Emin ÜNÜVAR, Ş. Seda ÖZ, İsmail YILDIZ, Meral ÇIPLAK, Selim BADUR, Ayşe KILIÇ, Fatma OĞUZ, Müjgan SIDAL

Çocuklarda Üst Solunum Yolu İnfeksiyonlarında 2006-2008 Dönemi Viral Etiyoloji Araştırması

Amaç: Çocuklarda üst solunum yolu infeksiyonlarının viral etiyolojisinin saptanması ve etkenlerin yıllara göre dağılımının gösterilmesi amaçlandı. Yöntem: Prospektif, klinik bu araştırma İstanbul Üniversitesi İstanbul Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı Polikliniğine 2006-2008 yılları arasında başvuran ve yaşları 1-180 ay olan 380 üst solunum yolu infeksiyonlu vaka ile yürütüldü. Vakaların klinik bulguları kaydedildikten sonra, nazal sürüntü örneği alındı ve 380 örnekte İnfluenza-A, B ve Respiratuar Sinsisyal Virüs araştırıldı. Bulgular: Nazal sürüntülerden virüs izole edebilme oranımız % 23.1’dir. En sık izole edilen virüsler sırasıyla influenza-A % 62.5 ve respiratuar sinsisyal virüs % 28.4 olarak saptandı. İnfluenza A tüm yaş gruplarında en yüksek oranda bulunan virustür. İnfluenza A izolasyon oranı yaşla artmaktadır 0-24 ay arasında % 51.5, 2-5 yaş arasında % 50, > 5 yaşta % 78.1 olarak influenza A virusu izole edildi . Sonuç: Çocuklarda üst solunum yolu infeksiyonlarında viral etiyoloji % 23.1 oranındadır ve en sık etken influenza tip A’dır

Anahtar Kelimeler:

Üst solunum yolu infeksiyonu, çocuk, RSV, influenza

The Investigation of Viral Etiology in Children with Upper Respiratory Tract Infection Between the Years 2006 and 2008

Objectives: We aimed to detect the viral etiology of upper respiratory tract infections in children and the range of agents through years. Methods: This was a prospective clinical study done in Istanbul Unıversty, Faculty of Medicine. We studied with 380 children with upper respiratory tract infection whose ages were between 1 and 180 months and applied our department of pediatrics in 2006- 2008. After the clinical findings of the cases have been recorded nasal smear sampling was done and in 380 sample we search for influenza A-B and Respiratory syncytial viruses. Results: We isolated virus in 23.1 % percent of nasal smear samples. The most frequent viruses were found as influenza A 62.5 % and respiratory syncytial virus 28.4 % . Influenza A was the most common agent in all age groups. The isolation rate of influenza A was increased as the children get older We isolated influenza A virus in 51.5 % of 0-24 months oldchildren, 50 % of 2-5 years old children and 78.1 % of children older than 5 years . Conclusion: The viral etiology rate of upper respiratory tract infections in children is 23.1 % and the most common agent is influenza A.

Keywords:

Upper respiratory tract infection, child, RSV, influenza,

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