Evaluation of Children with Congenital Heart Disease Hospitalized with the Diagnosis of Lower Respiratory Tract Infection
Journal Title: The Journal of Pediatric Research - Year 2018, Vol 5, Issue 1
Abstract
Aim: Lower respiratory tract infections are an important reason for mortality and morbidity in children with congenital heart disease. This study aimed to evaluate 50 children who had congenital heart disease and were hospitalized with lower respiratory tract infection in the Ege University Faculty of Medicine Pediatrics Hospital. Materials and Methods: Fifty pediatric patients were taken into the study. Their clinical symptoms, acute phase reactants, chest X-rays, bacterial culture of transtracheal aspirate, respiratory virus panel (with multiplex polimerase chain reaction) from nasopharyngeal swab were examined. The groups were evaluated in terms of age, gender, enviromental smoke exposure, living with school-aged siblings, Respiratory Syncytial virus (RSV) prophylaxis, hospitalization time, causative pathogen, additional risk factors. Results: Of the 50 cases, 12 (24%) were cyanotic, 38 (76%) were acyanotic. There were 26 boys and 24 girls. The most common diagnosis in the acyanotic group was hemodynamically significant VSD (isolated or with other diagnoses) with 20 cases. The average age of the cyanotic group was 23.88±28.81, and the acyanotic group was 12.25±15.45 months old. Hospitalizations most frequently occured in winter. The most frequent viral agent was RSV, which was not seen in the cyanotic group. All of the RSV infected patients were under 12 months old. In 16.7% of cyanotic and 52.6% of acyanotic patients there were extra risk factors such as immune deficiency, Down syndrome, prematurity, Di George syndrome, cerebral palsy, postoperative early period. Three cases lost their lives due to severe respiratory failure. There was no statistically significant difference between the two groups when compared for demografic variables, risk factors, causative pathogens, hospitalization times. Conclusion: Lower respiratory tract infections and especifically RSV pneumonia are important causes of mortality and morbidity in patients diagnosed with congenital heart disease. To prevent risk factors, more studies must be done.
Authors and Affiliations
Yasemin Özdemir Şahan, Erhan Kılıçoğlu, Zülal Ülger Tutar
Keywords
Related Articles
- EP ID EP283825
- DOI 10.4274/jpr.90532
- Views 78
- Downloads 0
Pediatric Dentist-Pediatrician Cooperation in Early Diagnosis of Congenital Tooth Agenesis
Early diagnosis of congenital tooth agenesis increases the quality of treatment options and the final success of the treatment. However, in some clinical conditions, overlooking this diagnosis causes late diagnosis of th...
Evaluation of Oral and Dental Health Status in Hemophilic Children and Adolescents in the City of Rasht
Aim: Patients with hemophilia need special care and attention in dentistry. Thus, we assessed the oral and dental health status in children and adolescents with hemophilia in Rasht, Iran. Materials and Methods: In this c...
A Reliability and Validity Study of the Turkish Version of the Parenting Scale
Aim: This study was conducted for the purpose of determining the validity and reliability of the Parenting scale in a Turkish sample. Materials and Methods: The study was conducted as a methodological-descriptive-cross s...
A Migrated-mesenteric Lymphangioma: An Unusual Case of Intrabdominal Cystic Lesion in a New-born
Abdominal lymphangioma is a rare presentation of abdominal cystic lesions. They generally arise from small bowel mesentery. Migration of abdominal masses is an uncommon entity and usually occurs due to gossypiboma. There...
Treatment and Follow-up in a Case with Diazoxide Treatment-Resistant Hyperinsulinemic Hypoglycaemia
Hyperinsulinemic hypoglycemia (HH) is the most common reason for persistent and recurrent hypoglycemia in the neonatal and infancy periods. We presented a case diagnosed with HH on the first day of life and who underwent...