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The Overlooked Childhood Problems in Pediatric Cerebral Palsy Subjects

Year 2012, Volume: 19 Issue: 1, 1 - 5, 01.02.2012

Metehan Özen Serdal Güngör Sabiha Güngör Raif

Abstract

Abstract: This is one of the first studies delineating some characteristic features of certain common childhood problems of pediatric cerebral palsy (CP) subjects that might have been overlooked in previous medical visits. We collected data on immunization and also blood, urine and stool specimens of 89 CP subjects and 80 control patients. The CP subjects had significantly higher ratios of anemia, urinary tract infections and missed shots of immunization than patients presenting with first seizure as control group (p<0.05 for each). There was no difference in ratio of intestinal parasites but was quite high in both groups (18%). It will afford a good opportunity for CP subjects if pediatric neurologists, who regularly follow up these patients, focus on some non-neurological but common childhood problems as well. Key words: Cerebral Palsy; Urinary Tract Infection; Anemia; Missed Immunization Shots; Intestinal Parasites.

Keywords

Cerebral Palsy; Urinary Tract Infection; Anemia; Missed Immunization Shots; Intestinal Parasites.

References

  • Paneth N, Hong T, Korzeniewski S. The Descriptive Epidemiology of Cerebral Palsy. Clin Perinatol 2006; 33(2): 251-67. DOI: 10.1016/j.clp.2006.03.011
  • Stempien LM, Gaebler-Spira D. Rehabilitation of children and adult with cerebral palsy. In: Braddom RL, ed. Physical Medicine and Rehabilitation. 2nd ed. Philadelphia: WB Saunders 2000: 1191-212.
  • Josephson SL, Thomason JL. Urinary tract infections. In: Konemann EW, Allen SD, ed(s). Color Atlas and Textbook of Diagnostic Microbiology. 4th ed. Philadelphia (PA): J.P. Lippincott; 1992: 77-83.
  • Dallman PR, Siimes MA. Percentile Curves for Hemoglobin and Red Cell Volume in Infancy and Childhood. J Pediatr 1979; 94: 26-31. DOI: 10.1016/S0022-3476(79)80344-3
  • Miller F, Bachrach SJ, Boos ML, Duffy L. Cerebral Palsy. A Johns Hopkins Press Health Book, Second Edition.Baltimore: 2006.
  • Tervo RC, Taylor B. Vaccinations and the Physically Handicapped Child. Can Med Assoc J 1982; 127(6): 475- 7.
  • Tillmann BU, Tillmann HC, Heininger U, et al. Acceptance and Timeliness of Standard Vaccination in Children with Chronic Neurological Deficits in North- Western Switzerland. Eur J Pediatr 2005; 164(5): 320-5. DOI: 10.1007/s00431-005-1627-x
  • Enright F, Mc Mahon B, Washington A. Varicella Outbreak in a Residential Home. Ir Med J 2006; 99(5): 133-5.
  • Guess HA, Broughton DD, Melton LJ 3rt, Kurland LT Population-based Studies of Varicella Complications. Pediatrics 1986; 78: 723-7.
  • Chong SK. Gastrointestinal Problems in the Handicapped Child. Curr Opin Pediatr 2001; 13: 441-6. DOI: 10.1097/00008480-200110000-00010
  • Awasthi S, Das R, Verma T, Vir S. Anemia and Undernutrition Among Preschool Children in Uttar Pradesh, India. Indian Pediatr 2003; 40: 985-90.
  • Florentino RF, Tanchoco CC, Rodriguez MP, et al. Interactions Among Micronutrient Deficiencies and Undernutrition in the Philippines. Biomed Environ Sci 1996; 9: 348-57.
  • Ohwada H, Nakayama T, Nara N, et al. An Epidemiological Study on Anemia Among Institutionalized People with Intellectual and/or Motor Disability with Special Reference to Its Frequency, Severity and Predictors. BMC Public Health 2006 3; 6: 85.
  • Tandon BN, Tandon RK and Satpathy B.K. Mechanism of Malabsorption in Giardiasis: A Study of Bacterial Flora and Bile Salt Deconjugation in Upper Jejunum. Gut 1977; 18: 176-81. DOI: 10.1136/gut.18.3.176
  • Loening-Baucke V. Urinary Incontinence and Urinary Tract Infection and Their Resolution with Treatment of Chronic Constipation of Childhood. Pediatrics 1997; 100: 228-329. DOI: 10.1542/peds.100.2.228
  • Ozturk M, Oktem F, Kisioglu N, et al. Bladder and Bowel Control in Children with Cerebral Palsy: Case-Control Study. Croat Med J 2006; 47(2): 264-70.
  • Elder JS. Urinary tract infection. In: Behrman RE, Kliegman RM, Jenson HB, ed(s). Nelson Textbook of Pediatrics. 17th ed. Philadelphia: WB Saunders; 2004: 1621-5.
  • Tabibian JH, Gornbein J, Heidari A, et al. Uropathogens and Host Characteristics. J Clin Microbiol 2008; 46(12): 3980-6. DOI: 10.1128/JCM.00339-08
  • How to cite this article: Özen M, Güngör S, Raif
  • SG. The Overlooked Childhood Problems in
  • Pediatric Cerebral Palsy Subjects. JIUMF 2012;
  • (1): 1-5. DOI: 10.7247/jiumf.2012.19.1.1_5

Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri

Year 2012, Volume: 19 Issue: 1, 1 - 5, 01.02.2012

Metehan Özen Serdal Güngör Sabiha Güngör Raif

Abstract

Özet: Bu çalışma bir eğitim hastanesinde ayaktan takip edilen pediatrik serebral palsi (SP) vakalarında daha önce yapılmış muayenelerinde gözden kaçırılmış olabilecek yaygın çocukluk problemlerinin sıklığını belirleyen ilk çalışmalardan biridir. Aynı pediatrik nöroloji polikliniğinde takip edilen SP hastaları ile kontrol grubu olarak alınan ilk nöbet şikayetiyle başvuran vakalar karşılaştırıldı. Vakaların aşı verileri toplandı. Ayrıca 89 SP ile 80 kontrol hastasında kan, idrar ve gaitada parazit tetkikleri incelendi. Serebral palsi grubunda kontrol grubuna göre anlamlı derecede daha yüksek anemi, idrar yolu enfeksiyonu ve eksik aşılama oranları tespit edildi (her sonuç için p<0.05). Bağırsak paraziti oranı açısından farklılık tespit edilmedi ancak bu oran her iki grupta da hafif yüksek (%18) bulundu. Serebral palsi vakalarını düzenli takip eden pediatrik nöroloji poliklinik hekimlerinin nörolojik olmayan yaygın çocukluk problemlerine de zaman ayırması, bu hastalar için iyi bir fırsat olacaktır. Anahtar kelimeler: Serebral Palsi; İdrar Yolu Enfeksiyonu; Anemi; Unutulmuş Aşı Dozları; İntestinal Parazitler.

Keywords

Serebral Palsi; İdrar Yolu Enfeksiyonu; Anemi; Unutulmuş Aşı Dozları; İntestinal Parazitler.

