Yıl: 2023 Cilt: 45 Sayı: 1 Sayfa Aralığı: 50 - 57 Metin Dili: İngilizce DOI: 10.20515/otd.1166772 İndeks Tarihi: 27-09-2023

Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission

Öz:
Measles is a vaccine-preventable disease, and the disease burden is reduced with widespread pediatric measles immunization. Sporadic and severe cases might be observed during local outbreak situations, especially among unvaccinated people or vaccine non-eligible age groups, including infancy. In this study, we retrospectively evaluated the clinical and laboratory findings, and outcomes of children with measles requiring pediatric intensive care unit admission. We retrospectively evaluated medical records of 14 children with measles, who were followed up in the pediatric intensive care unit of Sanliurfa Training and Research Hospital between January 1st and June 30th, 2019. The median age was 9.5 months (range between one and 120 months). The most common reasons for admission to the pediatric intensive care unit were bronchopneumonia (n: 10) and/or sepsis. Two were diagnosed with pediatric acute respiratory distress syndrome, four patients had sepsis, and one patient had meningoencephalitis. The mortality rate was 14.2%. Risk factors associated with intensive care unit admission included being unvaccinated, being malnourished, having an underlying condition, and the development of bronchopneumonia as a complication. The mortality rate of measles, which is a preventable disease despite early treatments in the pediatric intensive care unit, is high, especially in unvaccinated children and those who have underlying conditions.
Anahtar Kelime: Children outbreaks measles mortality bronchopneumonia pediatric instensive care unit

