Suçiçeği ve Komplikasyonlarının Değerlendiril

Amaç: Bu çalışmada polikliniğe başvuran ve komplikasyon nedeniyle servise yatırılan suçiçeği olgularının geriye dönük değerlendirilmesi amaçlanmıştır. Gereçler ve Yöntem: Bu çalışmada Ocak 2000-Ocak 2003 tarihleri arasında Zeynep Kamil Eğitim ve Araştırma Hastanesi Çocuk Kliniği polikliniğine başvuran 676 suçiçeği olgusunun poliklinik kayıtları ve servise yatırılanların hasta dosyaları incelendi. Polikliniğe başvuranlar yaş, cinsiyet ve mevsimsel dağılım yönünden; servise yatırılanlar ise hastaneye yatış oranı, yaş, cinsiyet, mevsimsel dağılım, ortalama hastanede kalış süresi ve komplikasyon tipi yönünden araştırılarak kayıt edildi. Bulgular: Polikliniğe başvuran 676 suçiçeği olgusunun yaş ortalaması 5.04±3.13 yıl; %53’ü erkek, %47’si kız; mevsimsel dağılımı: %35.4 ilkbahar, %20.8 yaz, %12.1 sonbahar, %31.7 kış bulundu. Olgulardan %5.8’inin (39 hasta) komplikasyon nedeniyle servise yatırıldığı saptandı. Servise yatırılan hastaların yaş ortalaması 2.08±1.93 yıl; %61.5’i erkek, %38.5’i kız; mevsimsel dağılımı: %30.8 ilkbahar, %23.1 yaz, %12.8 sonbahar, %33.3 kış ; ortalama hastanede kalış süresi 8.00±6.86 gün olarak bulundu. En sık yatış sebebi bronkopnömoni (%43.6), ikinci sıklıkta sekonder bakteriyel deri enfeksiyonu (%15.4), üçüncü sıklıkta febril konvulziyon (%10.3) idi. Sonuç: Suçiçeğinin genelde selim seyirli olduğu , klinik olarak kolay tanı konulduğu, komplikasyon nedeniyle servise yatırılan hasta oranının düşük olduğu, komplikasyon gelişen hastalarda ağır morbiditeye rastlanmadığı ve mortalitenin görülmediği tespit edilmiştir.

Evaluation of Varicella and Its Complications

Objective: The aim of this study is to evaluate retrospectively the varicella patients who applied to the outpatient clinic and were hospitalized in the service due to complications. Material and Methods: In this study, the outpatient clinic registries of 676 varicella patients who applied to Zeynep Kamil Training and Research Hospital, Children’s Outpatient Clinic between January 2000 and January 2003; and the patient files of those who were hospitalized in the service were analyzed. Those applying to the outpatient clinic were registered in terms of age, gender, and seasonal distribution; and those hospitalized in the service, on the other hand, were recorded by being examined in terms of hospital admission rate, age, gender, seasonal distribution, average period of hospital stay, and type of complication. Results: It was found that the average age of 676 varicella patients applying to the patient clinic was 5.04±3.13 years; 53% were male and 47% were female; the seasonal distribution was as follows; spring (35.4%), summer (20.8%), fall (12.1%), and winter (31.7%). It was found that 5.8% (39) of the patients were hospitalized in the service because of the complication. The average age of patients hospitalized in the service was 2.08±1.93 years; 61.5% were male and 38.5% were female; the seasonal distribution was as follows: spring (30.8%), summer (23.1%), fall (12.8%), and winter (33.3%). It was found that the average period of hospital stay was 8.00±6.86 days. The most frequent reason for the stay was bronchopneumonia (43.6%); which was followed by secondary bacterial skin infection (15.4%) and febrile convulsion (10.3%). Conclusion: The varicella is generally benign , easily diagnosed clinically, the rate of patient hospitalized due to complication in the service is low, in patients who developed complication have not been observed severe morbidity and mortality have not been identified.

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