RESUMO
The medical records of 100 children (mean age 1.8 years) consecutively admitted to the ward with a diagnosis of bronchopneumonia, are reviewed. All the patients had a full blood work-up and chest x-rays on admission. All patients were commenced and continued on antibiotics - 95 percent interavenously, 55 percent of the total leukocyte counts and 56 percent of the chest x-rays were normal while 91 percent of the blood cultures were sterile. The management of respiratory infections needs review. Blood cultures and chest x-rays are imporant diagnostic tools which should be used judiciously. (AU)
Assuntos
Criança , Lactente , Humanos , PneumoniaAssuntos
Criança , Humanos , Asma/diagnóstico , Asma/terapia , Bahamas , Sons Respiratórios/classificação , Espasmo BrônquicoRESUMO
The clinical notes of 100 patients (mean age 6.5 years) consecutively diagnosed and treated as acute asthma are reviewed. The vast majority of the patient (82 percent) were from the 1-10 age group. 99 patients received nebulised salbutamol as first line treatment. This way significantly different from 1982 when 100 percent of the acute asthmatics received adrenaline s.c. (p<0.001). Of the 100 patients 40 received antibiotics, mainly amoxicillin and 63 were admitted to the hospital for post-primary treatment. The number of chest radiographs that were requested was significantly smaller (p<0.01) than the number in 1882. Attention needs to be directed towards improving the recording of clinical notes and to avoiding unnecessary and often harmful medications (AU)
