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Çocukluk çağında tekrarlayan hışıltı: Bir üçüncü basamak hastane verileri

Year 2018, Volume: 3 Issue: 1, 7 - 11, 12.04.2018

Muhammet Mesut Nezir Engin , Ramazan Cahit Temizkan , Onder Kilicaslan Merve Aslantas , Sengul Cangur , Kenan Kocabay

https://doi.org/10.22391/fppc.335746

Abstract



Giriş: Günümüzde çocuklarda tekrarlayan hışıltılar
önemli bir problemdir. Tekrarlayan hışıltı şikayeti olan çocuk hastalarda
önlenebilir risk faktörlerinin saptanması önemlidir. Risk faktörlerini
sorgulayarak gerekli önerilerde bulunmak, hem tekrarlayan yatışların önüne
geçebilir, hem de kalıcı bronş hasarından koruyabilir. Bu araştırmada,
tekrarlayan hışıltı şikâyeti ile başvuran çocukların risk faktörlerinin
değerlendirilmesi amaçlanmıştır.



Yöntem: Bu kesitsel tipteki çalışmaya tekrarlayan hışıltısı olan 50 çocuk alındı.
Çocukların geçmiş tıbbi hikâyeleri ve sosyodemografik özellikleri araştırıldı.

Bulgular: Katılımcıların %60’ı (n=30) erkek, %40’ı (n=20) kadındır. Çocukların yaş
ortalaması 49,1±48 (4-192) ay ve doğum kilosu 3227,2 ± 680,6 (1570 - 4190)
gramdır. Doğum şekli (p=0,007), anne sütü alma durumu (p<0,001), aşılanma (p<0,001),
atopik dermatit (p<0,001), çocuğun bakımı (p=0,003),  annenin natal ve postnatal sigara kullanma
durumu (p<0,001, p=0,007), ebeveyn ve kardeşlerde astım öyküsü (p<0,001),
kırsal-şehir ikameti (p=0,021)  ve evin
rutubetli olma özellikleri (p=0,002) açısından tekrarlayan hışıltılı çocukların
oranlarının anlamlı düzeyde farklı olduğu saptandı.







Sonuç: Tekrarlayan hışıltı
çocuklarda önemli bir sağlık problemidir. Hastaların tedavilerinde
sosyodemografik ve çevresel risk faktörlerini önleyici yaklaşımlar göz önüne alınmalıdır.

