diarrea aguda 2014 (1)
TRANSCRIPT
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DIARREA AGUDA ENPEDIATRA
Dr . Vctor Campos Tejada
Medico Asistente HRC
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INTRODUCCIN
1.3 MILLONESDE CASOS Y 2MILLONES DE MUERTES AL AO(1.7-2.5 MILLONES). 80-0!"#$2%&'
EN NIOS $ 5% 3.2"*+',+'%&'(12)
C%% */+#+*% ," '/%+,%,%'+%,% DES4IDRATACIN.
O/% %% DESNUTRICIN
IN6ECC. ASOCIADAS.
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DE6INICIN
AAP E#"/",%, ,+%//"+% ," +#++'/' 9" " %'*%&% ,"#:"% ;
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ETIOLOGA
ROTA@IRUS 0! NORO@IRUS Y ADENO@IRUS 30!
PATOGENO BACTERIANO 20!C%*?'%"/ "#+ Y"/+#+%S%'#"% S+"% E '+*%'F#+% C'/+,+ ,++".
PAARASITOS 5! G+%/,+% %+%/+*'*'/+,+' "#%'"% +'H+%
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ETIOLOGA
E# " P"/ "# % C'#+,%, E C'+
E#"/''>+F#+% (ETEC) 1.1!G+%/,+% 10.1! ?
E '+E#"/'*%'F#+%(EPEC) 8.8!
A%'/+%"#" R'%;+/ 18!%*?'%"/ 12.J! ? EPEC .1!
4'*+%"R'%;+/25.!EPEC
15.J! ? ETEC .5!
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CLASI6ICACIN
D+%//"% A'% S"/"'/%O
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MECANISMOS DE DIARREA
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DIAGNSTICO
E *%' % +*'/%#" " %E;%%+
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CRITERIOS DE SE@ERIDAD
L"#%,' %*+%/ */''#%,'. S+#' ," *+"" *'++;'.
A"/%+'#" ," *%/'# /"*+/%'/+'. A"/%+
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MICROBIOLOGHA
S+ " #+&' % "%,' "# "">/%#"/'(K'#% "#,F+%).
S+ % ,+%//"% #' % "'/%,' % ,H% 7 S+ %? '' ?' %#/" "# % "". S+ '*"% "*+ ," '/+"#
%/'+#"+#%. N+&' +##''*/'"+,'. S+ '*"% ," B/'"( "# %/,"/H%
? %% ," 4'*+%+K%+
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TRATAMIENTO
4+,/%%+
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E//% ," R'%;+/ E /+*" "/%'
*/'"+' 9" "#;";"% *%/H% ;+/%'#+" ,"
Capa Interna:
C'*"% *'/ 120'F% ," %*/'"H#% VP29"
"#+"//% " "#'%;+/% ? ,' */'"H#%"//%""#'/" % VP1 yVP39" '/%# "
'/". @P1 ? @P3
+#;'/%,% "# "*/'"' ,"/%#/+*+
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Capa Intermedia:6'/%,% *'/ 2J0/H"/' ," % VP %*/'"H#% :
%#,%#" ," ;+/+
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C%*% E>"/#%
L% %*% : ">"/#% '#%," ,' */'"H#% % @P ? %@P7Q
VP! */""#% # ++' ,"+;%" *%/% % /+*+#%#,%"#% *%/% %
+#"+;+,%, ," ;+/.
E# % "*% ," /'%;+/% @P " #% "'%+#+#%? ",+% " %%9" "%/ %;+/"#+% ? % /"/++
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E//% ," R'%;+/ E /+*" "/%'
*/'"+' 9" "#;";"% *%/H% ;+/%'#+" ,"
Capa Interna:
C'*"% *'/ 120'F% ," %*/'"H#% VP29"
"#+"//% " "#'%;+/% ? ,' */'"H#%"//%""#'/" % VP1 yVP39" '/%# "
'/". @P1 ? @P3
+#;'/%,% "# "*/'"' ,"/%#/+*+
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Capa Intermedia:6'/%,% *'/ 2J0/H"/' ," % VP %*/'"H#% :
%#,%#" ," ;+/+
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C%*% E>"/#%
L% %*% : ">"/#% '#%," ,' */'"H#% % @P ? %@P7Q
VP! */""#% # ++' ,"+;%" *%/% % /+*+#%#,%"#% *%/% %
+#"+;+,%, ," ;+/.
E# % "*% ," /'%;+/% @P " #% "'%+#+#%? ",+% " %%9" "%/ %;+/"#+% ? % /"/++
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IN6ECCION POR ROTA@IRUS PI 8 % 72 '/% "+,' *'/
Anorexia
Astenia
Adinamia
Vmito
50! (2-J */" ,+%//"%) 0! (+:#"%) 10! (#' ;
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R'%;+/
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E//% @+/%
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E//% ," R'%;+/ E /+*" "/%'
*/'"+' 9" "#;";"% *%/H% ;+/%'#+" ,"
Capa Interna:
C'*"% *'/ 120'F% ," %*/'"H#% VP29"
"#+"//% " "#'%;+/% ? ,' */'"H#%"//%""#'/" % VP1 yVP39" '/%# "
'/". @P1 ? @P3
+#;'/%,% "# "*/'"' ,"/%#/+*+
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Capa Intermedia:6'/%,% *'/ 2J0/H"/' ," % VP %*/'"H#% :
%#,%#" ," ;+/+
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C%*% E>"/#%
L% %*% : ">"/#% '#%," ,' */'"H#% % @P ? %@P7Q
VP! */""#% # ++' ,"+;%" *%/% % /+*+#%#,%"#% *%/% %
+#"+;+,%, ," ;+/.
E# % "*% ," /'%;+/% @P " #% "'%+#+#%? ",+% " %%9" "%/ %;+/"#+% ? % /"/++
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Diarrea E;%%+'#" 3-12, 3-8 , A'% A#,%#"
LH9+,% M' %Prodrmo respiratorioDolor abdominalFiebre(23 *%/")Cuadro convulsivo 5!*/+"/ ,%' H#+'
D"+,/%%+"*+'#% "%'9"K+%
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Pato#enia
4+*
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L"+'#" +'
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P%'"#+%
M%%'/++#% ;+/% NSP A+;%+
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C
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MPLI A I NES
M%#/++
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DIAGNSTICO
SERAROTA@IRUS
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DIAGNSTICO CUADRO CLINICO " ,+H+ ,++#+/ %
%/'"#"/++ *'/ /'%;+/ ," '/% %% ,"%/'"#"/++ %,%. L' %%K' "+;' ,"#% +#"+
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D+%#
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DIAGNOSTICO
Inm&noensayo 'n(im)tico *'+I,A-:%% #% "%#% ,"*F ,"% +#"+
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DIAGNOSTICO
Inm&nocromato#ra/a:,+%#
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TOMA DE MUESTRA DE 4ECES
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ALMACENAMIENTO DE LA MUESTRA
L% "/% " %%"#% ''
:>+' 7 ,H% "# /"/+"/%+