Características clínico - epidemiológicas de la diarrea aguda de adultos en un hospital de la ciudad de Córdoba

Abstract

Ihe pirpose ofthis vork \VaS to assess the clin cal and epiclem iologic presentation leatures of adult acote diarrhea jo a tenera1 hospital loro] Córdoba City. Al! the patients older than 14 vears oId \ho assisted to the Hospital Nacional de Clínicas Central (ivard lor acote diarrhea, durine,the per01s: A( 1 5-12-89 to 15- 03-90), B( 15-12-93to 15-03-94)andC( ¡ 5-12-94 to 15-03-95), vere included. 594 ptients vere studied: 337 ftmale(56.7%)and257 male, 143 in the period A. 250 in B and 201 iii C. Che means SD ¿i,-,e vas 34.6w 13.3 and stool lose pei'dayataclrnission7.3±4.7. Eightvsix percent of patients presented 1 iqu id consistent stool, 89.6% abdominal pain. 44.7% vomiting and 1 8.8% bloodv stools. The rate of patients who consultecl Central (ivard rcferring acote diarrhea increased Írom period A (2.4%) to B (3.6 1%); p=0.002 and decreased form B to C (2.85%); r00 1 . The mean(±SD) days transcurred ftom the bei.inninv ofditrrhea episocle till consulta- tionwas3.52.7;2.7+2.3 y2.9±3.5 inlheperiods A. 13 and C respcctively. statistically signif3cani di fference between A and B_ p-'0.¿ 1. Th irty si.x percent, 2 1 . 1% and 23. 1% ofpatients presented mucus vith their stools jo the periods A, 13 qn d C (P=0.0 1), and h igh tem peratu re 6 1 . ¡ %, 48. 1%a0d48.5%respectivelv(p=0.04).'Fwentv seven percent of stools samples cultures becarne positive in the periods A. 17.6% in B and 115% jo C, statisticallv sinilicant diffierence between A and C: p=0.008. The results show that in ageneral hospital floni Córdoba City the adu It acLite diarrhea is a frequent cause of consult. lo the last vears there were modifications in its chnical un epident iologic presentation fl.atui'es.