References

  • Paneth N, Hong T, Korzeniewski S. The Descriptive Epidemiology of Cerebral Palsy. Clin Perinatol 2006; 33(2): 251-67. DOI: 10.1016/j.clp.2006.03.011
  • Stempien LM, Gaebler-Spira D. Rehabilitation of children and adult with cerebral palsy. In: Braddom RL, ed. Physical Medicine and Rehabilitation. 2nd ed. Philadelphia: WB Saunders 2000: 1191-212.
  • Josephson SL, Thomason JL. Urinary tract infections. In: Konemann EW, Allen SD, ed(s). Color Atlas and Textbook of Diagnostic Microbiology. 4th ed. Philadelphia (PA): J.P. Lippincott; 1992: 77-83.
  • Dallman PR, Siimes MA. Percentile Curves for Hemoglobin and Red Cell Volume in Infancy and Childhood. J Pediatr 1979; 94: 26-31. DOI: 10.1016/S0022-3476(79)80344-3
  • Miller F, Bachrach SJ, Boos ML, Duffy L. Cerebral Palsy. A Johns Hopkins Press Health Book, Second Edition.Baltimore: 2006.
  • Tervo RC, Taylor B. Vaccinations and the Physically Handicapped Child. Can Med Assoc J 1982; 127(6): 475- 7.
  • Tillmann BU, Tillmann HC, Heininger U, et al. Acceptance and Timeliness of Standard Vaccination in Children with Chronic Neurological Deficits in North- Western Switzerland. Eur J Pediatr 2005; 164(5): 320-5. DOI: 10.1007/s00431-005-1627-x
  • Enright F, Mc Mahon B, Washington A. Varicella Outbreak in a Residential Home. Ir Med J 2006; 99(5): 133-5.
  • Guess HA, Broughton DD, Melton LJ 3rt, Kurland LT Population-based Studies of Varicella Complications. Pediatrics 1986; 78: 723-7.
  • Chong SK. Gastrointestinal Problems in the Handicapped Child. Curr Opin Pediatr 2001; 13: 441-6. DOI: 10.1097/00008480-200110000-00010
  • Awasthi S, Das R, Verma T, Vir S. Anemia and Undernutrition Among Preschool Children in Uttar Pradesh, India. Indian Pediatr 2003; 40: 985-90.
  • Florentino RF, Tanchoco CC, Rodriguez MP, et al. Interactions Among Micronutrient Deficiencies and Undernutrition in the Philippines. Biomed Environ Sci 1996; 9: 348-57.
  • Ohwada H, Nakayama T, Nara N, et al. An Epidemiological Study on Anemia Among Institutionalized People with Intellectual and/or Motor Disability with Special Reference to Its Frequency, Severity and Predictors. BMC Public Health 2006 3; 6: 85.
  • Tandon BN, Tandon RK and Satpathy B.K. Mechanism of Malabsorption in Giardiasis: A Study of Bacterial Flora and Bile Salt Deconjugation in Upper Jejunum. Gut 1977; 18: 176-81. DOI: 10.1136/gut.18.3.176
  • Loening-Baucke V. Urinary Incontinence and Urinary Tract Infection and Their Resolution with Treatment of Chronic Constipation of Childhood. Pediatrics 1997; 100: 228-329. DOI: 10.1542/peds.100.2.228
  • Ozturk M, Oktem F, Kisioglu N, et al. Bladder and Bowel Control in Children with Cerebral Palsy: Case-Control Study. Croat Med J 2006; 47(2): 264-70.
  • Elder JS. Urinary tract infection. In: Behrman RE, Kliegman RM, Jenson HB, ed(s). Nelson Textbook of Pediatrics. 17th ed. Philadelphia: WB Saunders; 2004: 1621-5.
  • Tabibian JH, Gornbein J, Heidari A, et al. Uropathogens and Host Characteristics. J Clin Microbiol 2008; 46(12): 3980-6. DOI: 10.1128/JCM.00339-08
  • How to cite this article: Özen M, Güngör S, Raif
  • SG. The Overlooked Childhood Problems in
  • Pediatric Cerebral Palsy Subjects. JIUMF 2012;
  • (1): 1-5. DOI: 10.7247/jiumf.2012.19.1.1_5
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Metehan Özen This is me

Serdal Güngör This is me

Sabiha Güngör Raif This is me

Publication Date February 1, 2012
Published in Issue Year 2012 Volume: 19 Issue: 1

Cite

APA Özen, M., Güngör, S., & Raif, S. G. (2012). Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri. Journal of Turgut Ozal Medical Center, 19(1), 1-5.
AMA Özen M, Güngör S, Raif SG. Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri. J Turgut Ozal Med Cent. February 2012;19(1):1-5.
Chicago Özen, Metehan, Serdal Güngör, and Sabiha Güngör Raif. “Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri”. Journal of Turgut Ozal Medical Center 19, no. 1 (February 2012): 1-5.
EndNote Özen M, Güngör S, Raif SG (February 1, 2012) Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri. Journal of Turgut Ozal Medical Center 19 1 1–5.
IEEE M. Özen, S. Güngör, and S. G. Raif, “Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri”, J Turgut Ozal Med Cent, vol. 19, no. 1, pp. 1–5, 2012.
ISNAD Özen, Metehan et al. “Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri”. Journal of Turgut Ozal Medical Center 19/1 (February 2012), 1-5.
JAMA Özen M, Güngör S, Raif SG. Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri. J Turgut Ozal Med Cent. 2012;19:1–5.
MLA Özen, Metehan et al. “Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri”. Journal of Turgut Ozal Medical Center, vol. 19, no. 1, 2012, pp. 1-5.
Vancouver Özen M, Güngör S, Raif SG. Pediatrik Serebral Palsi Vakalarında Yaygın Çocukluk Problemleri. J Turgut Ozal Med Cent. 2012;19(1):1-5.