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Introducción: Las infecciones de tracto urinario se encuentran entre las infecciones de mayor prevalencia en la parte clínica. Son un problema de salud global y se pueden presentar con o sin síntomas. Los agentes bacterianos aislados en mayor frecuencia son Escherichia coli, Klebsiella spp y Proteus spp. Objetivo: Caracterizar las infecciones de tracto urinario producidas por enterobacterias productoras de betalactamasas de espectro extendido en pacientes hospitalizados, Lima 2016-2018. Métodos: Se realizó un estudio descriptivo en 2 instituciones prestadoras de salud, en Lima, Perú, durante el periodo 2016-2018, a partir de los aislamientos de patógenos blee asociados a infecciones de tracto urinario. Se tuvieron en cuenta variables sociodemográficas, enfermedades asociadas, agentes aislados, tratamiento y respuesta clínica. Resultados: Se obtuvo un registro de 117 pacientes, c...

Identificar la posible asociación de diabetes mellitus e hipertensión arterial como factores de riesgo de mortalidad en pacientes con COVID-19. Material y métodos: estudio de cohorte prospectivo, incluye a 1947 pacientes con 30 o más años de edad, atenciones realizadas entre marzo y agosto del 2020; pacientes con diagnóstico clínico y laboratorial de COVID-19; se excluyeron pacientes con inconsistencias en la información registrada, fallecidos en primeras 24 horas o estuvieron muertos al ingreso. Se incluyeron variable periodo de atención, edad, sexo, diabetes mellitus, hipertensión arterial, estancia hospitalaria, frecuencia respiratoria, frecuencia cardiaca, saturación de oxígeno y temperatura; para el análisis se utilizó la prueba chi cuadrado de Pearson, Odds Ratio y prueba T de student para muestras no emparejadas (p <0,05). Resultados: 73% de los fallecidos de sexo ma...

Objetivo. Conocer las características de la automedicación como tratamiento preventivo o sintomático en etapa previa y frente a la pandemia por COVID 19. Material y métodos: estudio observacional-descriptivo, participaron 790 pobladores de los distritos de Lima Norte, ambos sexos, mayores de 18 años, participación voluntaria. Se completó cuestionario con variables sociodemográficas, grado de instrucción, comorbilidades, automedicación previa a la pandemia, automedicación en pandemia, condición de profesional/técnico de la salud y fármacos; análisis de datos descriptivos y pruebas t de student, Chi cuadrado de pearson (nivel de significancia 95%). Resultados: edad media 40,87 años, 51,08% sexo femenino, educación primaria/secundaria en el 61.0% de los casos; comorbilidades presentes, al momento del recojo de información, hipertensión arterial (15,4%), sobrepeso/obesidad...

Conocer las características de la automedicación como tratamiento preventivo o sintomático en etapa previa y frente a la pandemia por COVID 19. Material y métodos: estudio observacional-descriptivo, participaron 790 pobladores de los distritos de Lima Norte, ambos sexos, mayores de 18 años, participación voluntaria. Se completó cuestionario con variables sociodemográficas, grado de instrucción, comorbilidades, automedicación previa a la pandemia, automedicación en pandemia, condición de profesional/técnico de la salud y fármacos; análisis de datos descriptivos y pruebas t de student, Chi cuadrado de pearson (nivel de significancia 95%). Resultados: edad media 40,87 años, 51,08% sexo femenino, educación primaria/secundaria en el 61.0% de los casos; comorbilidades presentes, al momento del recojo de información, hipertensión arterial (15,4%), sobrepeso/obesidad (13,7%), ...

