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Autor Andrea Victoria Restrepo Gouzy
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Comentario :
Médica Pediatra Infectóloga, Hospital Pablo Tobón Uribe
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Documentos disponibles escritos por este autor (18)
Clasificado(s) por (Año de edición descendente) Refinar búsquedaAcute intrathoracic tuberculosis in children and adolescents with community-acquired pneumonia in an area with an intermediate disease burden / Andrea Victoria Restrepo Gouzy ; Mónica Rosa Trujillo Honeysberg
Título : Acute intrathoracic tuberculosis in children and adolescents with community-acquired pneumonia in an area with an intermediate disease burden Tipo de documento : documento electrónico Autores : Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2022 Títulos uniformes : Pediatric Reports Idioma : Inglés (eng) Palabras clave : cohort study children adolescents community-acquired pneumonia intrathoracic tuberculosis acute tuberculosis Resumen : Tuberculosis (TB) in the pediatric population is a major challenge. Our objective was to describe the clinical and microbiological characteristics, radiological patterns, and treatment outcomes of children and adolescents (from 1 month to 17 years) with community-acquired pneumonia (CAP) caused by TB. We performed a prospective cohort study of a pediatric population between 1 month and 17 years of age and hospitalized in Medellín, Colombia, with the diagnosis of radiologically confirmed CAP that had ≤ 15 days of symptoms. The mycobacterial culture of induced sputum was used for the bacteriological confirmation; the history of TB contact, a tuberculin skin test, and clinical improvement with treatment were used to identify microbiologically negative TB cases. Among 499 children with CAP, TB was diagnosed in 12 (2.4%), of which 10 had less than 8 days of a cough, 10 had alveolar opacities, 9 were younger than 5 years old, and 2 had close contact with a TB patient. Among the TB cases, 50% (6) had microbiological confirmation, 8 had viral and/or bacterial confirmation, one patient had multidrug-resistant TB, and 10/12 had non-severe pneumonia. In countries with an intermediate TB burden, Mycobacterium tuberculosis should be included in the etiological differential diagnosis (as a cause or coinfection) of both pneumonia and severe CAP in the pediatric population. Mención de responsabilidad : Claudia Roya-Pabón, Andrea Restrepo, Olga Morales, Catalina Arango, María Angélica Maya, Marcela Bermúdez, Lucelly López, Carlos Garcés,Mónica Trujillo, Luisa Fernanda Carmona, Margarita Rosa Giraldo, Lázaro A. Vélez and Zulma Vanessa Rueda Referencia : Pediatr Rep. 2022 Feb 5;14(1):71-80. DOI (Digital Object Identifier) : 10.3390/pediatric14010011 PMID : 35225880 Derechos de uso : CC BY En línea : https://www.mdpi.com/2036-7503/14/1/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Acute intrathoracic tuberculosis in children and adolescents with community-acquired pneumonia in an area with an intermediate disease burden [documento electrónico] / Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, . - 2022.
Obra : Pediatric Reports
Idioma : Inglés (eng)
Palabras clave : cohort study children adolescents community-acquired pneumonia intrathoracic tuberculosis acute tuberculosis Resumen : Tuberculosis (TB) in the pediatric population is a major challenge. Our objective was to describe the clinical and microbiological characteristics, radiological patterns, and treatment outcomes of children and adolescents (from 1 month to 17 years) with community-acquired pneumonia (CAP) caused by TB. We performed a prospective cohort study of a pediatric population between 1 month and 17 years of age and hospitalized in Medellín, Colombia, with the diagnosis of radiologically confirmed CAP that had ≤ 15 days of symptoms. The mycobacterial culture of induced sputum was used for the bacteriological confirmation; the history of TB contact, a tuberculin skin test, and clinical improvement with treatment were used to identify microbiologically negative TB cases. Among 499 children with CAP, TB was diagnosed in 12 (2.4%), of which 10 had less than 8 days of a cough, 10 had alveolar opacities, 9 were younger than 5 years old, and 2 had close contact with a TB patient. Among the TB cases, 50% (6) had microbiological confirmation, 8 had viral and/or bacterial confirmation, one patient had multidrug-resistant