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Amaç: Rutin aşılama programı uygulanmayan ülkelerde suçiçeği çocukluk çağında yaygın olarak görülür. Bu hastalık özellikle artan yaşla birlikte ciddi mortalite ve morbiditeye yol açabilir. Ülkemizde suçiçeği aşısı 1 Ocak 2013 tarihinde ulusal aşı takvimine alınmıştır. Bu çalışmada suçiçeği aşısının ulusal aşılama programına dahil edilmesinden sonraki dönemde suçiçeği nedeniyle yatırılan çocuk hastaların yatış nedenlerinin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Üçüncü basamak araştırma hastanemizde 1 Ocak 2012 ve 31 Aralık 2017 tarihleri arasında, suçiçeği tanısı ile yatırılan çocuk hastalar geriye dönük olarak incelendi. Hastaların demografik, klinik özellikleri, altta yatan hastalıkları, yatış nedenleri, yatış süreleri, yatış maliyetleri, komplikasyonları ve fatura bilgileri geriye dönük olarak incelendi. Bulgular: Çalışma süresince 66’sı erkek (%63.5), 38’i kız (% 36.5) toplam 104 hasta incelenmiştir. Olguların 40‘ı (%38.4) 24 ay ve altında, 36’sı (%34.6) 25 – 72 ay arasında, 28’i (%27) 73 ay ve üzerindeydi. 45 olguda (%43.3) altta yatan hastalık yoktu. 21 olgu (%20.2) pnömoni, 21 olgu (%20.2) sekonder bakteriyel cilt enfeksiyonu, 7 olgu (%6.7) serebellit, 6 olgu (%5.8) yaygın cilt döküntüsü, 4 olgu (%3.8) hepatit, 4 olgu (%3.8) febril konvülziyon, 3 olgu(%2.9) menigoensefalit, 3 olgu(%2.9) kanamaya yol açan trombositopeni, 1(%1) olgu bronşiolit nedeniyle yatırılmştı. Tüm yatışların 25’i (%24) 2012 yılında iken, 11’i (%10.6) 2016 yılında, 6’sı (%5.8) ise 2017 yılındaydı. Altta yatan hastalığı olmayan 45 olgunun yatış maliyetinin ortanca değeri, altta yatan hastalığı olan 59 olguyla kıyaslandığında ortanca değerleri arasında istatistiksel fark saptanmadı. Altta yatan hastalığı olmayan olgularda yatış süresinin ortanca değeri 7 (3-42) gündü. Sonuç: Bulgularımız suçiçeğinin günümüzde kronik hastalığı olmayan sağlıklı çocuklarda bile ciddi sorunlar oluşturabildiğini göstermiştir. Suçiçeği aşısının ulusal aşılama programına alınmasından sonra, yıllar içinde yatış gerektiren olguların sıklığında anlamlı düzeyde azalma olduğu gözlenmiştir.
Purpose: In countries where the routine vaccination program is not implemented, infertility is commonly seen in childhood. This disease may lead to severe mortality and morbidity, especially with age. The vaccine was included in the national vaccine calendar on 1 January 2013. This study is aimed at assessing the causes of sleep for children infected due to the infection in the period after the inclusion of the vaccine to the national vaccination program. Instruments and Methods: Third stage research in our hospital between 1 January 2012 and 31 December 2017, infants infected with the diagnosis of infertility were reviewed backward. The demographic, clinical characteristics of the patients, underlying diseases, causes of deposit, deposit periods, deposit costs, complications and invoice information were reviewed backwards. Results: During the study, 66 men (63.5%) and 38 girls (36.5%) were examined with a total of 104 patients. 40 of the cases (38.4 percent) were 24 months and below, 36 (34.6 percent) between 25 and 72 months, 28 (27.7 percent) 73 months and above. In 45 cases (43.3%) there was no underlying disease. 21 phenomena (%20.2) pneumonia, 21 phenomena (%20.2) secondary bacterial skin infection, 7 phenomena (%6.7) cerebellitis, 6 phenomena (%5.8) common skin outbreak, 4 phenomena (%3.8) hepatitis, 4 phenomena (%3.8) febril convulsion, 3 phenomena (%2.9) menigoensephalitis, 3 phenomena (%2.9) triggering bleeding thrombocytopenia, 1(%1) phenomena bronchiolitis. All investments were 25 (24%) in 2012, 11 (10.6%) in 2016 and 6 (5.8%) in 2017. The average value of the accommodation cost of 45 incidents with no underlying disease compared to 59 incidents with no underlying disease, there is no statistical difference between the average values. In cases with no underlying disease, the average value of the resting period is 7 (3-42) days. The result: Our findings have shown that pimples can cause serious problems even in healthy children without chronic illness today. After the introduction of the crime vaccine into the national vaccination program, it has been observed a significant decrease in the frequency of incidents that require sinking over the years.
Objective: Varicella is common in childhood in countries where a routine vaccination program is not implemented. The disease can cause serious morbidity and even mortality, especially with increasing age. In our country, the varicella vaccine was included in the national vaccination program on 1 January 2013. The aim of this study was to investigate the hospitalized children with varicella after the administration of varicella vaccine in the national vaccination program. Material and Methods: Pediatric patients who were admitted to our tertiary research hospital between January 1, 2012 and December 31, 2017 with a diagnosis of varicella were evaluated retrospectively. The patient demographics, clinical characteristics, underlying diseases, duration of hospitalization, hospitalization costs, and complications were analyzed. Results: A total of 104 cases consisting of 66 (63.5%) males and 38 (36.5%) females were included. Of these cases, 40 (38.4%) were aged under 24 months, 36 (34.6%) between 25 and 72 months, and 28 (27%) over 73 months. There were no underlying diseases in 45 (43.3%) cases. The causes of admission were pulmonary infection in 21 (20.2% ) cases, bacterial skin superinfections in 21 (20.2%) cases, cerebellitis in 7 (6.7%) cases, disseminated rash in 6 (5.8%) cases, hepatitis in 4 (3.8%) cases, febrile convulsions in 4 (3.8%) cases, severe thrombocytopenia in 3 (2.9%) cases, meningoencephalitis in 3 (2.9%) cases, and bronchiolitis in 1(1%) case of all admissions, 24% were in 2012, 10.6% in 2016, and 5.8% in 2017. The median hospital cost per hospital stay was not different in patients without an underlying disease compared to patients with an underlying disease. The median duration of hospitalization was 7 (3-42) days in patients without an underlying disease. Conclusion: These findings indicate that chickenpox can cause a serious problem even in healthy children without underlying diseases. Following the inclusion of varicella vaccine in the national vaccination program, a critical decrease was observed in the frequency of cases requiring hospitalization.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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