Journals / Çocuk Enfeksiyon Dergisi / 2013 / Cilt: 7 - Sayı: 3

İnfluenza tanısı alan hastalarımızın değerlendirilmesi

Evaluation of the patients with influenza viruses

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87–91
DOI
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Conclusion: The number of patients with Influenza B infection increased from 2011 to 2012 and fever was the most frequent admission complaint.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The purpose of this study is to evaluate the clinical and laboratory data of patients diagnosed with influenza based on their virus types and age.
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Key Findings & Data:Material and Methods: The complaints on admis- sion, physical examination, laboratory and radiologi- cal findings and the treatments of children who received a diagnosis of influenza infection between 1st of January 2011 and 1st of April 2012 in the pedi- atrics outpatient service were compared.
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Conclusion & Impact:Conclusion: The number of patients with Influenza B infection increased from 2011 to 2012 and fever was the most frequent admission complaint.
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study is to evaluate the clinical and laboratory data of patients diagnosed with influenza based on their virus types and age. Material and Methods: The complaints on admis- sion, physical examination, laboratory and radiologi- cal findings and the treatments of children who received a diagnosis of influenza infection between 1st of January 2011 and 1st of April 2012 in the pedi- atrics outpatient service were compared. Results: Two hundred and one (55.2%) of the patients who were diagnosed with Influenza A and B were male and 163 (44.8%) were female. The mean age was 5.89±3.37 years (1-19 yrs). 137 (37.6%) of the patients were diagnosed in 2011 and 227 (62.4%) were diagnosed in 2012. Influenza A was detected in 172 of them (47.3%) while Influenza B was detected in 192 (52.7%). In 2011, the number of patients who had Influenza A and B were 77 (56.2%) and 60 (%43.8) respectively, while in 2012, those numbers were 95 (41.9%) and 132 (58.1%). The most frequent com- plaint was fever in 354 of the patients (68.6%) and the mean body temperature was 38.3°C (36.2-41.0°C). Body temperature of 243 (68.6%) patients was ≥38.0°C. The laboratory and radiological findings of patients with Influenza A and B did not differ signifi- cantly. The most attention deserving hematological finding was lymphopenia with both virus types. Only 16 (4.4%) patients were hospitalized and 7 of these patients (43.7%) had Influenza A and 9 had Influenza B (56.3%). Oseltamivir was administered to 8 of the hospitalized patients (50.0%) and 158 of all patients (43.4%). Conclusion: The number of patients with Influenza B infection increased from 2011 to 2012 and fever was the most frequent admission complaint.

Özet

Amaç: Bu çalışmada influenza enfeksiyonu tanısı alan hastaların virus tiplerine göre ve yıllara göre klinik ve laboratuvar verilerinin değerlendirilmesi amaçlandı. Gereç ve Yöntemler: Çocuk polikliniğinde 1 Ocak 2011 ve 1 Nisan 2012 tarihleri arasında influenza enfeksiyonu tanısı alan hastaların virus tipine (influen- za A ve influenza B) ve yıllara göre başvuru şikayetle- ri, muayene bulguları, laboratuvar bulguları, radyolojik bulgular ve almış oldukları tedavi bakımından karşı- laştırıldı. Bulgular: İnfluenza A ve B saptanan hastaların 201’i (%55,2) erkek ve 163’ü (%44,8) kız idi. Yaş ortalama- sı 5,89±3,37 yıl (1-19 yaş) idi. Hastaların 137‘si (%37,6) 2011 yılında, 227’si (%62,4) 2012 yılında tespit edilmişti. Hastaların 172’sinde (%47,3) influen- za A ve 192’sinde (%52,7) influenza B saptanmıştı. Yıllara göre bakıldığında 2011 yılında, 77 hastada influenza A (%56,2) ve 60 hastada (%43,8) influenza B görülürken, 2012 yılında 95 hastada (%41,9) influ- enza A ve 132 hastada (%58,1) ise influenza B sap- tandı. En sık başvuru şikayeti 354 hastada (%97,2) ateş olup, ortalama vücut ısısı 38,3°C idi (36,2-41,0°C arasında). Hastaların 243’ünde (%68,6) muayene sırasında ölçülen vücut ısısı ≥ 38,0°C idi. Hastaların influenza A ve influenza B saptananlar arasında labo- ratuvar ve radyolojik bulguları farklı değildi. Hematolojik tablo değişikliği bakımından en göze çarpan bulgu her iki virus tipi için de lenfopeni idi. Hastaların 16’sı (%4,4) yatırılarak tedavi edildi ve yatan hastaların 7’sini (%43,7) influenza A ve 9’unu (%56,3) influenza B oluşturmaktaydı. Yatan hastaların 8’ine (%50,0) ve tüm hastaların 158’ne (%43,4) osel- tamivir tedavisi başlandı. Sonuç: İnfluenza B enfeksiyonu 2012 yılında 2011 yılına göre artış göstermiş olup, ateş en sık başvuru şikayetidir.

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Cite This Article

KÜÇÜK, Ö., BİÇER, S., GİRAY, T., ÇÖL, D., ÇİLER, G. E., UĞRAŞ, M., GÜROL, Y., ÇELİK, G., VİTRİNEL, A. (2013). İnfluenza tanısı alan hastalarımızın değerlendirilmesi. Çocuk Enfeksiyon Dergisi, Cilt: 7 - Sayı: 3, 87–91. https://ajindex.com/articles/199637

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