| Abstract | Cilj istraživanja: Cilj ovog istraživanja bio je utvrditi klinička obilježja i laboratorijske parametre novorođenčadi liječenje od akutnog omfalitisa pri prijemu na Kliniku za dječje bolesti KBC-a Split 2015. – 2019.
Ispitanici i metode: U ovo istraživanje su uključena sva djeca liječena od akutnog omfalitisa u razdoblju od 1.1.2015. do 31.12.2019. Retrospektivno je analizirana medicinska dokumentacija.
Rezultati: U istraživanje je uključeno 99 ispitanika, od kojih su 60 (60,61%) muška djeca, a 39 (39,39%) ženska. Prosječna dob ispitanika je bila 9,62±7,85 dana. Velika većina ispitanika (N=98, 98,99%) su bila donešena novorođenčad. U kliničkoj slici najčešće je prisutno crvenilo (70,71%), zatim iscjedak ili sekrecija iz pupka (51,52%). Dostupni su rezultati 63 (63,64%) brisa pupka. U većem broju slučajeva (N=40, 63,49%) izoliran je isključivo jedan uzročnik. Akutni omfalitis je najčešće bio uzrokovan meticilin osjetljivim Staphylococcus aureusom, koji je izoliran u 22 (34,92%) ispitanika. U 15 (23,81%) slučajeva uzročnik je Klebsiella pneumoniae, a u 14 (22,22%) slučajeva Escherichia coli. U svrhu liječenja svim je ispitanicima napravljena lokalna toaleta pupka i ordinirana antibiotska terapija. U 96 (96,97%) slučajeva parenteralno je primijenjen ceftriakson, u dva (2,02%) slučaja cefuroskim parenteralno, a u samo jednom (1,01%) slučaju je ispitanik liječen peroralnim antibiotikom cefaleksinom, u obliku sirupa. Nije bilo zabilježenih komplikacija.
Zaključci: Akutni omfalitis je u naših ispitanika protekao blagim kliničkim tijekom bez razvoja komplikacija. Unatoč niskoj incidenciji, potrebna je edukacija stanovništva i medicinskog osoblja, kako bi se preventivnim metodama njege pupka učestalost infekcije smanjila na najmanju moguću razinu. |
| Abstract (english) | Objectives: The aim of this study is to evaluate the clinical signs and laboratory parameters in newborns treated for acute omhpalitis at the time of admission to the Pediatric clinic at University Hospital of Split 2015. – 2019.
Patients and methods: All the children treated for acute omphalitis at the Pediatric clinic of University Hospital Center Split from January 1st 2015 until December 31st 2019 were included in this study. Medical records were retrospectively analyzed.
Results: This study included 99 participants, out of whom 60 (60.61%) were male children and 39 (39.39%) were female. The diagnosis was made at the average age of 9.62±7.85 days. Most of participants (N=98, 98.99%) were mature newborns. The most common clinical sign was periumbilical redness (70.71%), followed by umbilical discharge (51.52%). We have found 63 (63.64%) umbilical swabs recorded. Only one pathogen was found as a cause of infection in majority of cases (N=40, 63.49%). In 22 (34.92%) participants acute omphalitis was caused by methicilin-sensitive Staphylococcus aureus (MSSA), making it the most common pathogen in this study. Klebsiella pneumoniae was isolated in 15 (23.81%) cases, and Escherichia coli was isolated in 14 (22.22%) cases. All the participants were treated with antibiotics and had local cleaning of umbilical region. They were intravenously treated with ceftriakson (96.97%) and cefuroskim (2.02%) and only one (1.01%) was treated with cefaleksin syrup for per oral application. We have not recorded any case of complication. |
