Ali BÜLBÜL, Nazan DALGIÇ KARABULUT, Sinan USLU, Selda ARSLAN, Emrah CAN, Asiye NUHOĞLU, Evrim Kıray BAŞ

H1N1 Pandemisinde Yenidoğan Deneyimimiz

Amaç: Yenidoğan döneminde İnfluenza A-H1N1 salgınını değerlendirmek, korunma ve kontrol önlemlerini tartışmak amaçlanmıştır. Yöntemler: Şişli Etfal Hastanesi’ne Ekim 2009 ve Mart 2010 arasında influenza A-H1N1 şüphesi ile başvurmuş yenidoğanların tıbbi kayıtları incelenmiştir. Bulgular: On beş yenidoğan influenza A-H1N1 şüphesi ile hastanemize başvurdu. En sık klinik başvuru nedenleri öksürük, burun akıntısı, hırıltı, inleme ve ateş idi. Tüm hastalardan nazofarengeal örnekler alındı. İnfluenza A-H1N1 virüsü yalnızca iki yenidoğanın solunum örneğinden tespit edildi. Kan kültürlerinde bakteriyel bir patojen bulunmadı. Hastalarımızın hiçbirinin mekanik ventilasyon gereksinimi olmadı. Kaybedilen vaka olmadı. Sonuç: Tüm yaş gruplarında mortalite ve morbiditeyi azaltmak için toplumun tüm üyelerinin, ailelerin ve özellikle sağlık çalışanlarının influenza infeksiyonun korunma ve kontrol önlemleri hakkında eğitilmesi gerekmektedir.

Anahtar Kelimeler:

Yenidoğan, H1N1 pandemisi, korunma

Our Experience with Pandemic Neonatal H1N1

Objectives: To evaluate an outbreak of influenza A-H1N1 during neonatal period, and discuss prophylactic, and control measures. Method: We retrospectively reviewed the medical records of newborns who were admitted to Şişli Etfal Children’s Hospital between October 2009 and March 2010. with suspect influenza A-H1N1 infection Results: Fifteen newborns were admitted to our hospital because of suspect A-H1N infection. The most common clinical manifestations of these infants were cough, rhinitis, wheezing, moaning, and fever Nasopharengeal specimens were obtained from all patients. Influenza A-H1N1 virus was isolated from respiratory tract swabs of only two newborns. No bacterial pathogen was isolated from blood culture. None of them needed mechanical ventilation and all of them survived. Conclusion: In order to reduce mortality and morbidity in all age groups, all the members of the community, families and especially health care workers should be educated regarding prevention and control measures of influenza infection.

Keywords:

Newborn, H1N1 pandemic, prevention,

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