Yenidoğan döneminde sağlık bakımı ile ilişkili enfeksiyon geçirmiş ve geniş spektrumlu antibiyotik kullanmış olmanın erken çocukluk döneminde gözlenen astma, allerjik rinit ve atopik dermatit üzerine etkisi
Abstract
Amaç: Bu çalışmadaki amacımız yenidoğan döneminde
sağlık bakımı ilişkili enfeksiyon (SBİE) geçiren ve geniş spektrumu antibiyotik
kullanan çocuklarda astma, allerjjk rinit ve atopic dermatit sıklığını araştırmaktır.
Gereç ve Yöntem: Çalışmaya Yenidoğan Yoğun Bakım Ünitesi’nde 6
yıl içinde izlenen 73 SBİE olan çocuk ile bu çocukların yenidoğan döneminde
sağlıklı olan 41 kardeşi alındı. Ebeveynlere detaylı bir anket uygulandı ve
çocuklardan tam kan sayımı, serum total Ig Eve spesifik IgE için kan örnekleri
alındı.
Bulgular: SBİE olan 73 çocuğun 32’sinde (%45.2) ventilator
ilişkili pnömoni, 28’inde (%38.4) kan dolaşımı enfeksiyonu, 12’sinde (%16.4)
klinik sepsis gözlenmişti. Astma SBİE grubunda belirgin daha fazla (%32.9’a
karşın %4.9) iken allerjik rinit (%4.1’e karşın %2.4) ve atopik dermatit
sıklığı farklı değildi (%6,8’e karşın %0). Allerjisi olmayan 85 çocuk ile
allerjisi olan 29 çocuk kıyaslandığında, yenidoğan döneminde SBİE geçirmek ve
antibiyotik kullanmak allerjik olma oranını 11.5 kat arttırmaktaydı.
Sonuç: SBİE grubunda astma daha sık gözlenmiş olup,
yenidoğan döneminde SBİE geçirmek ve geniş spektrumlu antibiyotik kullanmak
erken çocukluk döneminde allerji riskini arttırmaktadır.
References
- 1. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry crosssectional surveys. Lancet. 2006;26:368:733-43.
- 2. Von Hertzen LC. The hygiene hypothesis in the development of atopy and asthma still a matter of controversy? Q J Med. 1998;91:767-71.
- 3. Strachan DP. Hay fever, hygiene and household size. BMJ.1989;299:1259-60.
- 4. Mendall MA, Kumar D. Antibiotic use, childhood affluence and irritable bowel syndrome (IBS). Eur J Gast Hepatol. 1998;10:59-62.
Effect of healthcare associated infections and broad spectrum antibiotic use in newborn period on development of asthma, allergic rhinitis and atopic dermatitis in early childhood
Abstract
Purpose: The iam of this study was to
investigate the effect of healthcare associated infections (HAIs) and broad
spectrum antibiotic use in newborn period on asthma, allergic rhinitis and
atopic dermatitis.
Material and Methods: Seventy three children treated for
HAIs in newborn period in Neonatal Intesive Care Unitin a 6 years period, and
their 41 siblings who were healthy in newborn period were included in the
study. Parents answered a detailed questionnaire, children were examined and
complete blood count, serum total Ig E and specific Ig E levels were studied.
Results: Ventilator associated pneumonia was observed
in 32 (45.2%), blood stream infection in 28 (38.4%) and clinic sepsis in 12
(16.4%) of 73 children with HAIs. Asthma was significantly higher in HAIs group
compared to sibling group (32.9% vs. 4.9), whereas there was no significant
difference in allergic rhinitis (4.1% vs.2.4%) and atopic dermatitis (6.8% vs.
0%) among groups. When non-allergic 85 subjects and allergic 29 children
compared, children who had been hospitalised and treated with broad-spectrum
antibiotics in newborn period were almost 11.5 times as likely to have an
allergic disease.
Conclusion: Asthma was significantly higher in HAI group, and
allergic disease risk seems to increase in children treated with broad-spectrum
antibiotics for HAIs in newborn period
References
- 1. Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry crosssectional surveys. Lancet. 2006;26:368:733-43.
- 2. Von Hertzen LC. The hygiene hypothesis in the development of atopy and asthma still a matter of controversy? Q J Med. 1998;91:767-71.
- 3. Strachan DP. Hay fever, hygiene and household size. BMJ.1989;299:1259-60.
- 4. Mendall MA, Kumar D. Antibiotic use, childhood affluence and irritable bowel syndrome (IBS). Eur J Gast Hepatol. 1998;10:59-62.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | March 31, 2017 |
| Acceptance Date | August 23, 2016 |
| Published in Issue | Year 2017 Volume: 42 Issue: 1 |
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