تابلوی بالینی شایع در کودکان با تشخیص سرخک در بیمارستان فوق تخصصی کودکان اکبر
کد: G-1233
نویسندگان: Mohamad Hasan Alami © ℗, Aramesh Rezaeian, Sara Kaka Dinparvar, Nafiseh Pourbadakhshan
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction: Despite the availability of safe and effective vaccines since 1963, the WHO estimates that 530,000 children under the age of 15 died in 2003 from measles and its complications. The onset of measles ranges from 7-14 days after exposure. The first symptom of measles is high fever (4 to 7 days). The prodromal phase includes lethargy, anorexia; The triad is conjunctivitis, cough and coryza. Considering that widespread vaccination has reduced the incidence of measles, the clinical picture of measles in outbreaks is questionable. The present study was conducted with the aim of investigating the prevailing clinical picture in measles patients referred to Akbar Children's Superspeciality Center. Methods: The population of the current study is children with measles. The sample size includes 37 children who were admitted to Akbar Children's Hospital between April 1402 and May 1403 with the possibility of measles. Sampling was done in the form of a census among children suspected of having measles, who had been tested for measles PCR. The data collection tool was patient file documentation. Statistical analysis was done using spss 21 software. Results: Between April 1402 and May 1403, a total of 34 laboratory tests for measles in children admitted to this center were performed by PCR method. 26 out of 34 tests were positive. Fever was the most common clinical finding. It is in the second degree of rush. Other clinical findings are given in the table. Conclusion and discussion: Based on the results, fever and rash are two prominent symptoms of the disease, and cough and conjunctivitis are significant manifestations. These findings are conventionally reported in the Measles panel. But one of the notable findings was the occurrence of 40% of nausea and vomiting. Headache and seizures were not reported in any of the patients. It seems that the clinical table of measles is still the same as the conventional table. However, in the studied sample, the triad of cough, conjunctivitis and rash was observed in only 20-30% of patients. These findings point out the need to re-image the clinical manifestations of measles
کلمات کلیدی
Measles, Child, Clinical Finings
