Çocukluk Çağında Stafilokoksik Pnomöni

Authors : M AYDIN, N GÜRSES, İ İŞLEK

Pages : 0-0

Doi:10.5835/jecm.v9i3-4.429

View : 27 | Download : 15

Publication Date : 2009-12-22

Article Type : Other Papers

Abstract :| Fifty-one patiens with staphylococal pneumonia admitted to our hospital from 1981 to 1992 were retrospectively studied. Patients comprised 17 insert ignore into journalissuearticles values(33.3 %); female and 34 insert ignore into journalissuearticles values(66.6 %); male. The mean age of patients was 3.6 ± 2.9, ages varied from 1 month to 17 years, and 13 insert ignore into journalissuearticles values(25.4 %); of them were under the one year old. In pyhsical examination, fever, tachypnea, dyspne and ralles were the most common findings In the radiologic studies, bronchopneumonic infiltration was found on 45 insert ignore into journalissuearticles values(88.2 %); patients. Suspectible microorganisms were identified on the Gram-stained smears of 15 patients insert ignore into journalissuearticles values(29.4 %);. Fifteen insert ignore into journalissuearticles values(29.4 %); had positive blood cultures and 12 patients insert ignore into journalissuearticles values(23.5 %); had positive pleural fluid cultures. Most common complication was pleural effusion. Mean duration at the hospital was 32.7 ± 9 days and nine insert ignore into journalissuearticles values(17.7 %); patients died. Staphylococal pneu¬monia was found to be more complicated for the patients above one year age. Hastanemizde 1981-1992 yıllan arasında stafilokoksik pnömoni tanısı ile izlenen 51 hasta retrospektif olarak incelendi. Onyedisi insert ignore into journalissuearticles values(% 33.3); kız, 34`ü insert ignore into journalissuearticles values(% 66.6); erkek olan hastaların yaşlan 1 ay ile 17 yıl arasında değişmekteydi ve 13`ü insert ignore into journalissuearticles values(% 25.4); bir yaşın altındaydı. Fizik incelemede ateş, takipne, dispne ve krepitan railer en sık rastlanan bulgulardı. Radyolojik incelemede 45 insert ignore into journalissuearticles values(% 88.2); hastada bronkopnömonik infiltrasyon saptandı. Onbeş insert ignore into journalissuearticles values(% 29.4); hastada gram boyamada etken gösterildi. Onbeş insert ignore into journalissuearticles values(% 29.4); hastada kan, 12 insert ignore into journalissuearticles values(% 23.5); hastada plevral sıvı kültüründe stafilokok üretildi. Plevral effüzyon en sık karşılaşılan komplikasyondu. Ortalama yatış süresi 32.7 ± 9 gündü ve hastaların dokuzu insert ignore into journalissuearticles values(% 17.7); eksitus oldu. Literatörden farklı olarak hastalığın bir yaşın üstünde daha komplike seyrettiği görüldü.
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