Bir Tıp Fakültesi Hastanesinin Çocuk Acil Servisine Başvuran Hastaların Özellikleri

Amaç: Acil servisler hastanelerin her tür acil hasta ve yaralıya kesintisiz hizmet veren en önemlibirimlerindendir. Bu çalışmada Düzce Üniversitesi Tıp Fakültesi Çocuk Acil Servisi’ne belli birdönemde başvuran hastaların çeşitli özelliklerini ve dağılımlarını ortaya koymak ve elde edilenbulgular doğrultusunda performansı yüksek, iş gücü kaybı en aza indirilmiş, kaliteli hizmet verenve hasta memnuniyetini önemseyen bir acil servis modeli çizmek amaçlanmıştır.Gereç ve Yöntemler: 1.01.2012—31.12.2016 döneminde başvuran toplam 116.172 hastanınkayıtları elektronik ortamda retrospektif olarak incelendi. Kayıtlarda hastaların yıl içinde kaç kezacil polikliniğine başvurduğuna, başvuru zamanına ve nedenlerine, aldığı tanıya ve hizmet çeşidine, ve yaş, cinsiyet ve sosyoekonomik özellerine dair bilgiler yer almakta idi.Bulgular: Çocuk Acil Servisi’ne başvuran hasta sayısının 2012–2016 yıllarında sırasıyla 11.336(%9,75), 15.453 (%13,3), 23.944 (%20,6), 28.695 (%24,7) ve 36.744 (%31,6) olduğu ve yıllar içindebaşvuran hasta sayısında anlamlı bir artış kaydedildiği görüldü.Tartışma ve Sonuç: Çocuk acil servislerine gelen hastaların sosyodemografik ve klinik özellikleritespit edilerek bir veri tabanı oluşturulması, bu servisler için yapılacak çalışma ve gelecek planları açısından çok önemlidirAim: Emergency departments are among vital units of hospitals, providing non-stop care in all cases of emergency and injury. This study aimed to present various characteristics and distributions of the patients visiting the Pediatric Emergency Department of the Düzce University Medical Faculty within a specified period and, based on the data obtained, define an emergency service model with high performance, minimized labor loss, high service quality, and prioritized patient satisfaction. Materials and Methods: Records of a total of 116,172 patients admitted between 1.1.2012 and 31.12.2016 were electronically reviewed retrospectively. The records included information as to how many times the patients visited the emergency polyclinic in a single year, admission time and indication, type of the diagnosis and medical care received, and patient age, sex and socioeconomic characteristics. Results: We found that the number of the patients visiting the Pediatric Emergency Department in the years 2012 to 2016 was 11,336 (9.75%), 15,453 (13.3%), 23,944 (20.6%), 28,695 (24.7%) and 36,744 (31.6%), respectively, and that there was a significant increase in the visiting patient number over the years. Discussion and Conclusion: Creating a database by determining the sociodemographic and clinical characteristics of patients visiting pediatric emergency services is crucial for the work and future planning for these services

Prevalence of Rotavirus and Adenovirus in children with acute gastroenteritis: a tertiary care hospital data

Introduction: The aim of this study was to determine the prevalence of rotavirus and adenovirus in patients who applied with the complaint of acute gastroenteritis to the emergency department of our tertiary health care provider hospitals. Methods: 1712 patients with the complaint of acute gastroenteritis were included in the study and the study was done retrospectively from patient records.Results: Stool (faeces) samples have been sent from 1712 patients who applied to emergency services with the complaint of acute gastroenteritis for 3 years. Of these, 17.5% (n=301) rotavirus antigen and 3.5% (n=61) adenovirus antigen were detected as positive. It was observed that 56% (n=203) of the positive cases were male and 44% (n=159) were female. The rotavirus antigen was statistically significantly higher in the 0-4 age group than the other age groups. Conclusion: Acute gastroenteritis is an important health problem in children. Especially, the frequency of rotavirus was observed to be higher in children under 4 years of age and in this age group patients the use of rotavirus rapid diagnostic tests rather than viral culture methods may be helpful to early diagnosis thus to reduce unnecessary antibiotic use

Prevalence of Rotavirus and Adenovirus in children with acute gastroenteritis: a tertiary care hospital data

Introduction: The aim of this study was to determine the prevalence of rotavirus and adenovirus in patients who applied with the complaint of acute gastroenteritis to the emergency department of our tertiary health care provider hospitals. Methods: 1712 patients with the complaint of acute gastroenteritis were included in the study and the study was done retrospectively from patient records.Results: Stool (faeces) samples have been sent from 1712 patients who applied to emergency services with the complaint of acute gastroenteritis for 3 years. Of these, 17.5% (n=301) rotavirus antigen and 3.5% (n=61) adenovirus antigen were detected as positive. It was observed that 56% (n=203) of the positive cases were male and 44% (n=159) were female. The rotavirus antigen was statistically significantly higher in the 0-4 age group than the other age groups. Conclusion: Acute gastroenteritis is an important health problem in children. Especially, the frequency of rotavirus was observed to be higher in children under 4 years of age and in this age group patients the use of rotavirus rapid diagnostic tests rather than viral culture methods may be helpful to early diagnosis thus to reduce unnecessary antibiotic use