Burçin NALBANTOĞLU, Ayşin NALBANTOĞLU, Mustafa Metin DONMA, Nedim SAMANCI, Nuriye Ece MİNTAŞ

Akut Bronşiolit Tanılı İnfantlarda Ortalama Platelet Hacmi, İkisi Arasında Bir Korelasyon Var Mı?

Amaç: Akut bronşiolit, 2 yaşından küçük çocuklarda en sık görülen alt solunum yolu enfeksiyonudur. Literatürde akut bronşiolit için standart tanı kriterleri ve şiddet değerlendirme sınıflamaları mevcut değildir. Ortalama platelet hacminin (MPV) lokal inflamasyondan etkilendiği gösterilmiştir ve akut bronşiolit ile MPV ilişkisini gösteren tek bir çalışma bulunmaktadır. Materyal ve Metot: Bu çalışmada MPV ile akut bronşiyolit arasındaki ilişkiyi belirlemeyi amaçladık, ayrıca hastalığın şiddetini değerlendirmede yararlı bir belirteç olup olmadığını araştırdık. Bu retrospektif çalışmada akut bronşiolitis tanısı alan 555 çocuğa ve eşleştirilmiş yaş ve cinsiyete sahip 516 sağlıklı bebek çalışma grubuna dahil edilmiştir. Bulgular: MPV düzeyleri hasta grubunda (8,2 ± 0,8 fL) kontrol grubuna (7,9 ± 0,8 fL) göre anlamlı olarak yüksek bulundu. Hastaneye yatış açısından hastaneye yatırılan grup ve poliklinik hastalarının MPV değerleri arasında anlamlı bir fark saptanmamıştır (sırası ile, 8,3 ± 0,8 fL; 8,2 ± 0,7 fL) Sonuç: Sonuç olarak, verilerimiz, akut bronşiolit varlığında MPV değerlerinin sağlıklı bebeklere göre anlamlı derecede yükseldiğini göstermektedir. Bununla birlikte, MPV atak şiddetinde bir rehber olarak kullanılamaz ve hastaneye yatışı ve sistemik steroid ihtiyacını tahmin edemez.

MEAN PLATELET VOLUMES OF INFANTS WITH ACUTE BRONCHIOLITIS, IS THERE A CORRELATION BETWEEN THEM?

Aim: Acute bronchiolitis is the most common lowerrespiratory tract infection of children younger than 2 years ofage. There aren't any standardized diagnostic criteria andseverity assessment classifications for acute bronchiolitisavailable in literature. Mean platelet volume (MPV) has shownto be effected in inflammatory conditions and to ourknowledge there's only one recent study in children with acutebronchiolitis that demonstrated an association between MPVchange and acute brınchiolitis.Materials and Methods: In this retrospective study weenrolled 555 children diagnosed with Acute bronchiolitis and516 healthy infants with a matching age and sex.Results: MPV levels were found significantly higher in patientgroup (8,2 ± 0,8 fL) than the control group (7,9 ± 0,8 fL). Interms of hospitalization need, no significant difference wasdetected between the MPV values of the hospitalized groupand the outpatients (8,3±0,8 fL; 8,2±0.7 fL, respectively).Conclusions: In conclusion, our data show that MPV valuesare significantly elevated in acute bronchiolitis compared tohealthy infants. However, MPV can't be used as a guidance inattack severity nor can it predict hospitalization and systemicsteroid need.

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