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- Title
Pnömoni Tanısı ile Hastanede İzlenen Çocuk Hastaların Demografik, Klinik, Radyolojik Özelliklerinin ve Tedavi Sonuçlarının Değerlendirilmesi.
- Authors
Çil, Merve Kılıç; Gündeşlioğlu, Özlem Özgür; Çay, Ümmühan; Sönmez, Gülsüm; Ok, Zahide Orhan; Kocatepe, Durdane Gaye; Soyupak, Süreyya; Efe, Ceren; Ünal, İlker; Alabaz, Derya; Kocabaş, Emine
- Abstract
Objective: In this study, it was aimed to evaluate the demographic, clinical, laboratory, radiological characteristics and treatment results of pediatric patients hospitalized with the diagnosis of community acquired pneumonia. Material and Methods: In this study, data of pediatric patients aged between one month and 17 years who were hospitalized with the diagnosis of community acquired pneumonia in the Pediatric Wards of Cukurova University Medical Faculty Hospital between January 1, 2012 and December 31, 2018 were retrospectively analyzed from the patients registry. Results: In our study, a total of 229 children, 145 male and 84 female, were examined. The ages of the patients ranged from one month to 15 years (median= 24 months). Underlying disease (UD) was present in 58.3% of the patients. The cases with underlying disease, the number of pneumonia in the last one year and the number of pneumonia three or more in the last one year and the history of using antibiotics in the last six months and before admission to the hospital were statistically significantly higher according to the group without underlying disease (p= 0.001, p= 0.001, p= 0.013, respectively, and p= 0.001). In children with higher maternal education; the history of pneumonia in the last one year, hospitalization rates in the last three months and the rate of having two or less pneumonia in the last year were statistically significantly lower (p= 0.007, p= 0.005, and p= 0.014, respectively). In patients whose height and weight percentiles for age are below the 5% percentile value; the history of pneumonia in the last one year and the rate of having three or more pneumonia in the last year were statistically significantly higher (p< 0.001, p= 0.002, respectively). While 96.5% of the patients were discharged with recovery, 8 (3.5%) of a total of 229 patients died. The number of patients followed up in the pediatric intensive care unit was 29 (12.9%). Five (23.2%) of the patients who were followed up in the intensive care unit lost their lives, the mortality rate in the group with UD and being followed up in the intensive care unit was significantly higher than the group not followed in the intensive care (p= 0.003). Conclusion: In this study, 58.3% of the patients who were hospitalized in the pediatric wards of the university hospital and followed up with a diagnosis of pneumonia were found to have underlying diseases, and 12.9% of these patients were followed in the pediatric intensive care unit due to severe pneumonia and 23.2% of died. Children with underlying disease, lower maternal education and malnutrition are at higher risk of pneumonia. As a result; these findings once again reveal the importance of preventing malnutrition, early diagnosis and treatment in children with underlying diseases, especially in increasing maternal education, in preventing pneumonia and deaths from pneumonia in childhood.
- Subjects
TURKEY; REPORTING of diseases; ACADEMIC medical centers; PEDIATRICS; ACQUISITION of data; RETROSPECTIVE studies; MEDICAL records; COMMUNITY-acquired pneumonia; SYMPTOMS
- Publication
Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi, 2022, Vol 16, Issue 2, p95
- ISSN
1307-1068
- Publication type
Article
- DOI
10.5578/ced.20229817