Keywords

çocuk çocuk acil atopik dermatit astım üçüncü basamak tekrarlayan hışıltı

References

  • 1. Moss M, Gern J, Lemanske R, Asthma in infancy and childhood, in Middleton’s Allergy Principles and Practice, Edited by Yunginger J, Adkinson NJ, Busse W, et al. Philadelphia. PA. Mosby. 2003.p. 1225-1255.
  • 2. Uysal P, Karaman Ö. Hışıltılı çocuğa yaklaşım. Türkiye Çocuk Hast Derg. 2013;7(2):99-105. doi: https://doi.org/10.12956/tjpd.2013.2.10
  • 3. Paton J, Bindels P, McMurray A, Biggins J, Nantanda R, Østergaard MS. A young child with a history of wheeze. Primary Care Respiratory Medicine. 2017;27(1):19. doi: https://doi.org/10.1038/s41533-017-0020-3
  • 4. Taussig LM, Wright AL, Holberg CJ, Halonen M, Morgan WJ, Martinez FD. Tucson Children’s Respiratory Study:1980 to present. J Allergy Clin Immunol. 2003;111:661-675. PMID: 12704342
  • 5. Taussig LM. Wheezing in infancy: When is it asthma? Pediatr Pulmonol. 1997;23:90-1. doi: http://dx.doi.org/10.1002/ppul.1950230852
  • 6. Jartti T, Jartti L, Ruuskanen O, Söderlund-Venermo M. New respiratory viral infections. Curr Opin Pulm Med 2012;18:271-8. doi: https://doi.org/10.1097/MCP.0b013e328351f8d4
  • 7. Castro-Rodriguez JA, Halberg CJ, Wright AL, Martinez FD. A clinical index to define risk of asthma in young children with recurrent wheezing, Am. J.Respir. Crit. Care Med. 2000;162:1403-1406. doi: https://doi.org/10.1164/ajrccm.162.4.9912111
  • 8. Dizdar EA, Tuncer A. Hışıltılı Çocuk Fenotipleri ve Tedavisi. Güncel Çocuk Sağlığı 2007;1(2):15-24.
  • 9. Okur M, Güneş M, Özkan A, Kaya M, Oktay M. Tekrarlayan akciğer enfeksiyonu nedeniyle başvuran bir bronkojenik kist olgusu. Abant Med J 2013;2:43-45. doi: https://doi.org/10.5505/abantmedj.2013.69775
  • 10. Guler N, Kirerleri E, Ones U, et al. Leptin: does it have any role in childhood asthma? J Allergy Clin Immunol 2004;114:254-9. doi: https://doi.org/10.1016/j.jaci.2004.03.053
  • 11. Topal E, Çatal F, Aslan M, Özdemir R, Karadağ A, Demirtaş G ve ark. Okul öncesi dönemde ağır hışıltı atağı ile ilişkili risk faktörleri. Abant Med J 2015;4(1):1-5. doi: https://doi.org/10.5505/abantmedj.2015.80775
  • 12. Alper Z, Sapan N, Ercan I, Canitez Y, Bilgel N. Risk factors for wheezing in primary school children in Bursa, Turkey. Am J Rhinol 2006;20:53-63. PMID: 16539296
  • 13. (GINA) 2017. Available from: http://www.ginasthma.org (Erişim tarihi: 04.01.2018)
  • 14. Selcuk ZT, Caglar T, Enunlu T, Topal T. The prevalence of allergic diseases in primary school children in Edirne, Turkey. Clin Exp Allergy 1997;27:262-269. PMID: 9088652
  • 15. Rylander E, Pershagen G, Eriksson M, Nordvall L. Parental smoking and other risk factors for wheezing bronchitis in children. Eur J Epidemiol 1993;9(5):517-526. PMID: 8307137
  • 16. Visser CA, Garcia-Marcos L, Eggink J, Brand PL. Prevalence and risk factors of wheeze in Dutch infants in their first year of life. Pediatr Pulmonol 2010;45(2):149-156. doi: https://doi.org/10.1002/ppul.21161
  • 17. Kılıç M, Taşkın E. Tekrarlayan hışıltılı çocuklarda etiyolojik değerlendirme. Türkiye Çocuk Hast Derg 2015;2:96-103. doi: https://doi.org/10.12956/tjpd.2015.123

Recurrent wheezing in children: a tertiary care hospital data

Year 2018, Volume: 3 Issue: 1, 7 - 11, 12.04.2018

Muhammet Mesut Nezir Engin , Ramazan Cahit Temizkan , Onder Kilicaslan Merve Aslantas , Sengul Cangur , Kenan Kocabay

https://doi.org/10.22391/fppc.335746

Abstract

Introduction: Repetitive wheezing in children today is an important problem. It is
important to identify preventable risk factors in children with recurrent
wheezing complaints. Asking for risk factors and making suggestions can prevent
both recurrent admission and persistent bronchial damage. The present research was conducted to evaluate the
risk factors of recurrent wheezing in children.

Methods: This
cross-sectional study was performed with 50 children with recurrent wheezing.
Previous medical history and sociodemographic features of children were
searched.

Results: The
60%(n=30) of participants were male , %40 (n=20) were female. The mean age and
birth weight of children were calculated 49.1 ± 48 months and 3227.2 ± 680.6 gr
respectively. Children with recurrent wheezing had significantly diverse ratios
in terms of the type of delivery (p=0,007),
breast feding (p<0.001),
vaccinations (p<0.001),
atopic dermatitis (p<0.001),
child care (p=0.003),
natal and postnatal maternal smoking (p<0.001, p=0.007), asthma history of the parents and siblings
(p<0.001), rural-urban
settlement (p=0.021), and
moisture and warming shape of family house (p=0.002).







