Suçiçeği ve komplikasyonlarının değerlendirilmesi

Year 2018, Volume: 49 Issue: 2, 205 - 208, 27.06.2018

Cüneyt Uğur Aysu Züleyha Say

https://doi.org/10.16948/zktipb.359715

Abstract

ÖZET

AMAÇ: Bu çalışmada polikliniğe başvuran ve komplikasyon nedeniyle
servise yatırılan suçiçeği olgularının geriye dönük değerlendirilmesi
amaçlanmıştır.

GEREÇ ve YÖNTEM: Bu çalışmada Ocak 2000-Ocak 2003 tarihleri
arasında Zeynep Kamil Eğitim ve Araştırma Hastanesi Çocuk Kliniği polikliniğine
başvuran 676 suçiçeği olgusunun poliklinik kayıtları ve servise yatırılanların
hasta dosyaları incelendi. Polikliniğe başvuranlar yaş, cinsiyet ve mevsimsel
dağılım yönünden; servise yatırılanlar ise hastaneye yatış oranı, yaş,
cinsiyet, mevsimsel dağılım, ortalama hastanede kalış süresi ve komplikasyon
tipi yönünden araştırılarak kayıt edildi.

BULGULAR: Polikliniğe başvuran 676 suçiçeği olgusunun yaş
ortalaması 5.04±3.13 yıl; %53’ü erkek, %47’si kız; mevsimsel dağılımı: %35.4
ilkbahar, %20.8 yaz, %12.1 sonbahar, %31.7 kış bulundu. Olgulardan %5.8’inin
(39 hasta) komplikasyon nedeniyle servise yatırıldığı saptandı. Servise
yatırılan hastaların yaş ortalaması 2.08±1.93 yıl; %61.5’i erkek, %38.5’i kız;
mevsimsel dağılımı: %30.8 ilkbahar, %23.1 yaz, %12.8 sonbahar, %33.3 kış ;
ortalama hastanede kalış süresi 8.00±6.86 gün olarak bulundu. En sık yatış
sebebi bronkopnömoni (%43.6), ikinci sıklıkta sekonder bakteriyel deri
enfeksiyonu (%15.4), üçüncü sıklıkta febril konvulziyon (%10.3) idi.

SONUÇ: Suçiçeğinin genelde selim seyirli olduğu , klinik olarak
kolay tanı konulduğu, komplikasyon nedeniyle servise yatırılan hasta oranının
düşük olduğu, komplikasyon gelişen hastalarda ağır morbiditeye rastlanmadığı ve
mortalitenin görülmediği tespit edilmiştir.

Keywords

Suçiçeği, komplikasyon, çocuk

Evaluation of Varicella and its complications

Abstract

ABSTRACT

OBJECTİVE: The aim of this study is to evaluate
retrospectively the varicella patients who applied to the outpatient clinic and
were hospitalized in the service due to complications.

MATERIAL and METHOD: In this study, the outpatient clinic
registries of 676 varicella patients who applied to Zeynep Kamil Training and
Research Hospital, Children’s Outpatient Clinic between January 2000 and
January 2003; and the patient files of those who were hospitalized in the
service were analyzed. Those applying to the outpatient clinic were registered
in terms of age, gender, and seasonal distribution; and those hospitalized in
the service, on the other hand, were recorded by being examined in terms of
hospital admission rate, age, gender, seasonal distribution, average period of
hospital stay, and type of complication.

RESULTS: It was found that the average age of
676 varicella patients applying to the patient clinic was 5.04±3.13 years; 53%
were male and 47% were female; the seasonal distribution was as follows; spring
(35.4%), summer (20.8%), fall (12.1%), and winter (31.7%). It was found that
5.8% (39) of the patients were hospitalized in the service because of the
complication. The average age of patients hospitalized in the service was
2.08±1.93 years; 61.5% were male and 38.5% were female; the seasonal
distribution was as follows: spring (30.8%), summer (23.1%), fall (12.8%), and
winter (33.3%). It was found that the average period of hospital stay was
8.00±6.86 days. The most frequent reason for the stay was bronchopneumonia
(43.6%); which was followed by secondary bacterial skin infection (15.4%) and
febrile convulsion (10.3%).

CONCLUSION: The varicella is generally benign
, easily diagnosed clinically, the rate of patient hospitalized due to complication
in the service is low, in patients who developed complication
have not been observed  severe morbidity
and mortality have not been identified.

Keywords

Varicella, complication, child

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