Melek İNCİ, Vicdan Köksaldı MOTOR, Erkan YULA, Sadık KAYA, Cahide YILMAZ, Fatmagül BAŞARSLAN

SEREBRAL PALSİLİ ÇOCUKLARDA KANDİDA KOLONİZASYONU

Amaç: Bu çalışmanın amacı serebral palsili çocuklarda kandida kolonizasyonunu araştırmaktır.Materyal ve Metod: Çalışmaya Mart-Aralık 2011 tarihleri arasında Mustafa Kemal ÜniversitesiTıp Fakültesi Çocuk Nöroloji polikliniğinde serebral palsi tanısı almış 71 hasta ve 40 sağlıklıçocuk dahil edildi. Hastaların ağız, koltuk altı, inguinal ve antekübital bölgeleri olmak üzeretoplam 4 bölgesinden sürüntü örnekleri alındı. Bulgular: Serebral palsili ve kontrol grubundaki hastalarda araştırılan bölgeler içerisinde ensık kolonizasyonun ağız bölgesinde olduğu ve tüm bölgelerde en sık kolonize olan türünCandida albicans olduğu bulundu. Her iki grup karşılaştrıldığında ağız bölgesindekikolonizasyonda serebral palsili grupta anlamlı farkın olduğu görüldü. Serebral palsili hastalardaantibiyotik kullanımının ağız ve inguinal bölgedeki kolonizasyonun artışı ile ilişkili olduğubulundu.Sonuç: Sonuç olarak serebral palsili hastalarda özellikle antibiyotik kullanımı ağız bölgesindedaha fazla olmak üzere kandida kolonizasyonuna yatkınlık oluşturabilir

Anahtar Kelimeler:

Serebral palsi, kandida kolonizasyonu, antibiyotik kullanımı

Candida Colonization In Children With Cerebral Palsy

Purpose: The aim of this study was to investigate candida colonization in children with cerebralpalsy.Materials and Methods: In the study, 71 patients who were diagnosed as cerebral palsy and40 healthy children were included at the Child Neurology Outpatient Clinic of Faculty ofMedicine, Mustafa Kemal University, between March and December 2011. The smear samplesfrom four regions which were oral, axillary, inguinal and antecubital areas.Results: Within the investigated areas, it was found that the most common colonized regionwas mouth and the most frequent species was Candida albicans both the patients with cerebralpalsy and control groups. When two groups were compared, it was seen that the colonization inthe mouth was significantly different in both groups and the antibiotic usage in patients withcerebral palsy was associated with an increased colonization of the mouth and inguinal region.Conclusion: In patients with cerebral palsy, the use of antibiotics especially may predispose tocolonization of candida which is more prominent in the mouth

Keywords:

Cerebral palsy, candida colonization, antibiotic usage,

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