Objective. To determine the association between caesarean sections and the Acute bronchial obstructive syndrome (SOBA) in patients 12 to 36 months of age hospitalized at Vitarte-MINSA Hospital during 2017-2019. Material and methods. An analytical retrospective study of cases and controls was carried out. The population studied were 12 to 36-month-old patients hospitalized during 2017-2019, consisting of 306 children, 102 cases and 204 controls (1:2). The source of data collection was the medical history where the following variables are recorded: age, sex, caesarean section, APGAR, gestational age, breastfeeding, vaccination, overcrowding and siblings.  Results. The study population consisted mainly of 1-year-old children (53.27%) of female sex (52.29%). Caesarean section represents 41.18% of births and the association with the development of SOBA (OR = 2.50; 95% CI = 1.51-4.15; p <0...

Objective. To determine the association between caesarean sections and the Acute bronchial obstructive syndrome (SOBA) in patients 12 to 36 months of age hospitalized at Vitarte-MINSA Hospital during 2017-2019. Material and methods. An analytical retrospective study of cases and controls was carried out. The population studied were 12 to 36-month-old patients hospitalized during 2017-2019, consisting of 306 children, 102 cases and 204 controls (1:2). The source of data collection was the medical history where the following variables are recorded: age, sex, caesarean section, APGAR, gestational age, breastfeeding, vaccination, overcrowding and siblings.  Results. The study population consisted mainly of 1-year-old children (53.27%) of female sex (52.29%). Caesarean section represents 41.18% of births and the association with the development of SOBA (OR = 2.50; 95% CI = 1.51-4.15; p <0...

INTRODUCCIÓN: En Latinoamérica las Infecciones respiratorias agudas (IRAs) son el principal motivo de hospitalización en pediatría siendo principalmente por Infecciones del tracto respiratorio inferior como el Síndrome Obstructivo Bronquial Agudo (SOBA), enfermedad con una alta incidencia en la infancia y causa frecuente de consulta en el nivel primario. OBJETIVO: Identificar la asociación entre partos por cesárea y el SOBA en pacientes de 12 a 36 meses de edad hospitalizados en el Hospital de Vitarte-MINSA durante el año 2017-2019. MATERIAL Y MÉTODOS: Se realizó un estudio analítico, retrospectivo, de casos y controles. La población estudiada fueron los pacientes de 12-36 meses de edad hospitalizados durante el año 2017-2019, conformada por 306 niños siendo 102 casos y 204 controles (1:2). Los datos a estudiar se obtuvieron de la historia clínica donde se registró las si...

ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...

ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...