Başlangıcı Süt Çocukluğu Döneminde Olan Tekrarlayan Pnömoni Nedenleri ve Risk Faktörlerinin İlk Atak Yaşı ve Atak Sıklığı Üzerine Etkisi
Abstract
Amaç: Süt çocuklarında tekrarlayan pnömoni nedenlerini ve risk faktörlerinin ilk atak ve atak sıklığına etkilerini belirlemek.Gereç ve Yöntemler: İlk pnömoni atağını 1-24 ay içerisinde geçiren ve tekrarlayan pnömoni tanı kriterlerine uyan hastalar çalışmaya alındı. Pnömoni ile ilişkili olabilecek aspirasyon sendromları, konjenital bozukluklar, havayolu obstrüksiyonu, sekresyon temizleme bozuklukları, immün yetmezlik, pulmoner hemosiderozis gibi birliktelikler incelendi. Altta yatan hastalığı olan ve olmayanlar arasında risk faktörleri, ilk atak yaşı ve atak sıklığı arasında korelasyon varlığı değerlendirildi.Bulgular: Hastaların 60’ında (%33.9) konjenital bozukluklar, 55’inde (%31) aspirasyon sendromları, 19’unda (%10.8) havayolu obstrüksiyonu, 7’sinde (%4) immün yetmezlik, 4’ünde (%2.3) kistik fibrozis, 2’sinde (%1.1) pulmoner tüberküloz ve 1’inde (%0.6) pulmoner hemosiderosis saptandı. 29 (%16.3) hastada kesin etiyoloji belirlenemedi. Altta yatan nedeni belirlenemeyen hastalarda sigara dumanına maruziyet, evde ≥5 kişi bulunması, yetersiz anne sütü alımı gibi risk faktörleri pnömoni atağı sıklığı ile ilişkili bulundu. Multipl lojistik regresyon analizi ile diğer risk faktörlerinden bağımsız olarak sadece sigara dumanının pnömoni sıklığı artışı ile ilişkisi saptandı.Sonuç: Sigara dumanına maruziyet, kalabalık ev ortamı, yetersiz anne sütü alımı, altta yatan hastalığı olmayan hastalarda pnömoni atağı sıklığını artıran önemli risk faktörleridir.
Keywords
References
- Lozano R. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095- 128.
- Cashat-Cruz M, Morales-Aguirre JJ, Mendoza-Azpiri M. Respiratory tract infections in children in developing countries. Semin Pediatr Infect Dis 2005;16:84-92.
- Sheares BJ. Recurrent pneumonia in children. Pediatr Ann 2002;31:109-14.
The Etiology of Recurrent Pneumonia with Onset During Infancy, and the Effect of Risk Factors on Age at First Episode and Episode Frequency
Abstract
Objective: To determine the etiology of recurrent pneumonia in infants and to identify the factors associated with age at first episode and episode frequency.Material and Methods: Children that had their first episode of pneumonia at age 1-24 months and met the diagnostic criteria for RP were included in the study. Their records were screened for conditions that may have been associated with pneumonia, including aspiration syndromes, congenital disorders, airway obstruction and secretion clearance disorders, immune deficiencies, and pulmonary hemosiderosis. The correlation between risk factors, and age at first episode and the frequency of episodes were evaluated separately for patients with and without an underlying etiology.results: In all, 60 patients (33.9%) had congenital birth defects, 55 (31%) had aspiration syndrome, 19 (10.8%) had airway obstruction, 7 (4%) had immune deficiency, 4 (2.3%) had cystic fibrosis, 2 (1.1%) had pulmonary tuberculosis, and 1 (0.6%) had pulmonary hemosiderosis. Of the patients; 29 (16.3%) had no specific etiology. In the patients without a discernible underlying disorder, risk factors (a history of exposure to cigarette smoke, ≥5 household members, insufficient breastfeeding) were significantly associated with a higher frequency of pneumonia episodes. Multiple logistic regression analysis showed that exposure to cigarette smoke was a risk factor for recurrent pneumonia episodes, independent of the other risk factors evaluated conclusion: Exposure to cigarette smoke, an overcrowded household, and insufficient breastfeeding were determined to be highly probable risk factors associated with the higher frequency of episodes in the RP patients without an underlying disorder
Keywords
References
- Lozano R. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380:2095- 128.
- Cashat-Cruz M, Morales-Aguirre JJ, Mendoza-Azpiri M. Respiratory tract infections in children in developing countries. Semin Pediatr Infect Dis 2005;16:84-92.
- Sheares BJ. Recurrent pneumonia in children. Pediatr Ann 2002;31:109-14.
Details
| Other ID | JA86FE24CR |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2017 |
| Submission Date | December 1, 2017 |
| Published in Issue | Year 2017 Volume: 11 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.