Conclusion: Recurrent
wheezing is an important health problem in childhood.  Sociodemographic, environmental preventive
approaches must be considered in the treatment modalities of patients.

Keywords

child pediatric emergency atopic dermatitis asthma tertiary care centers recurrent wheezing

References

  • 1. Moss M, Gern J, Lemanske R, Asthma in infancy and childhood, in Middleton’s Allergy Principles and Practice, Edited by Yunginger J, Adkinson NJ, Busse W, et al. Philadelphia. PA. Mosby. 2003.p. 1225-1255.
  • 2. Uysal P, Karaman Ö. Hışıltılı çocuğa yaklaşım. Türkiye Çocuk Hast Derg. 2013;7(2):99-105. doi: https://doi.org/10.12956/tjpd.2013.2.10
  • 3. Paton J, Bindels P, McMurray A, Biggins J, Nantanda R, Østergaard MS. A young child with a history of wheeze. Primary Care Respiratory Medicine. 2017;27(1):19. doi: https://doi.org/10.1038/s41533-017-0020-3
  • 4. Taussig LM, Wright AL, Holberg CJ, Halonen M, Morgan WJ, Martinez FD. Tucson Children’s Respiratory Study:1980 to present. J Allergy Clin Immunol. 2003;111:661-675. PMID: 12704342
  • 5. Taussig LM. Wheezing in infancy: When is it asthma? Pediatr Pulmonol. 1997;23:90-1. doi: http://dx.doi.org/10.1002/ppul.1950230852
  • 6. Jartti T, Jartti L, Ruuskanen O, Söderlund-Venermo M. New respiratory viral infections. Curr Opin Pulm Med 2012;18:271-8. doi: https://doi.org/10.1097/MCP.0b013e328351f8d4
  • 7. Castro-Rodriguez JA, Halberg CJ, Wright AL, Martinez FD. A clinical index to define risk of asthma in young children with recurrent wheezing, Am. J.Respir. Crit. Care Med. 2000;162:1403-1406. doi: https://doi.org/10.1164/ajrccm.162.4.9912111
  • 8. Dizdar EA, Tuncer A. Hışıltılı Çocuk Fenotipleri ve Tedavisi. Güncel Çocuk Sağlığı 2007;1(2):15-24.
  • 9. Okur M, Güneş M, Özkan A, Kaya M, Oktay M. Tekrarlayan akciğer enfeksiyonu nedeniyle başvuran bir bronkojenik kist olgusu. Abant Med J 2013;2:43-45. doi: https://doi.org/10.5505/abantmedj.2013.69775
  • 10. Guler N, Kirerleri E, Ones U, et al. Leptin: does it have any role in childhood asthma? J Allergy Clin Immunol 2004;114:254-9. doi: https://doi.org/10.1016/j.jaci.2004.03.053
  • 11. Topal E, Çatal F, Aslan M, Özdemir R, Karadağ A, Demirtaş G ve ark. Okul öncesi dönemde ağır hışıltı atağı ile ilişkili risk faktörleri. Abant Med J 2015;4(1):1-5. doi: https://doi.org/10.5505/abantmedj.2015.80775
  • 12. Alper Z, Sapan N, Ercan I, Canitez Y, Bilgel N. Risk factors for wheezing in primary school children in Bursa, Turkey. Am J Rhinol 2006;20:53-63. PMID: 16539296
  • 13. (GINA) 2017. Available from: http://www.ginasthma.org (Erişim tarihi: 04.01.2018)
  • 14. Selcuk ZT, Caglar T, Enunlu T, Topal T. The prevalence of allergic diseases in primary school children in Edirne, Turkey. Clin Exp Allergy 1997;27:262-269. PMID: 9088652
  • 15. Rylander E, Pershagen G, Eriksson M, Nordvall L. Parental smoking and other risk factors for wheezing bronchitis in children. Eur J Epidemiol 1993;9(5):517-526. PMID: 8307137
  • 16. Visser CA, Garcia-Marcos L, Eggink J, Brand PL. Prevalence and risk factors of wheeze in Dutch infants in their first year of life. Pediatr Pulmonol 2010;45(2):149-156. doi: https://doi.org/10.1002/ppul.21161
  • 17. Kılıç M, Taşkın E. Tekrarlayan hışıltılı çocuklarda etiyolojik değerlendirme. Türkiye Çocuk Hast Derg 2015;2:96-103. doi: https://doi.org/10.12956/tjpd.2015.123
There are 17 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Muhammet Mesut Nezir Engin 0000-0002-0874-6857

