{"id":3124,"date":"2010-09-13T18:21:00","date_gmt":"2010-09-13T23:21:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/09\/13\/criterios-diagnosticos-de-neumonia-grave-adquirida-en-la-comunidad-2"},"modified":"2010-09-13T18:21:00","modified_gmt":"2010-09-13T23:21:00","slug":"criterios-diagnosticos-de-neumonia-grave-adquirida-en-la-comunidad-2","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=3124","title":{"rendered":"Criterios diagn\u00f3sticos de neumon\u00eda grave adquirida en la comunidad."},"content":{"rendered":"<h5>\u00a0<\/h5>\n<p><b>Criterios menores valorados al ingreso<\/b> <\/p>\n<p>Fracaso respiratorio grave (PaO2\/FiO2 &lt; 250). <\/p>\n<p>Afectaci\u00f3n de m\u00e1s de dos l\u00f3bulos en la radiograf\u00eda de t\u00f3rax (afectaci\u00f3n multilobar). <\/p>\n<p>Tensi\u00f3n arterial sist\u00f3lica &lt; 90 mmHg. <\/p>\n<p>Tensi\u00f3n arterial diast\u00f3lica &lt; 60 mmHg. <\/p>\n<p>Frecuencia respiratoria \u2265 30 rpm. <\/p>\n<p><b>Criterios mayores valorados al ingreso o durante la evoluci\u00f3n cl\u00ednica<\/b> <\/p>\n<p>Precisi\u00f3n de ventilaci\u00f3n mec\u00e1nica. <\/p>\n<p>Precisi\u00f3n de vasopresores &gt; 4 horas (sepsis grave o shock s\u00e9ptico). <\/p>\n<p>Aumento del tama\u00f1o de los infiltrados. <\/p>\n<p>Fracaso renal agudo con menos de 80 ml de diuresis en 4 horas o creatinina s\u00e9rica &gt; 2 mg\/dl en ausencia de fracaso renal cr\u00f3nico<i>.<\/i> <\/p>\n<p>Fuente: Ewig S, Ruiz M, Mensa J et al. Severe community-acquired pneumonia &#8211; assessment of severity criteria. Am J Respir Crit Care Med 1998; 158:1102-1108 <\/p>\n<p>&#8211; Gordon GS, Throop D, Berberian L, Niederman M, Bass J, Alemayehu, D, Mellis S. Validation of the therapeutic recommendations of the American Thoracic Society (ATS) guidelines for community acquired pneumonia in hospitalized patients. Chest 1996;110:55S<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Criterios menores valorados al ingreso Fracaso respiratorio grave (PaO2\/FiO2 &lt; 250). Afectaci\u00f3n de m\u00e1s de dos l\u00f3bulos en la radiograf\u00eda de t\u00f3rax (afectaci\u00f3n multilobar). Tensi\u00f3n arterial sist\u00f3lica &lt; 90 mmHg. Tensi\u00f3n arterial diast\u00f3lica &lt; 60 mmHg. Frecuencia respiratoria \u2265 30 rpm. Criterios mayores valorados al ingreso o durante la evoluci\u00f3n cl\u00ednica Precisi\u00f3n de ventilaci\u00f3n &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=3124\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Criterios diagn\u00f3sticos de neumon\u00eda grave adquirida en la comunidad.&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-3124","post","type-post","status-publish","format-standard","hentry","category-infectologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/3124","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3124"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/3124\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3124"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3124"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}