TB, and 10/12 had non-severe pneumonia. In countries with an intermediate TB burden, Mycobacterium tuberculosis should be included in the etiological differential diagnosis (as a cause or coinfection) of both pneumonia and severe CAP in the pediatric population. Mención de responsabilidad : Claudia Roya-Pabón, Andrea Restrepo, Olga Morales, Catalina Arango, María Angélica Maya, Marcela Bermúdez, Lucelly López, Carlos Garcés,Mónica Trujillo, Luisa Fernanda Carmona, Margarita Rosa Giraldo, Lázaro A. Vélez and Zulma Vanessa Rueda Referencia : Pediatr Rep. 2022 Feb 5;14(1):71-80. DOI (Digital Object Identifier) : 10.3390/pediatric14010011 PMID : 35225880 Derechos de uso : CC BY En línea : https://www.mdpi.com/2036-7503/14/1/11 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001841 AC-2022-013 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
AC-2022-013Adobe Acrobat PDF
Título : Disseminated fusariosis in children: Report of two cases in girls with leukemia Tipo de documento : documento electrónico Autores : Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2022 Títulos uniformes : Current Medical Mycology Idioma : Inglés (eng) Palabras clave : Invasive fungal infection Leukemia Neutropenia Fusarium spp Resumen : Background and purpose: Disseminated fusariosis is an opportunistic infection caused by the hyaline fungus Fusarium spp. and occurs mainly in patients with leukemia. Case report: Two cases of disseminated fusariosis in pediatric patients are presented. Profound and prolonged neutropenia, fever, myalgia, and skin lesions in the legs were present in two girls with leukemia undergoing chemotherapy. In the first case, infection by Fusarium spp. was confirmed by anatomopathological findings, pathogen isolation, and polymerase chain reaction. In the second case, Fusarium solani infection was confirmed by mass spectrometry using blood cultures and skin lesion samples. Conclusion: It is important to consider disseminated fusariosis in high-risk patients who present with profound and prolonged neutropenia and persistent fever that does not resolve after broad-spectrum antibiotics to initiate antifungal therapy in a timely manner. Mención de responsabilidad : Alixandra De La Espriella, Andrea Restrepo, Monica Trujillo, Karen Arango Referencia : Curr Med Mycol. 2022 Mar;8(1):39-43. DOI (Digital Object Identifier) : 10.18502/cmm.8.1.9213 PMID : 36340435 Derechos de uso : CC BY En línea : http://cmm.mazums.ac.ir/article_141948.html Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Disseminated fusariosis in children: Report of two cases in girls with leukemia [documento electrónico] / Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, . - 2022.
Obra : Current Medical Mycology
Idioma : Inglés (eng)
Palabras clave : Invasive fungal infection Leukemia Neutropenia Fusarium spp Resumen : Background and purpose: Disseminated fusariosis is an opportunistic infection caused by the hyaline fungus Fusarium spp. and occurs mainly in patients with leukemia. Case report: Two cases of disseminated fusariosis in pediatric patients are presented. Profound and prolonged neutropenia, fever, myalgia, and skin lesions in the legs were present in two girls with leukemia undergoing chemotherapy. In the first case, infection by Fusarium spp. was confirmed by anatomopathological findings, pathogen isolation, and polymerase chain reaction. In the second case, Fusarium solani infection was confirmed by mass spectrometry using blood cultures and skin lesion samples. Conclusion: It is important to consider disseminated fusariosis in high-risk patients who present with profound and prolonged neutropenia and persistent fever that does not resolve after broad-spectrum antibiotics to initiate antifungal therapy in a timely manner. Mención de responsabilidad : Alixandra De La Espriella, Andrea Restrepo, Monica Trujillo, Karen Arango Referencia : Curr Med Mycol. 2022 Mar;8(1):39-43. DOI (Digital Object Identifier) : 10.18502/cmm.8.1.9213 PMID : 36340435 Derechos de uso : CC BY En línea : http://cmm.mazums.ac.ir/article_141948.html Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001922 AC-2022-085 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
AC-2022-085Adobe Acrobat PDF
