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    Clinical characteristics and incidence of bacterial and viral pathogens in patients hospitalized with community acquired pneumonia in childhood in Konya between October 2008 and February 2010
    (Refik Saydam National Public Health Agency (RSNPHA), 2016) Sert S.; Emiroğlu M.; Arslan U.; Koç O.; Örs R.
    Objective: It was aimed to investigate clinical characteristics and incidence of bacterial and viral pathogens in patients who were hospitalized with the clinical diagnosis of community acquired pneumonia (CAP). Method: In this study 91 patients at the ages between one month and six years who required hospitalization and were admitted to pediatrics clinics and pediatric emergency services of the Selçuk University Meram Medical Faculty, and also who did not use antibiotics for 48 hours before hospital admission and had the clinical diagnosis of CAP were investigated from October 2008 to February 2010. Demographic and clinic characteristics of the patients were recorded. Blood samples for complete blood count, erytrocyte sedimentation rate, C-reactive protein, procalcitonin, blood culture and nasopharyngeal aspirate samples for detection of the viral etiologies by real time polymerase chain reaction (RT-PCR) were taken at the time of hospital admission. Initial posteroanterior (PA) chest X-rays of all patients were checked. Results: The agents of pneumonia were detected in 24.2% (22/91) but not in 75.8% (69/91) of our patients. Of 91 patients, 11 (12.1%) were positive for viral infections, 9 (9.9%) were positive for only bacterial infections, 3 (3.3%) had viral coenfection, 2 (2.2%) were positive for both viral and bacterial infections. Out of 11 viral positive patients, 7, 2, 1, 2, and 1 patients were detected to have parainfluenza virus (PIV) 2, PIV 3, adenovirus, both PIV 3 and adenovirus, both PIV 2 and PIV 3, respectively. RSV, PIV 1 and human metapneumovirus (hMPV) were not detected in any of cases. Out of 11 bacteria positive patients, 5, 2, 1, 1, 1, and 1 patients were detected to have Staphylococcus epidermidis, S. saprophyticus, S. hominis, S. capitis, S. sobrinus and S. mitis. Also mixed viral-bacterial agent presence were detected in 2 (2.2%) of our patients. Out of ninety one pneumonia patients those having their diagnosis clinically, 59 (64.7%) had radiological signs. Conclusion: Our study demonstrated the etiological influence of viral agents in CAP. Parainfluenza virus 2 was the most common viral agent among detected viruses in all age groups. Improving the etiological diagnosis of viral infections may avoid unnecessary the use of antibiotic. Further comprehensive and randomized controlled studies are needed to confirm our results.
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    Demographic characteristics of children hospitalized with the diagnosis of acute gastroenteritis in Konya [Konya’da akut gastroenterit tanısı ile hastaneye yatırılarak izlenen çocukların demografik özellikleri]
    (Galenos Yayincilik,, 2018) Yorulmaz A.; Özdem S.; Yücel M.; Sert S.; Karaçal Ş.; İstanbullu H.A.
    INTRODUCTION: Many studies have been carried out to detect the causative agents in patients admitted to hospital with gastroenteritis. However, there is a limited number of epidemiological studies in patients hospitalized for gastroenteritis. In this study, we aimed to determine the distribution and incidence of the causative agents of acute gastroenteritis in children in Konya and to evaluate the demographic, clinical and laboratory findings. METHODS: This study included 412 patients aged 1 month to 16 years who were hospitalized with a diagnosis of gastroenteritis in the Child Health and Diseases Clinic in our hospital between January 2015 and January 2016. The data of the patients were analyzed retrospectively. The age, sex, seasonal distribution, symptoms, duration of hospitalization, course of the disease, type of acute gastroenteritis, incidence of nosocomial infections and complications were examined. RESULTS: The total number of patients hospitalized for various reasons during the 12-month study period was 3985 and the patients hospitalized for diarrhea constituted 10.33% of it. Two hundred and twenty-seven of the patients were male (55.1%), and 185 (44.9%) were female. There were 57 patients (13.8%) between 0-24 months, 262 patients (63.6%) between 24-60 months and 93 patients (22.6%) over 60 months. When the age groups were compared with the disease groups, there was a statistically significant difference in the incidence of viral gastroenteritis between 24-60 months (p: 0.001). Two hundred and thirty-one (56.1%) patients had acute viral gastroenteritis, 74 (17.9%) patients had amebiasis, and 107 (26.0%) patients had bacterial gastroenteritis. DISCUSSION and CONCLUSION: Viral agents, especially rotavirus, should be kept in mind in childhood acute gastroenteritis. Diagnosis and treatment approaches should be planned considering the incidence of other agents. © 2018, Galenos Yayincilik,. All rights reserved.