CLINICAL AND LABORATORY FINDINGS IN CHILDREN WITH INFLUENZA INFECTIONS

Öz

ABSTRACT Objective: We aimed to show the clinical characteristics of children with influenza infection and the relationship between influenza infections and hemogram parameters, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), neutrophil/monocyte ratio (NMR), and mean platelet volume (MPV). Methods: The data of patients who applied to Necmettin Erbakan University Meram Medical Faculty Pediatrics outpatient clinics and had positive rapid influenza test were scanned through the hospital information system. Results: The median age and neutrophil value in the influenza A group were significantly lower than in the influenza B group (p=.002, p=.008). The median MPV and monocyte value in the influenza A group were significantly higher than in influenza B (p<.00, p=.005). The mean WBC count was found to be significantly higher in hospitalized patients compared to outpatients. (p = .039). There were no significant difference between the groups in terms of NLR, PLR, NMR. Bacteremia was detected significantly more in hospitalized patients compared to outpatients. Underlying chronic diseases were significantly lower in outpatients than in inpatients.(p<.001) Conclusion: There were no difference in the severity of clinical severity between infleunza A and B subgroups and no significant difference was found in terms of hemogram parameters.

Anahtar Kelimeler

• Influenza A
• Influenza B
• hemogram parameters
• Neutrophil/lymphocyte ratio
• hospitalization
• children

İNFLUENZA ENFEKSİYONU OLAN ÇOCUKLARDA KLİNİK VE LABORATUVAR BULGULARI

Öz

ÖZ Amaç: Bu çalışmada influenza enfeksiyonu olan çocukların klinik özelliklerini ve nötrofil/lenfosit oranı (NLR), trombosit/lenfosit oranı (PLR), nötrofil/monosit (NMR), ortalama trombosit hacmi (MPV) gibi laboratuvar bulgularını göstermeyi amaçladık. Yöntemler: Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı polikliniklerine başvuran ve hızlı influenza testi pozitif çıkan hastaların verileri hastane bilgi sistemi üzerinden tarandı. Bulgular: İnfluenza A grubunda ortanca yaş ve nötrofil değeri influenza B grubuna göre anlamlı derecede düşüktü (p=.002, p=.008). İnfluenza A grubunda ortanca MPV ve monosit değeri influenza B'ye göre anlamlı derecede yüksekti (p<.00, p=.005). Hastanede yatan hastalarda ortalama WBC sayısı ayaktan hastalara göre anlamlı derecede yüksek bulundu. (p = .039). NLR, PLR, NMR açısından gruplar arasında anlamlı fark yoktu. Hastanede yatan hastalarda ayaktan hastalara göre anlamlı derecede daha fazla bakteriyemi saptandı. Altta yatan kronik hastalıklar ayaktan hastalarda yatan hastalara göre anlamlı derecede düşüktü.(p<.001) Sonuç: İnfluenza A ve B alt grupları arasında klinik şiddet şiddeti açısından fark bulunmadı ve hemogram parametreleri açısından anlamlı fark bulunmadı.

Anahtar Kelimeler

• : İnfluenza A
• İnfluenza B
• kan sayımı parametreleri
• Nötrofil/lenfosit oranı
• hastaneye yatış
• çocuklar

Kaynakça

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