Título : Etiology and the challenge of diagnostic testing of community-acquired pneumonia in children and adolescents Tipo de documento : documento electrónico Autores : Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2022 Títulos uniformes : BMC Pediatrics Idioma : Inglés (eng) Palabras clave : Pneumonia Diagnosis Etiology Multiplex PCR Serology Induced sputum Nasopharyngeal swab Urine antigen Children Resumen : Background: Pneumonia is the leading cause of mortality in pediatric population. The etiology of pneumonia in this population is variable and changes according to age and disease severity and where the study is conducted. Our aim was to determine the etiology of community-acquired pneumonia (CAP) in children aged 1 month to 17 years admitted to 13 Colombian hospitals. Methods: Prospective cohort study. Hospitalized children with radiologically confirmed CAP and ≤ 15 days of symptoms were included and followed together with a control group. Induced sputum (IS) was submitted for stains and cultures for pyogenic bacteria and Mycobacterium tuberculosis, and multiplex PCR (mPCR) for bacteria and viruses; urinary antigens for pneumococcus and Legionella pneumophila; nasopharyngeal swabs for viruses, and paired serology for atypical bacteria and viruses. Additional cultures were taken at the discretion of primary care pediatricians. Results: Among 525 children with CAP, 71.6% had non-severe pneumonia; 24.8% severe and 3.6% very severe pneumonia, and no fatal cases. At least one microorganism was identified in 84% of children and 61% were of mixed etiology; 72% had at least one respiratory virus, 28% pyogenic bacteria and 21% atypical bacteria. Respiratory syncytial virus, Parainfluenza, Rhinovirus, Influenza, Mycoplasma pneumoniae, Adenovirus and Streptococcus pneumoniae were the most common etiologies of CAP. Respiratory syncytial virus was more frequent in children under 2 years and in severe pneumonia. Tuberculosis was diagnosed in 2.3% of children. IS was the most useful specimen to identify the etiology (33.6%), and blood cultures were positive in 3.6%. The concordance between all available diagnostic tests was low. A high percentage of healthy children were colonized by S. pneumoniae and Haemophilus influenzae, or were infected by Parainfluenza, Rhinovirus, Influenza and Adenovirus. Conclusions: Respiratory viruses are the most frequent etiology of CAP in children and adolescents, in particular in those under 5 years. This study shows the challenges in making an etiologic diagnosis of CAP in pediatric population because of the poor concordance between tests and the high percentage of multiple microorganisms in healthy children. IS is useful for CAP diagnosis in pediatric population. Mención de responsabilidad : Zulma Vanessa Rueda, Yudy Aguilar, María Angélica Maya, Lucelly López, Andrea Restrepo, Carlos Garcés, Olga Morales, Claudia Roya-Pabón, Mónica Trujillo, Catalina Arango, Ángela Rocio Copete, Cristian Vera, Margarita Rosa Giraldo, Mariana Herrera & Lázaro A. Vélez Referencia : BMC Pediatr. 2022 Mar 31;22(1):169. DOI (Digital Object Identifier) : 10.1186/s12887-022-03235-z PMID : 35361166 Derechos de uso : CC BY En línea : https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-022-03235-z Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Etiology and the challenge of diagnostic testing of community-acquired pneumonia in children and adolescents [documento electrónico] / Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, . - 2022.
Obra : BMC Pediatrics
Idioma : Inglés (eng)
Palabras clave : Pneumonia Diagnosis Etiology Multiplex PCR Serology Induced sputum Nasopharyngeal swab Urine antigen Children Resumen : Background: Pneumonia is the leading cause of mortality in pediatric population. The etiology of pneumonia in this population is variable and changes according to age and disease severity and where the study is conducted. Our aim was to determine the etiology of community-acquired pneumonia (CAP) in children aged 1 month to 17 years admitted to 13 Colombian hospitals. Methods: Prospective cohort study. Hospitalized children with radiologically confirmed CAP and ≤ 15 days of symptoms were included and followed together with a control group. Induced sputum (IS) was submitted for stains and cultures for pyogenic bacteria and Mycobacterium tuberculosis, and multiplex PCR (mPCR) for bacteria and viruses; urinary antigens for pneumococcus and Legionella pneumophila; nasopharyngeal swabs for viruses, and paired serology for atypical bacteria and viruses. Additional cultures were taken at the discretion of primary care pediatricians. Results: Among 525 children with CAP, 71.6% had non-severe pneumonia; 24.8% severe and 