TY  - JOUR
TI  - Severe Measles Cases Requiring Pediatric Intensive Care Unit Admission
AB  - 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.
AU  - Kiral, Eylem
AU  - Yetimakman, Ayse Filiz
DO  - 10.20515/otd.1166772
PY  - 2023
JO  - Osmangazi Tıp Dergisi
VL  - 45
IS  - 1
SN  - 1305-4953
SP  - 50
EP  - 57
DB  - TRDizin
UR  - http://search/yayin/detay/1197402
ER  -