Bibliographic citations
Vivanco, B., (2018). Variación de la conducta terapéutica según exámenes auxiliares en bronquiolitis, en dos hospitales de Cusco, periodo 2016-2017 [Tesis, Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/1800
Vivanco, B., Variación de la conducta terapéutica según exámenes auxiliares en bronquiolitis, en dos hospitales de Cusco, periodo 2016-2017 [Tesis]. : Universidad Andina del Cusco; 2018. https://hdl.handle.net/20.500.12557/1800
@misc{renati/24169,
title = "Variación de la conducta terapéutica según exámenes auxiliares en bronquiolitis, en dos hospitales de Cusco, periodo 2016-2017",
author = "Vivanco Ccahuana, Brigitte Elisa",
publisher = "Universidad Andina del Cusco",
year = "2018"
}
Background: Acute bronchiolitis is a pathology whose diagnosis is eminently clinical, laboratory tests and chest radiography are not routinely indicated. However, requesting auxiliary tests is still a routine practice, making the management of bronchiolitis change, since sometimes the results can be interpreted in a way that causes unnecessary interventions such as antibiotic administration and longer hospital stay. Aim of the study was to determine the variation of the therapeutic behavior according to auxiliary examinations in bronchiolitis, in the hospitals of Cusco, Antonio Lorena and Adolfo Guevara Velasco. Year 2017 Methods: A non-experimental, descriptive, correlational retrospective study Results: There were 240 cases of bronchiolitis, 188 belonged to the HNAGV, and 52 to the HAL with an average age of 5 months, the masculine sex represented 59.6% of the total. A blood count was requested, in 59.6% (HNAGV) and in 90.4% (HAL) of which 88.1% were normal, whose predominant finding was lymphocytosis and in 11.9% were altered, with 6.3% of cases with neutrophilia. PCR was requested in 56.9% (HNAGV) and 59.6% (HAL), of which 55.1% were negative, compared to 44.9% that were positive. Chest radiography was requested in 61.2% (HNAGV) and in 98.1% (HAL), of which 53% were normal, 20.5% were abnormal, and the findings were not described in 26.5%. The treatment with the highest percentage of use was the nebulization with 3% NaCl, and Oxygen. Variation of the initial therapeutic behavior was evidenced by the use of antibiotics in 11.7% (HNAGV) versus 38.5% (HAL). It was also found that performing auxiliary tests (CBC, CRP, chest X-ray) does not change the therapeutic behavior towards the use of antibiotics and abnormal results modify the therapeutic behavior in patients with bronchiolitis, finding statistical significance with values of p <0.05 with each auxiliary examination. Conclusions: Patients with typical bronchiolitis do not need auxiliary tests because these are predominantly normal or compatible with the pathology, however there was a high percentage of requests for auxiliary examinations, evidencing that HAL requested them in a greater percentage, with respect to HNAGV. The altered results of the auxiliary tests modify the therapeutic behavior in cases of Bronchiolitis, in both hospitals, which led to the use of antibiotics in both hospitals, with predominance in HAL with 38.5% compared to HNAGV with 11.7%.
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