Akut Farenjitli Çocuklarda Verilen Tedavi ve Sonuçlarının Boğaz Kültürü ile Değerlendirilmesi

Abstract

Bogaz kultirt yapma olanaf1 olmayan briinci basamak saglik hizmetleri duzeyinde, akut farenjitli olgularda gereksiz antibiyotik kullanimi ve bunun tibbi ve ekonomik sakincalan gitgide 6nem kazanmaktadir. Bu sorunun boyutlarini, gereksiz antibiyotik kullanim oranlanini ve M. Cal-T. Cengiz-M. Kryan-0.Z. Afgar - FP. Ozyurda tedavi sonuclarini tespit etmek amaciyla Park Egitim Saghk Ocagi’na Arahk 1990 - Ocak 1991 tarihleri arasinda basvurup saglk ocagi hekimleri tarafindan tedavi verilen, ve tarafimizdan akut farenjit kapsaminda oldugu belirlenen 0-14 yas grubu 100 hastadan boğ az kilttirii alinarak verilen tedaviler ve sonuglari degerlendirilmistir. de Calisma sonucunda, bogaz ktilttrunde hastalarin ancak % 25’in- A grubu beta hemolitik streptokok tespit edilirken, hekimler tarafindan hastalarm % 93’line antibiyotik verildigi ve % 68 oraninda gereksiz antibiyotik kullanildigi gorulmustur. Tedaviye uyum incelendiginde parenteral tedavinin daha etkin oldugu gorulmis ve uygun antibiyotik verilip dizenli kullananlarda basamh sonug alindig1 Bu kontrol kilturleriyle saptanmıştır. tespitlere dayanilarak, birinci basamak sağlık hizmetleri düzeyinde akut farenjitin tedavisinde bogaz kulturu ve antibiyogramin rutin olarak yer almasinin uygun olacagi sonucuna varilmistir.

Keywords

• Acute
• pharyngitis.
• antibiyotik

Akut Farenjitli Çocuklarda Verilen Tedavi ve Sonuçlarının Boğaz Kültürü ile Değerlendirilmesi

Abstract

The medical and economical objections caused by the irrational use of antibiotics in acute pharyngitis have become increasingly im- portant in primary health care, in which there is not any possibility of performing throat culture. To determine the rate of unnecessary antibiotic therapy and to evaluate the results of the treatment; throat cultures were obtained from 100 children between 0-14 years of age with acute pharyngitis who were seen in Park Egitim Saglik Ocagi between December 1990 - January 1991, diagnosed and given treat- ment by the practitioners. Group A beta hemolytic streptococci were isolated from 25 % of the patients. 93 % of the patients had been gi- antibiotics and the unnecessary antibiotic treatment rate was ven 69 %. When the patient compliance was examined, it was found that parenteral treatment was more effective and succesful results were obtained in patients who received appropriate therapy and used the drug regularly. It 113 has been suggested that routine use of throat culture may be suitable in diagnosis and treatment of acute pharyngitis in primary health care.

Keywords

• Acute
• pharyngitis.
• antibiyotik

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