Çocuk Acil Kliniğimizde Takip Edilen Hastalarda Solunum Yolu Viral Etkenlerin Dağılımı

Year 2019, , 94 - 104, 31.03.2019

Esra Türe , Abdullah Yazar

https://doi.org/10.26453/otjhs.495639

Abstract

Solunum yolu enfeksiyonu bulguları ile
çocuk acil polikliniğine başvuran ve çocuk acil yataklı ünitesinde takip edilen
5 yaş altı hastaların nazofaringeal sürüntü örneklerinde saptanan solunum yolu
virüslerinin görülme sıklığının, mevsim, yaş ve klinik bulgulara göre
dağılımının saptanması amaçlandı. Hastaların kayıtları retrospektif olarak
incelendi ve yaş, cinsiyet, başvuru şikayeti, fizik muayene bulguları,
başvurduğu mevsim, non-invaziv ventilasyon gereksinimi, hastanede yatış süresi,
nazofaringeal sürüntü viral polimeraz zincir reaksiyonu (PCR) inceleme
sonuçları kaydedildi. Nazofaringeal sürüntü viral PCR sonuçları incelendiğinde
hastaların 43’ünde (%26,5) herhangi bir virüs izole edilemediği, 119’unda
(%73,5) ise en az bir ya da birden fazla virüs izole edildiği görüldü. Bu 119
hastanın 82’sinde (%68,9) tek bir virüs, 37’sinde (%31,1) iki veya daha fazla
virüs izole edildi. Hastaların aldıkları tedavileri incelendiğinde 87’sinin
(%53,7) hiçbir antibiyotik almadığı, 75’inin (%46,3) ise bir ya da birden çok
antbiyotik tedavisi aldığı görüldü. Viral patojenlerin erken dönemde saptanması
ile gereksiz antibiyotik kullanımının 
önlenebileceği, antibiyotik direncinin kontrol altına alınabileceği,
hastanede yatış süresinin kısalacağı ve tedavi maliyetlerinin azalacağı
düşünülmektedir.

Keywords

Solunum yolu enfeksiyonu, nazofaringeal sürüntü, viral PCR, çocuk acil, çocuk

Distribution of Respiratory Viral Agents in Patients Being Followed-Up in Our Pediatric Emergency Department

Abstract

We aimed to determine the  distribution of frequency of respiratory
viruses detected in nasopharyngeal swab samples of patients under 5 years of
age, who were hospitalized in the inpatient unit of pediatric emergency
department during last year, by seasons, age and clinical findings.
Hospitalization files of the patients were examined retrospectively.  Patients’ age, gender, admission complaint,
physical examination findings, season they admitted, need for non-invasive
mechanical ventilation, duration of hospital stay and result of nasopharyngeal
swab viral polymerase chain reaction (PCR) were recorded. When results of the
nasopharyngeal swab viral PCR of the patients were examined, it was determined
that no virus was isolated in 43 (26.5%) patients and in 119 (73.5%), however,
at least one virus was isolated. Of these 119 patients; only one virus was
detected in 82 (68.9%) and two or more viruses in 37 (31.1%). It was observed
that 87 (53.7%) did not receive any antibiotics and 75 (46.3%) patients were
treated with one or more antibiotics. Early detection of viral pathogens is
thought to prevent unnecessary antibiotic use, control of antibiotic
resistance, shorten hospital stay and decrease treatment costs.

Keywords

Respiratory tract infection, nasopharyngeal swab, viral PCR, child emergency, child

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