Çocuk Yoğun Bakım Ünitesine Yatış Gerektiren Ağır Kızamık Vakaları

Öz:
Kızamık aşı ile önlenebilir bir hastalıktır. Yerel salgın durumlarında, özellikle aşılanmamış kişilerde sporadik ve ciddi vakalar gözlenebilir. Bu çalışmada, çocuk yoğun bakım ünitesinde yatış gerektiren kızamık tanısı kesin olan çocukların klinik ve labora- tuvar bulgularını ve sonuçlarını geriye dönük olarak değerlendirdik. 1 Ocak-30 Haziran 2019 tarihleri arasında Şanlıurfa Eğitim ve Araştırma Hastanesi çocuk yoğun bakım ünitesinde izlenen 14 kızamık tanılı çocuğun tıbbi kayıtları geriye dönük olarak değerlendirildi. hastaların median yaşı 9,5 aydı (1 ile 120 ay arasında değişiyordu). Pediatrik yoğun bakım ünitesine en sık yatış nedenleri bronkopnömoni (n: 10) ve/veya sepsis idi. İki hastada pediatrik akut solunum sıkıntısı sendromu, dört hastada sepsis ve bir hastada meningoensefalit tanısı konuldu. Mortalite oranı %14,2 idi. Yoğun bakım ünitesine kabul ile ilişkili risk faktörleri arasında aşılanmamış olma, yetersiz beslenme, altta yatan bir durumun olması ve komplikasyon olarak bronkopnömoni gelişimi yer almaktadır. Önlenebilir bir hastalık olan kızamık nedeniyle yoğun bakım yatışı gereksinimi olan çocuklarda ölüm oranı erken müdahalelere rağmen yüksektir.
Anahtar Kelime: Çocuk salgınlar kızamık ölüm bronkopnömoni çocuk yoğun bakım ünitesi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. American Academy of Pediatrics. Measles. In: Kimberlin DW, editor. Red Book: 2021 Report of the Committee on Infectious Diseases. 32th ed. Itasca, IL: American Academy of Pediatrics; 2021:503–19.
  • 2. World Health Organization. Global progress against measles threatened amidst COVID-19 pandemic. Available from: https://www.who.int/news/item/10-11-2021- global-progress-against-measles-threatened- amidst-covid-19-pandemic. Accessed 08.03.2022
  • 3. Patel MK, Goodson JL, Alexander JP Jr, et al. Progress Toward Regional Measles Elimination - Worldwide, 2000-2019. MMWR Morb Mortal Wkly Rep. 2020;69:1700-05.
  • 4. Pollack MM, Patel KM, Ruttimann UE. PRISM III: an updated pediatric risk of mortality score. Crit Care Med. 1996;24:743–527.
  • 5. Eskiocak M, Marangoz B. Status of immunization services in Turkey. Ankara: Turkish Medical Association publications; 2019:78.
  • 6. Turkish Statistical Institute, Birth Statics, 2020: Available from: https://data.tuik.gov.tr/Bulten/Index?p=Dogum- Istatistikleri-2020-37229. Accessed 08.03.2022.
  • 7. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Ankara, Turkey. Available from: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/2 018_TNSA_Suriye_Orneklemi_OzetRapor.pdf. Accessed 18.09.2022.
  • 8. Ministry of Health, Şanlıurfa Provincial Health Directorate, 2019. Available from: https://sanliurfaism.saglik.gov.tr/TR- 69354/saglik-asiyla-koruma-altinda.html. Accessed 18.09.2022.
  • 9. Metin Ö, Tanır G, Öz FN, et al. Evaluation of 44 pediatric measles cases detected in Ankara, Turkey during 2012-2013 epidemic and molecular characterization of the viruses obtained from two cases. Microbiol Bul. 2014;48:259-70.
  • 10. Gastañaduy PA, Redd SB, Fiebelkorn AP, et al. Measles - United States, January 1-May 23, 2014. MMWR Morb Mortal Wkly Rep. 2014;63:496-99.
  • 11. Gastañaduy PA, Goodson JL, Panagiotakopoulos L, et al. Measles in the 21st Century: Progress Toward Achieving and Sustaining Elimination, The Journal of Infec Dis. 2021; 224: 420–28.
  • 12. Yörük S, Türkmen H, Durgut A, Erbek M. Vaccine mistrust among family healthcare professionals and vaccine hesitancy in the communities they serve in Turkey in 2019: a cross-sectional study. Hum Vaccin Immunother. 2020;16:3155–62.
  • 13. Strebel PM, Papania MJ, Parker Fiebelkorn A, Halsey NA. Measles Vaccine. In: Plotkin SA, Orenstein WA, Offit P, editors. Vaccines. 6 ed. Elsevier Saunders; 2013: 352–87.
  • 14. Ministry of Health, Sanlıurfa Public Health Infectious Diseases Unit Measles Information Meeting, 2019. Available from: https://sanliurfaism.saglik.gov.tr/TR- 69354/saglik-asiyla-koruma-altinda.html. Accessed 18.09.2019
  • 15. Moss WJ. Measles. Lancet. 2017;390(10111):2490-2502.
  • 16. Donadel M, Stanescu A, Pistol A, et al. Risk factors for measles deaths among children during a Nationwide measles outbreak - Romania, 2016- 2018. BMC Infect Dis. 2021;21:279
APA Kiral E, Yetimakman A (2023). Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. , 50 - 57. 10.20515/otd.1166772
Chicago Kiral Eylem,Yetimakman Ayse Filiz Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. (2023): 50 - 57. 10.20515/otd.1166772
MLA Kiral Eylem,Yetimakman Ayse Filiz Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. , 2023, ss.50 - 57. 10.20515/otd.1166772
AMA Kiral E,Yetimakman A Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. . 2023; 50 - 57. 10.20515/otd.1166772
Vancouver Kiral E,Yetimakman A Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. . 2023; 50 - 57. 10.20515/otd.1166772
IEEE Kiral E,Yetimakman A "Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission." , ss.50 - 57, 2023. 10.20515/otd.1166772
ISNAD Kiral, Eylem - Yetimakman, Ayse Filiz. "Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission". (2023), 50-57. https://doi.org/10.20515/otd.1166772
APA Kiral E, Yetimakman A (2023). Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. Osmangazi Tıp Dergisi, 45(1), 50 - 57. 10.20515/otd.1166772
Chicago Kiral Eylem,Yetimakman Ayse Filiz Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. Osmangazi Tıp Dergisi 45, no.1 (2023): 50 - 57. 10.20515/otd.1166772
MLA Kiral Eylem,Yetimakman Ayse Filiz Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. Osmangazi Tıp Dergisi, vol.45, no.1, 2023, ss.50 - 57. 10.20515/otd.1166772
AMA Kiral E,Yetimakman A Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. Osmangazi Tıp Dergisi. 2023; 45(1): 50 - 57. 10.20515/otd.1166772
Vancouver Kiral E,Yetimakman A Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission. Osmangazi Tıp Dergisi. 2023; 45(1): 50 - 57. 10.20515/otd.1166772
IEEE Kiral E,Yetimakman A "Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission." Osmangazi Tıp Dergisi, 45, ss.50 - 57, 2023. 10.20515/otd.1166772
ISNAD Kiral, Eylem - Yetimakman, Ayse Filiz. "Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission". Osmangazi Tıp Dergisi 45/1 (2023), 50-57. https://doi.org/10.20515/otd.1166772