Pediatride alt solunum yolu infeksiyonlarında sorunlar

Alt solunum yolu infeksiyonları ve özellikle akut pnömoni çocukluk çağında sık rastlanan bir infeksiyon hastalığı olup önemli morbidite ve mortalite nedenidir. Pnömoni komplikasyonları arasında nekrotizan pnömoni, parapnömonik efüzyon, ampiyem, pnömotosel oluşumu ve akciğer apsesi yer almaktadır. Özellikle nöromusküler hastalığı olan çocuklarda aspirasyona ikincil sorunlu ve tekrarlayan özellikte pnömoniler gelişebilir, bunların takip ve tedavisi de özellik gösterir. Bu yazıda nekrotizan pnömoni ve akciğer apsesinin etiyolojisi, tanısı ve tedavisi, ayrıca nöromusküler hastalıklardaki aspirasyon sonrası pnömonilerin değerlendirmesi gözden geçirilecektir.

Problems in pediatric lower respiratory tract infections

Lower respiratory tract infections especially acute pneumonia is a common infection in children, capable to causing significant morbidity and mortality. The complications of pneumonia include: necrotizing pneumonia, parapneumonic effusion, empyema, pneumatocele formation, and lung abscess. Recurrent and troubled pneumonia can occur especially in children with neuromusculer disorders, the therapy and monitoring requires special attention. This article focused on the etiology, diagnosis and management of necrotizing pneumonia and lung abscess, as well as evaluating of the pneumonia after aspiration.

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