Objective: To know the nutritional status of children from 3 to 5 years old living in the districts of Villa el Salvador, San Juan de Miraflores and San Juan de Lurigancho for the period from April to June 2016. Material and methods: Prospective, transversal, non-experimental study. The information includes 1,416 children from the districts of Villa El Salvador, Villa Maria del Triunfo and San Juan de Lurigancho (340, 322 and 754 respectively). The information collected included data on weight, height and age and based on this information, chronic malnutrition, acute malnutrition, overweight and obesity was determined according to the reference standard of the World Health Organization. S/Aand W/S indicators was calculated. Results: It was determined that the population of San Juan de Lurigancho had higher chronic malnutrition (8.6 %) and higher overweight (11.0 %) , the population of th...

Objective: To determine the variables associated with sedentary lifestyle in young students of a public institution of higher education in Lima-Peru. Materials and methods: An observational, cross-sectional, analytical, retrospective study. Data was collected from the students’ medical evaluation form and academic records. The sample consisted of 187 higher education students. Variables such as age, sex, weight, height, abdominal perimeter, academic term, academic performance and academic program were assessed. The students’ annual medical evaluation included answering the International Physical Activity Questionnaire (IPAQ). For the identification of the variables associated with sedentary lifestyle, the chi square-test was used. A significance level of 95 % was accepted (p <0.05). Results: The average age was 18.6 years (CI 16.9 - 20.3), 80 % were male, 39 % were obese/overweigh...

Objetive: Compare anthropometric indicators in two primary schools in a rural and urban area with similar characteristics, to determine the trend of malnutrition and overweight in these areas. Material and Methods: Analytical - comparative, prospective cross-sectional study. The research included 159 children form the Acobamba school district (Huancavelica) and 280 children from the Carabayllo school district (Lima) from two public schools in an inner city and rural area. Information on the study variables (age, sex, weight, height and BMI) were collected using a pre prepared data collection sheet. The period of data collection was from April to May 2014. Results: higher prevalence of malnutrition was evident in Acobamba (10.06%) and increased obesity/overweight in Carabayllo (16.79%); the mean BMI of children of Acobamba and Carabayllo are statistically equal. Conclusion: The epidemiolo...

Objective: To identify the association between the body mass index (BMI) and serum lipid levels in adult people. Material and Methods: Observational, transversal and retrospective study. Non experimental investigation design. The population was conformed for people treated in private health centers in Metropolitan Lima. The evaluations of the BMI and the laboratorial tests to know the seric concentration of lipids were taken between October 2014 and October 2015. It was determined the association between the BMI and the seric lipid levels using the Chi2 test. People with comorbidity that could modify the seric levels of lipids were excluded. Results: 39.7% of people studied were male and 60.3% were female. The average age was 34.2 years old. 40.7% (1227/3016) of population were obese and overweight. The results show a higher level of obesity or overweight in male people over female (54.6...

Objetive: To know the profile of the older adult caregiver in a SARS-COV-2 pandemic, Lima-Peru. Materials and methods: observational and cross-sectional study; population made up of 92 caregivers of older adults, non-relatives and who receive remuneration, both sexes, over 18 years of age, voluntary participation; older adults residing in districts of northern Lima, economic stratum C and D. Sociodemographic variables, education / training, vaccines, self-confidence or self-safety, and degree of anxiety or stress were evaluated in the caregiver; the older adult variables included were sociodemographic, vaccines, disabilities and disease. Questionnaire was completed virtually during the last week of March 2020. Results: caregiver profile, mean age 33.48 years, 95.7% female, 77.2% do not have training in hand washing, 96.7% without training in stress management in older adults. Self-confid...

Objetive. To know the characteristics of self-medication as a preventive or symptomatic treatment in the previous stage and against the COVID pandemic 19. Materials and methods: observational-descriptive study, 790 inhabitants of the districts of North Lima participated, both sexes, over 18 years, voluntary participation. A questionnaire was completed with sociodemographic variables, educational level, comorbidities, pre-pandemic self-medication, pandemic self-medication, health professional / technical condition, and drugs; analysis of descriptive data and student's t-tests, pearson's Chi square (significance level 95%). Results: mean age 40.87 years, 51.08% female, primary / secondary education in 61.0% of cases; comorbidities present, at the time of data collection, high blood pressure (15.4%), overweight / obesity (13.7%), diabetes (7.1%) and cancer (4.6%). The most widely consumed d...

