Akademik Veri Yönetim Sistemi
JOURNAL OF PEDIATRIC EMERGENCY AND INTENSIVE CARE MEDICINE, cilt.12, sa.1, ss.22-28, 2025 (ESCI, Scopus, TRDizin)
Introduction: In this study, the aim is evaluation of clinical and epidemiological characteristics of the patients presenting to pediatric emergency service with flu like findings. Methods: Demographical, clinical, laboratory, treatment, hospitalization, and vaccination characteristics of the patients of 1 month-18 years old presenting to Pediatric Emergency Department of Dokuz Eyl & uuml;l University Hospital with influenza-like symptoms in between September 2009-March 2010 have been evaluated. Results: In the pandemic period 3,646 patients were presented with influenza like illness and 902 patients were evaluated in this study. The mean age was 73.4 +/- 56.1 (median: 60.0) (1-204) months. The most affected age group was school children of age between 5 and 14. The age, 42% of admitted patients were under one year of age. Presenting symptoms of the patients were determined fever (92%), cough (89%), rhinorrhea (64%), sore throat (40%), myalgia (26%), headache (26%), vomiting-diarrhea (26%), and respiratory distress (3%) in respectively. The rapid antigen test was used in 487 (54%) patients and founded positive in 203 (42%) of them. The pandemic influenza A/H1N1 real time-polymerase chain reaction test was performed in twenty-four (3%) patients, 16 (67%) of them had positive result. The antiviral treatment was started in 357 (90.4%) patients for having a risk factor, in 27 (6.8%) patients for having symptoms of serious illness and in 11 (2.8%) patients as a prophylactic. No patient was died due to pandemic influenza. Twenty-two (2.4%) patients were vaccinated by seasonal influenza vaccine and pandemic virus vaccine while 15 (1.7%) patients were vaccinated by only seasonal influenza vaccine. Conclusion: The study has been shown that the most affected group was the school age due to pandemic influenza, and the majority of patients admitted to hospital were the age under one year. We thought that early initiation of treatment was important to prevent complications because of the influenza especially in the risk groups.