Resumen

MUNOZ-RAMIREZ, Mireya; MARQUEZ-GONZALEZ, Horacio; ZARATE-CASTANON, Patricia  y  MARQUEZ-AGUIRRE, Martha Patricia. Experience of ten years of neutropenic enterocolitis in intensive care at Instituto Nacional de Pediatría. Acta pediatr. Méx [online]. 2014, vol.35, n.5, pp.381-387. ISSN 2395-8235.

Neutropenic enterocolitis (NEC) is a disease characterized by an inflammatory process with damage to the intestinal mucosa and occurs as a complication of cytotoxic chemotherapy in oncological diseases, and severe neutropenia secondary to other diseases. Objective: To describe the population of patients with NEC who are served in the pediatric intensive care unit at Instituto Nacional de Pediatría. Methods: 10-year data of patients registered with a diagnosis of NEC (1 500 cel/µL less neutropenia, acute abdomen, consistent studies cabinet) on admission to the intensive therapy that consisted of: age, type of cancer, organ failure, stage of sepsis, medical treatment and surgical management. Frequencies and percentages for qualitative; statistical analysis for measures of dispersion and central tendency were used for quantitative variables. Results: Population of 116 patients, 69 (60%) were men. The leukemia is the most common malignancy in 55%. 35% of patients corresponded to stage school. Sepsis was the most common presentation. Abdominal pain symptom most frequently found. 33% died as a result. Conclusions: The present study is exploratory in nature and compares the local epidemiology of the Instituto Nacional de Pediatría with UTIP world.

Palabras llave : neutropenic enterocolitis; leukemia; abdominal pain.

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