Análisis del sistema de vigilancia centinela de las Infecciones Respiratorias Agudas Graves, Hospital Infantil Dr. Robert Reid Cabral, República Dominicana, 2015-2019
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Date
Subject
Surveillance
ssentinel
Severe Acute Respiratory Infection
morbidity
pediatrics
vigilancia
centinela
Infección Respiratoria Aguda Grave
morbilidad
pediatría
ssentinel
Severe Acute Respiratory Infection
morbidity
pediatrics
vigilancia
centinela
Infección Respiratoria Aguda Grave
morbilidad
pediatría
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: la vigilancia centinela de Infecciones Respiratorias Agudas Graves (IRAG) inició en República Dominicana en febrero del año 2008, en dos hospitales: el Hospital Infantil Dr. Robert Reid Cabral (HIRRC) en Santo Domingo y el Hospital José María Cabral y Báez, en Santiago. Este estudio tiene como objetivo general describir el comportamiento de las infecciones respiratorias agudas graves (IRAG) captadas en el Hospital Infantil Dr. Robert Reid Cabral durante los años 2015-2019.
Método: se realizó un estudio observacional, descriptivo, de corte transversal, con recolección retrospectiva de datos, de los casos de IRAG reportados en el puesto centinela del Hospital Infantil de Referencia Nacional Dr. Robert Reid Cabral, Área V de salud, Distrito Nacional, desde el año 2015 hasta el año 2019. Se hace una descripción de las características de los casos ingresados a la base de datos del sistema, los virus respiratorios identificados, comportamiento en el tiempo, persona y lugar.
Resultados: la captación de infecciones respiratorias agudas graves (IRAG) a través del puesto centinela las IRAG, representaron 14.37, 10.13, 4.10, 3.70 y 3.42 % de las IRA, respectivamente, en los últimos cinco años. En las semanas epidemiológicas, en el año 2015 hubo una mayor cantidad de casos entre las semanas 9-16 y 40-48, con un pico alto en la semana 47, en el año 2016 estuvo concentrado entre las semanas 24-42, en el año 2017, en las semanas 33-38, en el año 2018 se presentaron con mayor frecuencia entre las semanas 10-15 y con altas y bajas entre la semana 25-49, y ya para el año 2019 se reportaron casos de manera irregular con altas y baja durante la semana 6-41. La detección de la circulación del Virus Sincitial Respiratorio (VSR) se identificó puntualmente con mayor porcentaje en los años 2015, 2016, 2017 y el año 2019 en comparación con el año 2018 donde el agente predominante fue el virus de la influenza A H1N1. El mayor pico de mortalidad por IRAG estuvo presente en el año 2015 con 18 muertes.
Conclusión: la captación de infecciones respiratorias agudas graves (IRAG) a través del puesto centinela disminuyó en los años 2017 (501 casos), 2018 (465 casos) y 2019 (381 casos), debido, principalmente, a una modificación de la definición de casos establecida por la OPS/OMS y remitida por la Dirección General de Epidemiología, representando solo un 4.10, 3.70 y 3.42 %, respectivamente, de las IRA en esos últimos tres años de estudio; sin embargo, en los 2 primeros años de estudio, 2015 (1706 casos) y 2016 (1350 casos), cuando no se habían disminuido los criterios de definición de caso, las IRAG representaron 14.37 y 10.13 % de las IRA, respectivamente.
