Acute Gastroenteritis in Childhood : What Are the Misleading Myths?

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Sağlıklı Çocukta İshalde Ne Zaman Laboratuvar ve Radyoloji?
When is Laboratory and Radiology in Diarrhea in a Healthy Child?
Taylan ÇELİKa, Yusuf GÜZELb
aÇanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi, Çocuk Enfeksiyon Hastalıkları BD, Çanakkale, TÜRKİYE
bÇanakkale Onsekiz Mart Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları ABD, Çanakkale, TÜRKİYE
Çelik T, Güzel Y. Sağlıklı çocukta ishalde ne zaman laboratuvar ve radyoloji?. Türel Ö, editör. Çocukluk Çağında Akut Gastroenteritler: Doğru Bilinen Yanlışlar. 1. Baskı. Ankara: Türkiye Klinikleri; 2021. p.1-6.
Article Language: TR
ÖZET
Akut gastroenteritler gelişmiş ve gelişmekte olan ülkelerde çocuklarda önemli bir morbidite ve mortalite nedeni olmaya devam etmektedir. Akut gastroenteritlerde en sık etken virüslerdir. Akut gastroenterit vakalarının çoğunun kendi kendini sınırlaması ve enteropatojenin tanımlanması çoğu vakada hastalığın yönetimini ve doğal seyrini etkilemediğinden, spesifik etiyolojinin belirlenmesi bir öncelik değildir. Akut gastroenteritli bir çocukta öncelikle ciddi veya hayati risk oluşturan bir durum olup olmadığı değerlendirilmeli ve ekarte edilmelidir. Daha öncesinde sağlıklı olduğu bilinen ve akut gastroenterit kliniğiyle başvuran hastada 7 günden uzun süren kanlı mukuslu ishal varlığı, toksik görünüm, yüksek ateş, ağır dehidratasyonu bulguları ya da atipik klinik semptomların varlığında hastaya ek radyolojik ve laboratuvar tetkikleri yapılmalıdır. Akut gastroenterit kliniğiyle başvuran hastalarda hem laboratuvar ve radyografinin verimli kullanılması hem de toplumsal risk oluşturacak enteropatojenlerin hızlı tespit edilmesi açısından, tetkiklerin akılcı kullanılması çok önemlidir.

Anahtar Kelimeler: Gastroenterit; çocuk; kliniksel laboratuvar teknikleri
ABSTRACT
Acute gastroenteritis continues to be an important cause of morbidity and mortality in children in developed and developing countries. Viruses are the most common cause of acute gastroenteritis. Determining the specific etiology is not a priority, as most cases of acute gastroenteritis are selflimiting and identification of the enteropathogen does not affect the management of the disease in most cases.A life-threatening condition in a child with acute gastroenteritis should be evaluated and ruled out.In the presence of long-term bloody diarrhea with mucus, toxic appearance, high fever, severe dehydration or atypical clinical symptoms, radiological and laboratory examinations should be performed in the patient who was known to be healthy before and who presented with the clinic of acute gastroenteritis. In patients presenting with acute gastroenteritis clinic, rational use of tests is very important in terms of both efficient use of laboratory and radiography and rapid detection of enteropathogens that may pose a societal risk.

Keywords: Gastroenteritis; child; clinical laboratory techniques

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