Hypernatremic dehydratation in term infants Miadinda doǧan bebeklerde hipernatremik dehidratasyon
Turk Pediatri Arsivi, cilt.44, sa.3, ss.84-88, 2009 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 3
- Basım Tarihi: 2009
- Dergi Adı: Turk Pediatri Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.84-88
- Anahtar Kelimeler: Breastfeeding, Dehydration, Hypernatremia, Newborn
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The characteristic features of hypernatremic dehydration and the risk factors in tehe development of hypernatremic dehydration in our neonatal intensive care unit were evaluated. Material and Method: Term newborns recognized as hypernatremic dehydration between January 2006-December 2008 were included in the study. The patients clinical characteristics, laboratory findings, additional diagnoses, treatment modalities and periods were recorded prospectively. Results: A total of 33 babies were included in the study during this period. 57.6 % of all cases were males and 18.2% were first children of their families. Mean gestational age, birth weight, hospitalization time and serum sodium level were 38.3±1.2 weeks, 3372±437 g, 4.6±2.9 days and 151.9±6.4 mEq/L respectively. The most common presenting complaints were fever (30.3%), jaundice (27.3%), irritability (24.2%) and breastfeeding difficulties (18.2%). On the admission, mean weight loss was 13.1±0.8% (upper limit 23%). 90% of the infants were exclusively breastfeed. On the other hand; insufficient breast milk was found in 78%, inappropriate breast-feeding method in 18% and nipple problems in 4% of the mothers. Neurological findings were present in 39.4% of patients on admission. The mean serum sodium level was 151.9±6.4 mEq/L while intravenous fluids were administered in 97% of the patients, serum sodium levels declined to normal values in a mean of 1.8±1.6 days. Among all the patients, 27.2% had infection (bacteriemia plus urinary tract infection), 3% were expased to traditional salt application to the body and 3% had intestinal malabsorption. The average discharge time was 2.0±1.6 days. Serum sodium values were found to be higher in the first babies but no relationship was found between the gender and type of delivery and the degree of hypernatremia. The male gender was a risk factor in the development of neurological findings in hypernatremic dehydration. Conclusions: It was remarkable that neonatal hypernatremic dehydration was seen mostly in breastfed newborns. Being the first baby of parents was a risk factor for the development of hypernatremia and male gender was also a risk factor for the development of neurological findings in hypernatremic dehydration.