Fiebre sin foco en la infancia. Aproximación a su diagnóstico e intervención en Atención Primaria

  1. García Puga, José Manuel
  2. Jiménez Romero, Teresa
  3. Hernández Morillas, María Dolores
  4. Callejas Pozo, J. E.
  5. Castillo Díaz, Luis
  6. Garrido Torrecillas, Francisco Javier
  7. Ruiz Extremera, Ángeles
  8. Santos Pérez, Juan Luis
  9. Pérez Vicente, Sabina
Revista:
Actualidad médica

ISSN: 0365-7965

Ano de publicación: 2010

Tomo: 95

Número: 780

Páxinas: 5-12

Tipo: Artigo

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Outras publicacións en: Actualidad médica

Resumo

Introduction. Fever is a common complaint leading patients to seek medical attention. Since majority of published papers deals with hospital attention, our aim is to evaluate its diagnosis, management and intervention in Paediatric consultations in Primary Health Care (PHC). Materials and methods. Transverse descriptive study, performed on <14-year-old population diagnosed with Fever 780.6 of the CIE 9 (FUO), in two paediatric surgeries. Procedure Fever in Child is used as comparative. The data is 2 processed with SPSS 15 and tabulated data support software Epidat 3.1. Relative frequency and the ÷ test was used in the analysis, with the p <0,05 significant difference. Results. Average percentage of FUO 0,55 %, predominant in boys (p < 0,001) and in 3-36 month-old age group 59, 2 %. Percentage sent to hospital 3,9 %. Actual temperature level recorded in few cases 26,2 %. Medical assistance sought in less than 24 h from the onset of fever. Complementary tests requested in 27,2 %, urine strips in <1 year olds 48,9 % and in fever lasting longer than 48 h 19 %. Register of antithermics prescribed absent in 34 %, vaccinated against pneumococcus 64,5 %. Follow-up appointment after the first consultation 34,5 % with diagnosis in 88,7 %. Conclusions. Low recordings of FUO in PHC. Fever checked briefly by parents on its onset. More cases found in the 3-36 months-old age group. Low percentage of temperatures documented and antipyretics prescribed. Few cases hospitalised, higher in younger age groups. In many cases fever resolved itself. Minor differences between professionals.

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