Objetive. to identify the possible association of diabetes mellitus and arterial hypertension as risk factors for mortality in patients with COVID-19. Material and methods: prospective cohort study, includes 1947 patients aged 30 or over, care performed between March and August 2020; patients with clinical and laboratory diagnosis of COVID-19; Patients with inconsistencies in the information recorded, who died in the first 24 hours or were dead on admission, were excluded. Variable period of care, age, sex, diabetes mellitus, arterial hypertension, hospital stay, respiratory rate, heart rate, oxygen saturation and temperature were included; Pearson's chi-square test, Odds Ratio and Student's T test for unpaired samples (p <0.05) were used for the analysis. Results: 73% of male deaths (p <0.001), the highest frequency was between 60-79 years of age (54.8%, p <0.001); diabetes as ...

Background: the SARS-CoV 2 pandemic showed us that we were not prepared, that it will not happen again. Objective: to know the level of knowledge about the etiology, symptoms, treatment and prevention of monkeypox disease in health professionals. The study: observational-descriptive, included 251 health professionals, both sexes, voluntary participation. A questionnaire was developed including the variables age, sex and questions about the monkeypox disease, descriptive analysis of the data. Finding: low knowledge about the etiology, symptoms, treatment and prevention of the disease. Less knowledge about forms of contagion (21.9%), incubation time (21.9%), characteristics of the virus (24.3%) and laboratory diagnosis (25.1%); greater knowledge about contagiousness in the incubation period (61.0%), presence of rashes as a characteristic of the disease (53.8%) and lack of specific treatmen...

Abstract   Objective: To determinate the complications that was occured to the patients with brain aneurysm rupture, at the Hospital Nacional Alberto Sabogal Sologuren from 2006 – 2014, during the pre-operative, intraoperative and postoperative period, we used a quantitative, observational, descriptive transversal and retrospective, study. Methods: We reviewed Clinical History who were operated of brain rupture aneurysm and who qualified of patients to be included. The data obtained was evaluated with complication graphics in three moments analized. Results: From 109 operated patients, we evaluated 67 (61.46%) Clinical Histories. 47 women (70.14%), 20 men (29.85%). Ages varying between 22 and 82. With 35 cases between 45 and 65 years of age (52.23%). Posterior comunicant aneurysms 33 cases (49.25%). Global Vassospasm 49 cases (24.37%). Hydrocephalus 15 cases (7.46%). Intrahospital...

Abstract   Objective: To determinate the complications that was occured to the patients with brain aneurysm rupture, at the Hospital Nacional Alberto Sabogal Sologuren from 2006 – 2014, during the pre-operative, intraoperative and postoperative period, we used a quantitative, observational, descriptive transversal and retrospective, study. Methods: We reviewed Clinical History who were operated of brain rupture aneurysm and who qualified of patients to be included. The data obtained was evaluated with complication graphics in three moments analized. Results: From 109 operated patients, we evaluated 67 (61.46%) Clinical Histories. 47 women (70.14%), 20 men (29.85%). Ages varying between 22 and 82. With 35 cases between 45 and 65 years of age (52.23%). Posterior comunicant aneurysms 33 cases (49.25%). Global Vassospasm 49 cases (24.37%). Hydrocephalus 15 cases (7.46%). Intrahospital...