3.6% very severe pneumonia, and no fatal cases. At least one microorganism was identified in 84% of children and 61% were of mixed etiology; 72% had at least one respiratory virus, 28% pyogenic bacteria and 21% atypical bacteria. Respiratory syncytial virus, Parainfluenza, Rhinovirus, Influenza, Mycoplasma pneumoniae, Adenovirus and Streptococcus pneumoniae were the most common etiologies of CAP. Respiratory syncytial virus was more frequent in children under 2 years and in severe pneumonia. Tuberculosis was diagnosed in 2.3% of children. IS was the most useful specimen to identify the etiology (33.6%), and blood cultures were positive in 3.6%. The concordance between all available diagnostic tests was low. A high percentage of healthy children were colonized by S. pneumoniae and Haemophilus influenzae, or were infected by Parainfluenza, Rhinovirus, Influenza and Adenovirus. Conclusions: Respiratory viruses are the most frequent etiology of CAP in children and adolescents, in particular in those under 5 years. This study shows the challenges in making an etiologic diagnosis of CAP in pediatric population because of the poor concordance between tests and the high percentage of multiple microorganisms in healthy children. IS is useful for CAP diagnosis in pediatric population. Mención de responsabilidad : Zulma Vanessa Rueda, Yudy Aguilar, María Angélica Maya, Lucelly López, Andrea Restrepo, Carlos Garcés, Olga Morales, Claudia Roya-Pabón, Mónica Trujillo, Catalina Arango, Ángela Rocio Copete, Cristian Vera, Margarita Rosa Giraldo, Mariana Herrera & Lázaro A. Vélez Referencia : BMC Pediatr. 2022 Mar 31;22(1):169. DOI (Digital Object Identifier) : 10.1186/s12887-022-03235-z PMID : 35361166 Derechos de uso : CC BY En línea : https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-022-03235-z Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Título : Induced sputum as an adequate clinical specimen for the etiological diagnosis of community-acquired pneumonia (CAP) in children and adolescents Tipo de documento : documento electrónico Autores : Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2022 Títulos uniformes : International Journal of Infectious Diseases Idioma : Inglés (eng) Palabras clave : Induced sputum adolescents children diagnosis etiology pneumonia Resumen : Objectives: This study aimed to evaluate the utility of induced sputum (IS) for the diagnosis of community-acquired pneumonia (CAP) in pediatric population. Methods: This cross-sectional study included pediatric population aged between 1 month and 17 years who were hospitalized with a diagnosis of CAP in 13 hospitals in Colombia, in whom an IS sample was obtained. Gram staining, aerobic bacterial and mycobacterial culture tests, and polymerase chain reaction (PCR) for 6 atypical bacteria and 15 respiratory viruses were performed. We evaluated the quality of IS samples. Results: IS samples were collected in 516 of 525 children included in this study. The median age was 32 months, 38.6% were younger than 2 years, and 40.9% were between 2 and 5 years. Two patients had transient hypoxemia during the procedure. The quality of the IS obtained was good in 48.4% and intermediate in 24.5%. Identification of a respiratory pathogen was achieved with an IS sample (with Gram staining, culture test, and PCR) in 372 of 516 children with CAP. Conclusion: Our study shows that IS is an adequate sample for the diagnosis of CAP in pediatric population that required hospitalization. The procedure was safe, well tolerated, and with better diagnostic yields compared with the rest of the samples obtained. Mención de responsabilidad : Zulma Vanessa Rueda, Marcela Bermúdez, Andrea Restrepo, Carlos Garcés, Olga Morales, Claudia Roya-Pabón, Luisa Fernanda Carmona, Catalina Arango, Jose Luis Albarracín, Lucelly López, Yudy Aguilar, María Angélica Maya, Mónica Trujillo, Ángela Rocio Copete, Cristian Vera, Mariana Herrera, Margarita Rosa Giraldo, Gloria Isabel Niño-Cruz, Lázaro A Vélez Referencia : Int J Infect Dis. 2022 Jan 19;116:348-354. DOI (Digital Object Identifier) : 10.1016/j.ijid.2022.01.026 PMID : 35063681 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(22)00025-X Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Induced sputum as an adequate clinical specimen for the etiological diagnosis of community-acquired pneumonia (CAP) in children and adolescents [documento electrónico] / Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, . - 2022.
