Çocuk acil polikliniğine başvuran akut gastroenterit vakalarının değerlendirilmesi

Amaç: Akut gastroenterit dünya çapÕnda çocukluk ça÷Õnda morbidite ve mortalitenin önemli bir nedenidir. Tüm yaú gruplarÕ arasÕnda acil servislere enfeksiyonla ilgili baúvurularÕn sÕk görülen bir nedeni olmaya devam etmektedir. Bölgedeki gastroenterit etkenlerinin bilinmesi, tanÕya yönelik araúWÕrmalarda kolaylÕk, erken ve do÷ru tanÕ, etkin tedavi fÕrsatÕ sa÷layacaktÕr. Bu çalÕúma acil servise gastroenterit ile baúvuran çocuklarda bakteriyel, viral ve parazitik patojenlerin prevalansÕQÕ de÷erlendirmeyi amaçlamÕúWÕr. Yöntem:Eylül 2018-Eylül 2019 tarihleri arasÕnda Meram TÕp Fakültesi Hastanesi Çocuk Acil Servisine baúvuran 0 ay ile 18 yaú arasÕndaki 450 akut gastroenteritli çocu÷un demografik, klinik ve laboratuvar verileri retrospektif olarak incelendi. Bulgular:HastalarÕn%31,1’inde etiyolojik ajanlar bulunurken, hastalarÕn%68,9’unda ajanlar gösterilemedi. Belirlenen patojenler 2,1'i bakteri,%82,2 virüs,%15,7 parazit idi. En VÕk saptanan patojen %72,9 oranÕ ile Rotavirus’tu. Bunu %15,0 ile E. histolytica ve %9,3 ile Adenovirusizledi.Rotavirus en sÕk ilk 2 yaúta, E. histolytica ise en sÕk 5 yaú üzerinde tespit edildi. Rotavirus en sÕk kÕú mevsiminde (%33,7) görüldü. HastalarÕn %7,1 hastanede yatarak tedavi edildi. Ortalama hastanede yatÕú süresi 3,34±2,19 gün idi. Sonuç:Bu çalÕúmada Rotavirus, E. histolytica ve Adenovirus acil servise baúvuran 0 ay ile 18 yaú arasÕndaki çocuklarda en yaygÕn diyare ajanlarÕydÕ

Objective: Acute gastroenteritis is a major cause of pediatric morbidity and mortality around the world. It remains a frequent reason for infection-related admissions to emergency units among all age groups. Epidemiologic knowledge about etiology of gastroenteritis in a certain area allows early and correct diagnosis. The current study aimed at evaluating the prevalence of bacterial, viral, and parasitic pathogens in children withgastroenteritis who admitted to emergency unit. Method:The demographic, clinical and laboratory data of 450 children with acute gastroenteritis, within the age range of 0 months to 18 years who admitted to Pediatric Emergency Department of Meram Medical Faculty from September 2018 to September 2019 were retrospectively analyzed. Results:While 31,1% of the patients had etiological agents, 68,9% of the patients could not be shown.The identified pathogens were 2,1% bacteria, 82,2% virus, 15,7% parasite.The most common pathogen was Rotavirus with a rate of 72,9%.This was followed by amoeba with 15,0% and Adenovirus with 9,3%.Rotavirus was most frequently detected at the age of 2 years, and E. histolytica was most frequently detected at the age of 5 years.Rotavirus was most common in the winter season (33,7%).7.1% of the patients were hospitalized.The average length of hospital stay was 3.34 ± 2.19 days. Conclusion:Rotavirus,E. histolytica and Adenovirus were the most prevalent agents of diarrhea in children’s aged 0 month to 18 years who who admitted to emergency unit in this study