Evaluation of patients with spontaneous pneumothorax secondary to viral pneumonia in pediatric intensive care in 2018 2018 Yılında Çocuk Yoğun Bakım Yatışı Gerektiren ve Viral Pnömoniye Bağlı Spontan Pnömotoraks Gelişen Olguların Değerlendirilmesi
Cocuk Enfeksiyon Dergisi, cilt.13, sa.3, ss.150-154, 2019 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 3
- Basım Tarihi: 2019
- Doi Numarası: 10.5578/ced.68447
- Dergi Adı: Cocuk Enfeksiyon Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.150-154
- Anahtar Kelimeler: Pediatrics, Spontaneous pneumothorax, Viral pneumonia
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The aim of this study was to evaluate the clinical findings of patients with spontaneous pneumothorax secondary to viral pneumonia who were admitted to our pediatric intensive care unit in 2018 and to contribute to the monitoring of this rare condition. Material and Methods: Patients, who were admitted to our hospital between January 2018-December 2018 and developed spontaneous pneumothorax secondary to viral pneumonia, were evaluated retrospectively. Age, sex, cigarette smoke exposure, exposure to an individual with upper respiratory tract infection, pneumonia agent, pneumothorax time, treatment for pneumothorax, duration of invasive or noninvasive mechanical ventilation, duration of intensive care unit stay and clinical status at time of discharge were recorded. Results: Six hundred fifty-two patients were admitted to the pediatric intensive care unit between January 2018-December 2018, and 230 of them were hospitalized for pneumonia and 3% of the patients with pneumonia had spontaneous pneumothorax. The age range was 42 days to 28 months. Causes for pneumonia were detected as respiratory syncytial virus, influenza, rhinovirus and Pseudomonas aeruginosa. Five of the patients had tube thoracostomy, other patients were monitored with 100% oxygen. Three patients required invasive mechanical ventilation. One patient died because of the underlying fatty acid oxidation disorder, 7 patients had complete recovery. Conclusion: It should be kept in mind that spontaneous pneumothorax is a rare condition in pediatric patients, which increases mortality and morbidity. It may occur as a complication of viral pneumonias in early childhood and extend the duration of intensive care stay. Multicenter studies should be planned to determine risk factors, follow-up and treatment options for spontaneous pneumothorax.