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- Title
Nazofarengeal Sürüntü Örneklerinde PCR ile İnfluenza Virüsü Saptanan Vakaların Hastane Yatışı ve Komplikasyon Gelişimi Açısından Değerlendirilmesi.
- Authors
SÜTÇÜ, Murat; ACAR, Manolya; AKTÜRK, Hacer; HANÇERLİ TÖRÜN, Selda; UYSALOL, Metin; MEŞE, Sevim; SALMAN, Nuran; SOMER, Ayper
- Abstract
Objective: Influenza is usually an acute self-limiting disease, though it can cause serious complications in high-risk patients. In this study the patients diagnosed as influenza infection during the year 2014 were investigated, and evaluation of the differences between patients followed up on an outpatient basis, and those requiring hospitalization. Material and Method: Forty-eight patients diagnosed as influenza based on PCR-positive nasopharyngeal smears obtained from patients followed up as an inpatient or on an ambulatory basis according to their clinical status and hospitalized patients in Istanbul University, Faculty of Medicine, Department of Children's Health and Diseases between January2014-December 2014 were included in the study. Patients' medical records and laboratory analysis were retrospectively analyzed. Results: Median age of the patients (female, n=16, 33.3%) was 54 months (4-204 months). The median age of hospitalized patients [n=22, 45.8%, median 43.5 months, (4-204 months)] was statistically smaller than the median age of ambulatory patients [n=26, 54.2%, median 92.5 months, (4-204 months)] (p=0.002). Fever was the most common presenting symptom (n=38, 79,2%). Twenty-five patients (52.1%) had chronic diseases with the most common one being asthma (n=5, 10,4%). Only one patient (2.1%) had influenza vaccination. Influenza types were H1N1 (43,8%), H3N2 (27,1%) and Influenza B (n=14, 29,2%). Neutropenia was the most common pathologic laboratory finding (n=8, 16,7%). Median hemoglobin value of the hospitalized cases [median 11,7 gr/dL (7,4-1,3 gr/dL)] was significantly lower than that of the patients followed up on an ambulatory basis [median 12,4 gr/dL, (9,9-14,6 gr/dL)] (p=0,02). In total, median duration of the disease was 10 days (7-21 days). A patient (2,1%) with the diagnosis of chronic liver disease died secondary to acute respiratory distress syndrome. Conclusion: In order to decrease complications and hospitalization rates related to influenza, small children and the patients with chronic disorders should be vaccinated.
- Publication
Journal of the Child / Çocuk Dergisi, 2017, Vol 17, Issue 1, p18
- ISSN
1302-9940
- Publication type
Article
- DOI
10.5222/j.child.2017.018