Necrotizing pneumonia and its outcomes in a pediatric hospital in Southern Brazil
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Abstract
Introduction: Necrotizing pneumonia is a rare and severe complication of community-acquired pneumonia, affecting mainly immunocompetent preschool children. Objective: Analyze the epidemiological profile of the disease and its outcomes in a pediatric hospital in southern Brazil. Method: This is an observational, retrospective and cohort study; with descriptive character, that analyzes the patients with diagnosis of necrotizing pneumonia in a pediatric hospital in the south of the country from January 2013 to December 2020. Results: Considering an overall of 4,538 patients, the prevalence of necrotizing pneumonia was 86 patients (1.89%). Clinical treatment was performed in 52.3% of patients, while surgical treatment in 47.7%. The mean antibiotic use per patient was 3.05 antibiotics, ranging from 1 to 11 different types of them. Complications represented 91.9% of the cases, and a total of 50% of the patients were admitted to the intensive care unit. At the end of the study, one patient died. Conclusion: This analysis showed that patients with necrotizing pneumonia require prolonged hospitalization time, multiple antibiotic therapy regime and complementary surgical interventions for those who developed complications. Despite this, it evolved with favorable outcomes, resulting in low mortality, good prognosis, but high treatment complexity.
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