Obra : International Journal of Infectious Diseases
Idioma : Inglés (eng)
Palabras clave : Induced sputum adolescents children diagnosis etiology pneumonia Resumen : Objectives: This study aimed to evaluate the utility of induced sputum (IS) for the diagnosis of community-acquired pneumonia (CAP) in pediatric population. Methods: This cross-sectional study included pediatric population aged between 1 month and 17 years who were hospitalized with a diagnosis of CAP in 13 hospitals in Colombia, in whom an IS sample was obtained. Gram staining, aerobic bacterial and mycobacterial culture tests, and polymerase chain reaction (PCR) for 6 atypical bacteria and 15 respiratory viruses were performed. We evaluated the quality of IS samples. Results: IS samples were collected in 516 of 525 children included in this study. The median age was 32 months, 38.6% were younger than 2 years, and 40.9% were between 2 and 5 years. Two patients had transient hypoxemia during the procedure. The quality of the IS obtained was good in 48.4% and intermediate in 24.5%. Identification of a respiratory pathogen was achieved with an IS sample (with Gram staining, culture test, and PCR) in 372 of 516 children with CAP. Conclusion: Our study shows that IS is an adequate sample for the diagnosis of CAP in pediatric population that required hospitalization. The procedure was safe, well tolerated, and with better diagnostic yields compared with the rest of the samples obtained. Mención de responsabilidad : Zulma Vanessa Rueda, Marcela Bermúdez, Andrea Restrepo, Carlos Garcés, Olga Morales, Claudia Roya-Pabón, Luisa Fernanda Carmona, Catalina Arango, Jose Luis Albarracín, Lucelly López, Yudy Aguilar, María Angélica Maya, Mónica Trujillo, Ángela Rocio Copete, Cristian Vera, Mariana Herrera, Margarita Rosa Giraldo, Gloria Isabel Niño-Cruz, Lázaro A Vélez Referencia : Int J Infect Dis. 2022 Jan 19;116:348-354. DOI (Digital Object Identifier) : 10.1016/j.ijid.2022.01.026 PMID : 35063681 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(22)00025-X Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001845 AC-2022-016 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
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Título : Ehrlichia monocítica humana: primer reporte de caso pediátrico en Colombia Otros títulos : Human monocytic ehrlichiosis: first report of a pediatric case in Colombia Tipo de documento : documento electrónico Autores : Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, Fecha de publicación : 2021 Títulos uniformes : Revista Latinoamericana de Infectología Pediátrica Idioma : Español (spa) Palabras clave : Ehrlichia erliquiosis humana zoonosis Anaplasma niños Resumen : La erliquiosis es una zoonosis, trasmitida por garrapatas, de incidencia desconocida en Colombia, con un amplio espectro de manifestaciones clínicas, muy similares a las que se presentan en otras infecciones, lo cual dificulta su diagnóstico. Presentamos el caso de una adolescente con fiebre, cefalea, náuseas, brote generalizado, epistaxis, trombocitopenia, leucopenia y meningitis, en quien se confirmó erliquiosis a través de reacción en cadena de polimerasa (PCR) en sangre total. La sospecha clínica basada en la sintomatología y el antecedente de contacto con garrapatas y perros enfermos fueron claves para el inicio del tratamiento empírico temprano y permitieron la curación de la paciente. La descripción de este caso pretende hacer más visible esta enfermedad con el objetivo de evitar retrasos en el diagnóstico y el tratamiento que pueden llevar a resultados adversos, incluyendo la muerte. Mención de responsabilidad : De la Espriella Pérez, Alixandra; Restrepo Gouzi, Andrea Victoria; Trujillo Honeysberg, Mónica Rosa; Calle Echeverri, David Alejandro DOI (Digital Object Identifier) : 10.35366/99827 En línea : https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=99827 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Ehrlichia monocítica humana: primer reporte de caso pediátrico en Colombia = Human monocytic ehrlichiosis: first report of a pediatric case in Colombia [documento electrónico] / Andrea Victoria Restrepo Gouzy, ; Mónica Rosa Trujillo Honeysberg, . - 2021.
Obra : Revista Latinoamericana de Infectología Pediátrica
Idioma : Español (spa)
Palabras clave : Ehrlichia erliquiosis humana zoonosis Anaplasma niños Resumen : La erliquiosis es una zoonosis, trasmitida por garrapatas, de incidencia desconocida en Colombia, con un amplio espectro de manifestaciones clínicas, muy similares a las que se presentan en otras infecciones, lo cual dificulta su diagnóstico. Presentamos el caso de una adolescente con fiebre, cefalea, náuseas, brote generalizado, epistaxis, trombocitopenia, leucopenia y meningitis, en quien se confirmó erliquiosis a través de reacción en cadena de polimerasa (PCR) en sangre total. La sospecha clínica basada en la sintomatología y el antecedente de contacto con garrapatas y perros enfermos fueron claves para el inicio del tratamiento empírico temprano y permitieron la curación de la paciente. La descripción de este caso pretende hacer más visible esta enfermedad con el objetivo de evitar retrasos en el diagnóstico y el tratamiento que pueden llevar a resultados adversos, incluyendo la muerte. Mención de responsabilidad : De la Espriella Pérez, Alixandra; Restrepo Gouzi, Andrea Victoria; Trujillo Honeysberg, Mónica Rosa; Calle Echeverri, David Alejandro DOI (Digital Object Identifier) : 10.35366/99827 En línea : https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=99827 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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