RESUMO
Acute pancreatitis (AP) and recurrent acute pancreatitis (RAP) are conditions, whose incidence is apparently on the rise. Despite the ever-increasing evidence regarding the management of AP in children and adults, therapeutic actions that could potentially affect having a poor prognosis in those patients, especially in the pediatric population, continue to be carried out. Therefore, the Asociación Mexicana de Gastroenterología convened a group of 24 expert pediatric gastroenterologists from different institutions and areas of Mexico, as well as 2 pediatric nutritionists and 2 specialists in pediatric surgery, to discuss different aspects of the epidemiology, diagnosis, and treatment of AP and RAP in the pediatric population. The aim of this document is to present the consensus results. Different AP topics were addressed by 6 working groups, each of which reviewed the information and formulated statements considered pertinent for each module, on themes involving recommendations and points of debate, concerning diagnostic or therapeutic approaches. All the statements were presented and discussed. They were then evaluated through a Delphi process, with electronic and anonymous voting, to determine the level of agreement on the statements. A total of 29 statements were formulated, all of which reached above 75% agreement in the first round of voting.
Assuntos
Pancreatite , Adulto , Humanos , Criança , Adolescente , Pancreatite/diagnóstico , Pancreatite/terapia , Consenso , Doença Aguda , México/epidemiologiaAssuntos
Anticorpos Antivirais/sangue , Doadores de Sangue , Segurança do Sangue , Dengue/transmissão , Doenças Endêmicas/prevenção & controle , Reação Transfusional , Viremia/epidemiologia , Adolescente , Adulto , Idoso , Doenças Assintomáticas , Segurança do Sangue/estatística & dados numéricos , Estudos Transversais , Dengue/sangue , Dengue/epidemiologia , Dengue/prevenção & controle , Vírus da Dengue/classificação , Vírus da Dengue/imunologia , Notificação de Doenças , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Programas de Rastreamento , México/epidemiologia , Pessoa de Meia-Idade , Risco , Sensibilidade e Especificidade , Estudos Soroepidemiológicos , Sorogrupo , Viremia/diagnóstico , Adulto JovemRESUMO
We studied serotypes circulating dengue virus (DENV) cases, entomological Breteau index, rain-fall index and epidemiology of groups affected during the 2010 outbreak in Nuevo Leon, Mexico. From 2,271 positive cases, 94% were dengue classic and 6% dengue hemorrhagic fever; DENV1 was mainly isolated (99%) (Central-American lineage of American-African-genotype). We found correlation between two environmental phenomena (Increment of rainfall and vector-indexes) (p ≤ 0.05) with epidemiological, clinical and risk of DENV-1 ongoing transmission.