic characteristics of the serious forms of the illness type influenza in the obstetric patient. Method: Prospective, transverse, descriptive work, of field and not experimental, constituted by a consecutive sample of the obstetric patients admitted with serious forms of the illness type influenza in the polivalent intensive care unit in 120 days. Results: The obstetric patient gravely sick by the illness type influenza was not frequent. It had low mortality in the polivalent intensive care unit (6,6%) and province (0,24%). It was not frequent the acute breathing inadequacy and the septic clash with little evolution to the renal failure. There were not important disorders of the clotting. The pneumonia was the most frequent complication. The contribution of Oseltamivir decided their evolution. 38 pregnant women survived (88,3%) and 39 (100%) of the viable fetuses that were born normal. Conclusions: The obstetric patient sick by the illness type influenza had important index of admission. The mortality was minor to the international revised reports. The greater affectation was of the 2nd and 3rd trimesters of gestation. The pneumonia was the most frequent complication. The precocious admission and the early contribution of Oseltamivir reduced the level of graveness. There was minor index of complications, better fetal and maternal survival that in the revised literature. It was not proved the teratogenic effect for the use of Oseltamivir.


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