The ıncidence of cryptosporidium ınfection in children with diarrhea

KÖSE, Gülşen; metin karakas, ayşe; ERGEN, Saime; ŞİMŞİR, Hande; KARLI, Arzu

The ıncidence of cryptosporidium ınfection in children with diarrhea

Arzu KARLI, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Çocuk Enfeksiyon Bilim Dalı, Samsun, Türkiye)

Ayşe METİN, (Ankara Hematoloji ve Onkoloji Eğitim Araştırma Hastanesi, Çocuk İmmünoloji Bölümü, Ankara, Türkiye)

Saime ERGEN, (Akşehir Devlet Hastanesi, Çocuk Kliniği, Konya, Türkiye)

Hande ŞİMŞİR, (Hacettepe Üniversitesi, Tıp Fakültesi, Biyoloji Anabilim Dalı, Ankara, Türkiye)

Gülşen KÖSE (Ankara Çocuk Sağlığı Ve Hastalıkları Hematoloji Onkoloji Eğitim Araştırma Hastanesi, Pediatrik Nöroloji Bölümü, Ankara, Türkiye)

Çocuk Enfeksiyon Dergisi

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Yıl: 2013 Cilt: 7 Sayı: 3 Sayfa Aralığı: 92 - 96 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The ıncidence of cryptosporidium ınfection in children with diarrhea

Öz:

Amaç: Bu çalışma hastanemiz çocuk polikliniğine başvuran ishalli çocuklarda Cryptosporidiumun sıklığını belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Çalışmada 240 ishalli çocuğun dışkı örnekleri Kinyounun asidorezistan boyama yöntemi ile incelendi. Olguların yaşı, cinsiyeti, ateş, kusma, karın ağrısı, dışkı sayısı gibi semptomları, anne sütü alma, hayvanlarla temas öyküleri, boy, kilo ve hidrasyon durumları anket formlarına kaydedildi. Bulgular: Daha önceden bilinen hastalığı olmayan 229 ishalli çocuğun 13ünde (%5,6), 11 immün yetmezlikli hastanın üçünde (%27) Cryptosporidium ookisti saptandı. Olguların ortanca yaşı 3,5 (0,1-19) yıl, Cryptosporidium saptanan olgularda 3,75 (0,8-11) yıl ve saptanamayan olgularda ise 3,5 (1,1-19) yıl idi. Yaş, cinsiyet, anne sütü alma öyküsünün Cryptosporidiosisle belirgin ilişkisi bulunmadı. Hayvanlarla temas ve malnutrisyonun Cryptosporidium riskini arttırdığı görüldü. İmmün yetmezlikli iki hastada Cryptosporidium ishali çok şiddetli seyretti ve bu iki hasta ağır sepsisle kaybedildi. Sonuç: Çalışmamız özellikle hayvan maruziyeti, malnutrisyon, primer immün yetmezlik gibi risk gruplarında ağır sulu diyarelerin etyolojik faktörlerinden Cryptosporidium sppun önemini ve fatal seyrini göstermiştir.

Anahtar Kelime:

Konular: Hematoloji Pediatri

İshalli çocuklarda crptosporidium sıklığı

Öz:

Objective: The aim of our study was to determine the the incidence of Cryptosporidium infection in patients who suffered from diarrhea. Material and Methods: Fecal samples of 240 chil- dren with diarrhea were examined with Kinyoun s acidoresistant staining method. Age, gender, clinical symptoms including height, weight, hydration status, fever, vomiting, abdominal pain, number of stools per day, the past medical history of breastfeeding and animal contact, were recorded in the questionaire. Results: Cryptosporidium oocytes were determined in both 13 of 229 (5.6%) children with diarrhea whohad no known disease previously and 3 of 11 (27%) patients with immunodeficiency disease. The median age of 3.5 (0.1 to 19) years Cryptosporidium wasdetected in patients 3.75 (0.8 to 11) years and unde-tectable in patients 3.5 (1.1 to 19) years. The clinical features of patients such as age, gender, and breestfeeding were not significantly associated with Cryptosporidium infection. However, animal contact and malnutrition appeared to increase the risk for Cryptosporidium infection. The severity of Cryptosporidium diarrhea increased in two immuno- deficient patients and they died due to sepsis during the following up period. Conclusion: Our results revealed that some risk fac- tors including exposure to farm animals, malnutrition, primary immunodeficiencies could have importance for the prognosis of Cryptosporidium infection. Therefore, children with severe watery diarrhea should be followed up closely by physicians due to the fatal course of disease.

Anahtar Kelime:

Konular: Hematoloji Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARLI A, metin karakas a, ERGEN S, ŞİMŞİR H, KÖSE G (2013). The ıncidence of cryptosporidium ınfection in children with diarrhea. , 92 - 96.
Chicago	KARLI Arzu,metin karakas ayşe,ERGEN Saime,ŞİMŞİR Hande,KÖSE Gülşen The ıncidence of cryptosporidium ınfection in children with diarrhea. (2013): 92 - 96.
MLA	KARLI Arzu,metin karakas ayşe,ERGEN Saime,ŞİMŞİR Hande,KÖSE Gülşen The ıncidence of cryptosporidium ınfection in children with diarrhea. , 2013, ss.92 - 96.
AMA	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G The ıncidence of cryptosporidium ınfection in children with diarrhea. . 2013; 92 - 96.
Vancouver	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G The ıncidence of cryptosporidium ınfection in children with diarrhea. . 2013; 92 - 96.
IEEE	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G "The ıncidence of cryptosporidium ınfection in children with diarrhea." , ss.92 - 96, 2013.
ISNAD	KARLI, Arzu vd. "The ıncidence of cryptosporidium ınfection in children with diarrhea". (2013), 92-96.

APA	KARLI A, metin karakas a, ERGEN S, ŞİMŞİR H, KÖSE G (2013). The ıncidence of cryptosporidium ınfection in children with diarrhea. Çocuk Enfeksiyon Dergisi, 7(3), 92 - 96.
Chicago	KARLI Arzu,metin karakas ayşe,ERGEN Saime,ŞİMŞİR Hande,KÖSE Gülşen The ıncidence of cryptosporidium ınfection in children with diarrhea. Çocuk Enfeksiyon Dergisi 7, no.3 (2013): 92 - 96.
MLA	KARLI Arzu,metin karakas ayşe,ERGEN Saime,ŞİMŞİR Hande,KÖSE Gülşen The ıncidence of cryptosporidium ınfection in children with diarrhea. Çocuk Enfeksiyon Dergisi, vol.7, no.3, 2013, ss.92 - 96.
AMA	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G The ıncidence of cryptosporidium ınfection in children with diarrhea. Çocuk Enfeksiyon Dergisi. 2013; 7(3): 92 - 96.
Vancouver	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G The ıncidence of cryptosporidium ınfection in children with diarrhea. Çocuk Enfeksiyon Dergisi. 2013; 7(3): 92 - 96.
IEEE	KARLI A,metin karakas a,ERGEN S,ŞİMŞİR H,KÖSE G "The ıncidence of cryptosporidium ınfection in children with diarrhea." Çocuk Enfeksiyon Dergisi, 7, ss.92 - 96, 2013.
ISNAD	KARLI, Arzu vd. "The ıncidence of cryptosporidium ınfection in children with diarrhea". Çocuk Enfeksiyon Dergisi 7/3 (2013), 92-96.