Objetivos: Determinar las complicaciones que se presentan en el periodo preoperatorio, intraoperatorio y postoperatorio de los pacientes operados de aneurisma cerebral roto en el Hospital Sabogal de 2006 a 2014. Estudio cuantitativo, observacional, descriptivo, transversal y retrospectivo. Métodos: Se revisaron las historias clínicas de los pacientes operados (clipaje) de aneurisma cerebral roto, que reunían los criterios de inclusión. A través de gráficos, se muestra las complicaciones. Resultados: De 109 pacientes operados, se evaluaron 67 (61.46%) historias clínicas. Fueron 47 mujeres (70.14%) y 20 varones (29.85%), de 22 a 82 años de edad, 35 tenìan entre 45 y 65 años de edad (52.23%), 49.25% aneurismas de comunicante posterior, 29.85% aneurismas de cerebral media, 13.43% aneurismas de comunicante anterior, 24.37% vasoespasmo global, 7.46% hidrocefalia, 50.74% neumonía int...

Objective: To know the seroprevalence of Helicobacter pylori infection among an adult population of Lima, Peru 2017. Materials and methods: Descriptive, prospective, cross-sectional study. Population of volunteers older than 18 years, of both sexes, with or without general gastrointestinal discomfort. A screening campaign was carried out in the districts of Magdalena and Chorrillos in the city of Lima, Peru, in January 2017. For the diagnosis, CTK Biotech’s OnSite H. pylori Ab Combo Rapid Test CE was used. Results: One hundred forty (140) patients were evaluated, with a mean age of 36.6 years old, being 22.1% male and 77.9% female. The seroprevalence of Helicobacter pylori infection was 63.6%. Conclusions: We conclude that Helicobacter pylori infection is common in the city of Lima, with no difference between gender and age.

Objetivos. El objetivo del estudio fue identificar los factores asociados a la citología anormal del cérvix en la Liga Contra el Cáncer Lima-Perú, 2010-2014, determinando la prevalencia de la citología anormal asociada a las características socio demográficas de las pacientes.Materiales y Métodos. Estudio cuantitativo, observacional, analítico, retrospectivo de corte transversal, diseño no experimental. Se estudió 206,203 citologías de cérvix como población total, el instrumento de recolección de datos fue una ficha confeccionada a partir de la historia clínica de cada paciente. Para el análisis se hizo uso de estadística descriptiva y de pruebas estadísticas analíticas. Resultados. La edad media fue de 47 años con una DS±13 años, se encontró 1,80% de prevalencia de citología anormal, el mayor porcentaje de esta citología estuvo en el rango de edad de 15 a 24 aÃ...

Objective: To determine the usefulness of cytology and visual inspection with acetic acid in the detection of neoplastic lesions of the cervix. Materials and methods: An observational, retrospective, descriptive and cross-sectional study. A population of female patients who attended the Centro Médico Oncomujer between 2013 and 2014 for a cervical cancer screening with Pap test and VIA was evaluated. Women referred for biopsy and with a positive result in one or both tests (Pap-VIA) were included in the study. Results: The mean age was 41.66 years old (range: 20-50 years). One thousand one hundred eight (1108) patients were evaluated with Pap smear and VIA: 8.2% (92/1108) of the patients evaluated by Pap smear had a positive result and 27.6% (306/1108) of those evaluated by VIA tested positive. The results of the cytology (Pap smear) against the biopsy showed a sensitivity of 30.6% (95% ...

Objective: To describe the presence and the concentration of neutralizing antibodies at serum of healthcare professionals inoculated with the Sinopharm anti-SARS-CoV2 vaccine. Materials and methods: Descriptive and transversal research. A total of 117 healthcare professionals inoculated with two doses of the Sinopharm vaccine having quantitative data of neutralizing antibodies at serum (detected by eCLIA) were included. Age, sex, neutralizing antibodies concentration and previous diagnostic of COVID-19 diseases were the variables. Results: A significant increase on neutralizing antibodies concentration were detected on pre- COVID-19 vaccinated persons regarding those vaccinated without previous diagnostic of the viral infection (p < 0,001). Conclusions: the study evidence that Sinopharm vaccine boost immunity against the new coronavirus on previously infected persons and suggest that ...