Çocuk Acil Kliniğimizde Takip Edilen Hastalarda Solunum Yolu Viral Etkenlerin Dağılımı

Solunum yolu enfeksiyonu bulguları ile çocuk acil polikliniğine başvuran ve çocuk acil yataklı ünitesinde takip edilen 5 yaş altı hastaların nazofaringeal sürüntü örneklerinde saptanan solunum yolu virüslerinin görülme sıklığının, mevsim, yaş ve klinik bulgulara göre dağılımının saptanması amaçlandı. Hastaların kayıtları retrospektif olarak incelendi ve yaş, cinsiyet, başvuru şikayeti, fizik muayene bulguları, başvurduğu mevsim, non-invaziv ventilasyon gereksinimi, hastanede yatış süresi, nazofaringeal sürüntü viral polimeraz zincir reaksiyonu (PCR) inceleme sonuçları kaydedildi. Nazofaringeal sürüntü viral PCR sonuçları incelendiğinde hastaların 43’ünde (%26,5) herhangi bir virüs izole edilemediği, 119’unda (%73,5) ise en az bir ya da birden fazla virüs izole edildiği görüldü. Bu 119 hastanın 82’sinde (%68,9) tek bir virüs, 37’sinde (%31,1) iki veya daha fazla virüs izole edildi. Hastaların aldıkları tedavileri incelendiğinde 87’sinin (%53,7) hiçbir antibiyotik almadığı, 75’inin (%46,3) ise bir ya da birden çok antbiyotik tedavisi aldığı görüldü. Viral patojenlerin erken dönemde saptanması ile gereksiz antibiyotik kullanımının önlenebileceği, antibiyotik direncinin kontrol altına alınabileceği, hastanede yatış süresinin kısalacağı ve tedavi maliyetlerinin azalacağı düşünülmektedir.

Anahtar Kelimeler:

Solunum yolu enfeksiyonu, nazofaringeal sürüntü, viral PCR, çocuk acil, çocuk

Distribution of Respiratory Viral Agents in Patients Being Followed-Up in Our Pediatric Emergency Department

We aimed to determine the distribution of frequency of respiratory viruses detected in nasopharyngeal swab samples of patients under 5 years of age, who were hospitalized in the inpatient unit of pediatric emergency department during last year, by seasons, age and clinical findings. Hospitalization files of the patients were examined retrospectively. Patients’ age, gender, admission complaint, physical examination findings, season they admitted, need for non-invasive mechanical ventilation, duration of hospital stay and result of nasopharyngeal swab viral polymerase chain reaction (PCR) were recorded. When results of the nasopharyngeal swab viral PCR of the patients were examined, it was determined that no virus was isolated in 43 (26.5%) patients and in 119 (73.5%), however, at least one virus was isolated. Of these 119 patients; only one virus was detected in 82 (68.9%) and two or more viruses in 37 (31.1%). It was observed that 87 (53.7%) did not receive any antibiotics and 75 (46.3%) patients were treated with one or more antibiotics. Early detection of viral pathogens is thought to prevent unnecessary antibiotic use, control of antibiotic resistance, shorten hospital stay and decrease treatment costs.

Keywords:

Respiratory tract infection, nasopharyngeal swab, viral PCR, child emergency, child,

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