Introduction: Sentinel surveillance of Severe Acute Respiratory Infections (SARI) began in the Dominican Republic in February 2008 in two hospitals: Dr. Robert Reid Cabral Children’s Hospital (HIRRC) in Santo Domingo and José María Cabral y Báez Hospital, in Santiago. The purpose of this study is to describe the behavior of severe acute respiratory infections (SARI) caught at the Dr. Robert Reid Cabral Children’s Hospital during the years 2015-2019. Method: An observational, descriptive, cross-sectional study was carried out, with retrospective data collection, of SARI cases reported in the sentinel post of the Dr. Robert Reid Cabral Children’s National Reference Hospital, from the year 2015 to the year 2019. A description is made of the characteristics of the cases entered into the system database, the respiratory viruses identified, behavior over time, person and place. Results: The uptake of severe acute respiratory infections (SARI) through the sentinel station SARI, represented 14.37, 10.13, 4.10, 3.70 and 3.42 % of the ARI respectively, in the last 5 years. In epidemiological weeks, in the year 2015 there were a greater number of cases between weeks 9-16 and 40-48, with a high peak in week 47, in 2016 it was concentrated between weeks 24-42, in 2017, in weeks 33- 38, in 2018 they occurred more frequently between weeks 10-15 and with discharges and losses between week 25-49 and by 2019 irregular cases with discharges and discharges were reported during week 6-41. The Respiratory Syncytial Virus was identified with a higher percentage in 2015, 2016, 2017 and 2019 compared to the year 2018 where the predominant agent was the influenza A H1N1 virus. The highest peak of SARI mortality was present in 2015 with 18 deaths. Conclusion: The uptake of severe acute respiratory infections (SARI) through the sentinel surveillance decreased in the years 2017 (501 cases), 2018 (465 cases) and 2019 (381 cases), mainly due to a modification of the definition of cases established by the PAHO / WHO and submitted by the General Directorate of Epidemiology, representing only 4.10, 3.70 and 3.42 % respectively of ARI in those last three years of study. However, in the first 2 years of the study, 2015 (1706 cases) and 2016 (1,350 cases), where the case definition criteria had not been decreased , SARIs represented 14.37 and 10.13 percent of ARI respectively.
Introduction: Sentinel surveillance of Severe Acute Respiratory Infections (SARI) began in the Dominican Republic in February 2008 in two hospitals: Dr. Robert Reid Cabral Children’s Hospital (HIRRC) in Santo Domingo and José María Cabral y Báez Hospital, in Santiago. The purpose of this study is to describe the behavior of severe acute respiratory infections (SARI) caught at the Dr. Robert Reid Cabral Children’s Hospital during the years 2015-2019. Method: An observational, descriptive, cross-sectional study was carried out, with retrospective data collection, of SARI cases reported in the sentinel post of the Dr. Robert Reid Cabral Children’s National Reference Hospital, from the year 2015 to the year 2019. A description is made of the characteristics of the cases entered into the system database, the respiratory viruses identified, behavior over time, person and place. Results: The uptake of severe acute respiratory infections (SARI) through the sentinel station SARI, represented 14.37, 10.13, 4.10, 3.70 and 3.42 % of the ARI respectively, in the last 5 years. In epidemiological weeks, in the year 2015 there were a greater number of cases between weeks 9-16 and 40-48, with a high peak in week 47, in 2016 it was concentrated between weeks 24-42, in 2017, in weeks 33- 38, in 2018 they occurred more frequently between weeks 10-15 and with discharges and losses between week 25-49 and by 2019 irregular cases with discharges and discharges were reported during week 6-41. The Respiratory Syncytial Virus was identified with a higher percentage in 2015, 2016, 2017 and 2019 compared to the year 2018 where the predominant agent was the influenza A H1N1 virus. The highest peak of SARI mortality was present in 2015 with 18 deaths. Conclusion: The uptake of severe acute respiratory infections (SARI) through the sentinel surveillance decreased in the years 2017 (501 cases), 2018 (465 cases) and 2019 (381 cases), mainly due to a modification of the definition of cases established by the PAHO / WHO and submitted by the General Directorate of Epidemiology, representing only 4.10, 3.70 and 3.42 % respectively of ARI in those last three years of study. However, in the first 2 years of the study, 2015 (1706 cases) and 2016 (1,350 cases), where the case definition criteria had not been decreased , SARIs represented 14.37 and 10.13 percent of ARI respectively.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol. 5 No. 1 (2021): Science and Health, january-april; 57-67
Ciencia y Salud; Vol. 5 Núm. 1 (2021): Ciencia y Salud, enero-abril; 57-67
2613-8824
2613-8816
10.22206/cysa.2021.v5i1
Ciencia y Salud; Vol. 5 Núm. 1 (2021): Ciencia y Salud, enero-abril; 57-67
2613-8824
2613-8816
10.22206/cysa.2021.v5i1