Ramazan Cahit Temizkan 0000-0001-8821-6292

Onder Kilicaslan 0000-0002-9311-006X

Merve Aslantas 0000-0002-4450-6295

Sengul Cangur 0000-0002-0732-8952

Kenan Kocabay 0000-0002-4030-1145

Publication Date April 12, 2018
Submission Date August 22, 2017
Acceptance Date January 18, 2018
Published in Issue Year 2018Volume: 3 Issue: 1

Cite

APA Engin, M. M. N., Temizkan, R. C., Kilicaslan, O., Aslantas, M., et al. (2018). Recurrent wheezing in children: a tertiary care hospital data. Family Practice and Palliative Care, 3(1), 7-11. https://doi.org/10.22391/fppc.335746
AMA Engin MMN, Temizkan RC, Kilicaslan O, Aslantas M, Cangur S, Kocabay K. Recurrent wheezing in children: a tertiary care hospital data. Fam Pract Palliat Care. April 2018;3(1):7-11. doi:10.22391/fppc.335746
Chicago Engin, Muhammet Mesut Nezir, Ramazan Cahit Temizkan, Onder Kilicaslan, Merve Aslantas, Sengul Cangur, and Kenan Kocabay. “Recurrent Wheezing in Children: A Tertiary Care Hospital Data”. Family Practice and Palliative Care 3, no. 1 (April 2018): 7-11. https://doi.org/10.22391/fppc.335746.
EndNote Engin MMN, Temizkan RC, Kilicaslan O, Aslantas M, Cangur S, Kocabay K (April 1, 2018) Recurrent wheezing in children: a tertiary care hospital data. Family Practice and Palliative Care 3 1 7–11.
IEEE M. M. N. Engin, R. C. Temizkan, O. Kilicaslan, M. Aslantas, S. Cangur, and K. Kocabay, “Recurrent wheezing in children: a tertiary care hospital data”, Fam Pract Palliat Care, vol. 3, no. 1, pp. 7–11, 2018, doi: 10.22391/fppc.335746.
ISNAD Engin, Muhammet Mesut Nezir et al. “Recurrent Wheezing in Children: A Tertiary Care Hospital Data”. Family Practice and Palliative Care 3/1 (April 2018), 7-11. https://doi.org/10.22391/fppc.335746.
JAMA Engin MMN, Temizkan RC, Kilicaslan O, Aslantas M, Cangur S, Kocabay K. Recurrent wheezing in children: a tertiary care hospital data. Fam Pract Palliat Care. 2018;3:7–11.
MLA Engin, Muhammet Mesut Nezir et al. “Recurrent Wheezing in Children: A Tertiary Care Hospital Data”. Family Practice and Palliative Care, vol. 3, no. 1, 2018, pp. 7-11, doi:10.22391/fppc.335746.
Vancouver Engin MMN, Temizkan RC, Kilicaslan O, Aslantas M, Cangur S, Kocabay K. Recurrent wheezing in children: a tertiary care hospital data. Fam Pract Palliat Care. 2018;3(1):7-11.
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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505