ABSTRACT
Bronchiolitis is the most common cause of lower respiratory tract infection and hospitalization in infancy and some of the patients may require admission to Intensive Care Unit (ICU) due to severe form of the disease. The aim of this study was to determine the risk factors for ICU need. The study group was composed of 30 patients admitted to ICU with the diagnosis of bronchiolitis and 30 bronchiolitis patients that were treated in the regular ward at the same period were enrolled to the study as the control group. Clinical characteristics, laboratory and imaging data were collected and compared statistically. The mean age of the patients was 33.6±24.4 days and 202.8±179.8 days in the study and control groups respectively, p < 0.001. The presence of tachypnea at admission (96% of patient group and 70% of control group; p=0.01), having oxygen saturation less than 92% (100% of patient group and 27% of control group; p < 0.001), having radiological findings of bronchopneumonia and positive result for respiratory syncytial virus were also found to be significantly different in the study and control groups (p < 0.05).
Subject(s)
Bronchiolitis/therapy , Health Services Needs and Demand/statistics & numerical data , Hospitalization/statistics & numerical data , Intensive Care Units/statistics & numerical data , Bronchiolitis/diagnosis , Case-Control Studies , Child , Child, Preschool , Female , Humans , Infant , Male , Risk FactorsABSTRACT
Cystic abdominal tumours are encountered quite often and are diagnosed more frequently due to the availability of better imaging possibilities. Presentation of huge cysts has become rare as most of them are diagnosed and treated early. But we still have patients with enlarged abdominal cysts; majority with cases of serous cystadenomas of the ovary. Absolute diagnosis is only possible with laparotomy and histopathological findings. In this report, seven patients with enlarged gynaecological or mesenteric cystic masses and gastroenterological symptoms are reported. Four of these cases were serous cystadenoma, two were mucinous cystadenoma and one was a paratubal cyst. Gynaecological tumours and mesenteric cysts should not be missed in female patients showing gastrointestinal symptoms.
Subject(s)
Abdominal Cavity , Abdominal Pain/diagnosis , Genital Neoplasms, Female/diagnosis , Gynecologic Surgical Procedures/methods , Mesenteric Cyst , Ovarian Cysts , Abdominal Cavity/diagnostic imaging , Abdominal Cavity/pathology , Adult , Asymptomatic Diseases , Diagnosis, Differential , Female , Humans , Magnetic Resonance Imaging/methods , Mesenteric Cyst/diagnosis , Mesenteric Cyst/physiopathology , Middle Aged , Ovarian Cysts/diagnosis , Ovarian Cysts/physiopathology , Treatment Outcome , Tumor Burden , Ultrasonography/methodsABSTRACT
BACKGROUND/AIM: The aim of our study was to determine the usefulness of the Centor score and some basic laboratory tests (complete blood count and C-reactive protein) for the differential diagnosis of exudative tonsillitis due to Group A β-hemolytic streptococcus (GABHS) or due to non-GABHS agents. MATERIALS AND METHODS: The data of clinical and laboratory characteristics of the patients diagnosed with exudative tonsillitis were collected and statistically compared between those having positive GABHS throat culture result and those who were negative for any bacterial agent. RESULTS: Totally 899 adult patients were included in our study; 56 (6.2%) of them were positive for GABHS, while 34 (3.8%) of the cases had a bacterial cause other than GABHS. The remaining 809 (90%) were accepted as non-GABHS cases. The percentages of patients having Centor score of 3 or greater, neutrophilia, lymphocytopenia, and CRP values of greater than 5-fold normal upper reference range were significantly higher in GABHS patients. CONCLUSION: Centor score of 3 or more together with high CRP, neutrophilia, and lymphocytopenia is predictive for GABHS tonsillopharyngitis.
Subject(s)
Tonsillitis , Adult , Diagnosis, Differential , Humans , Pharyngitis , Streptococcal Infections , Streptococcus pyogenesABSTRACT
BACKGROUND: The aim of this study was to investigate the presence of Haemophilus influenzae in abscesses in adults and to determine their antibiotic resistance patterns. METHODS: H. influenzae strains isolated from abscesses during an eleven-year period were determined retrospectively and the stored strains were tested for ampicillin, amoxicillin/calvulanic acid, cefuroxime, cefotaxime, ceftriaxone, ciprofloxacin, azithromycin, tetracycline, and imipenem resistance by broth microdilution method. The production of ß-lactamase was detected using the nitrocefin disc test and real-time PCR. RESULTS: A total of 26 H. influenzae isolated strains were found. According to ampicillin resistance and ß-lactamase production, 2 strains were determined as BLPAR, 1 strain BLNAR, 1 strain BLPACR, and 22 strains as BLNAS. Cefuroxime resistance was detected in 4 strains, tetracycline resistance was detected in 4 strains, and no resistance to cefotaxime, ceftriaxone, imipenem, azithromycin and levofloxacin was detected. CONCLUSIONS: H. influenzae should be taken into account for the proper management of abscesses.
Subject(s)
Abscess/microbiology , Haemophilus Infections/microbiology , Haemophilus influenzae/isolation & purification , Abscess/diagnosis , Abscess/drug therapy , Anti-Bacterial Agents/therapeutic use , DNA, Bacterial/genetics , Disk Diffusion Antimicrobial Tests , Drug Resistance, Multiple, Bacterial/genetics , Genotype , Haemophilus Infections/diagnosis , Haemophilus Infections/drug therapy , Haemophilus influenzae/drug effects , Haemophilus influenzae/enzymology , Haemophilus influenzae/genetics , Humans , Phenotype , Real-Time Polymerase Chain Reaction , Retrospective Studies , beta-Lactam Resistance/genetics , beta-Lactamases/geneticsABSTRACT
This study was conducted to measure the antibiotic susceptibilities, corresponding gene contents, and the enterotoxin gene bft, in 50 Bacteroides fragilis group isolates, 25 of which were clinical and 25 intestinal. The resistance rates to amoxicillin/clavulanic acid, imipenem and metronidazole were low; ampicillin and tetracyclin resistance was high; clindamycin resistance and ermF gene presence was also high. Regarding phenotypical bacterial resistance and the presence of resistance genes, there was not statistically significant difference between clinical and intestinal isolates and bft positive and negative isolates.
