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Objectives The purposes of this study were to determine the benefit of the bronchiolitis ultrasound score (BUS) in predicting hospital admission in children with acute bronchiolitis and to characterize lung sonography findings. Methods This prospective observational study was performed in an academic pediatric emergency department. Children younger than 24 months presenting to the emergency department, diagnosed with acute bronchiolitis by 2 independent pediatricians were included in the study. Lung ultrasound was performed by a single sonographer, who was blinded to as much clinical information as possible. In addition, the treating physicians were blinded to the lung ultrasound findings. Logistic regression analysis models were used to identify admission predictors. Receiver operating characteristic analysis was used to evaluate the predictive value for effects of the BUS and the modified Bronchiolitis Severity Score on admission. Results The median age of the 76 patients diagnosed with acute bronchiolitis was 6 months (interquartile range, 3.6–10 months). Forty-two (55.3%) of the 76 patients enrolled were admitted. Lung ultrasound was compatible with acute bronchiolitis in 74 patients (97%). A significant correlation was determined between modified Bronchiolitis Severity Score and BUS in children with acute bronchiolitis (r = 0.698, P < 0.001). The most effective parameter in determining admission on logistic regression analysis, independently of other variables, was BUS (P = 0.044; adjusted odds ratio, 1.859; 95% confidence interval, 1.016–3.404). Bronchiolitis ultrasound score values of 3 or greater exhibited 73.81% sensitivity and 73.53% specificity, whereas BUS values of 4 or greater exhibited 50% sensitivity and 91.18% specificity. Conclusions Point-of-care lung ultrasound can accurately detect pulmonary anomalies in children with acute bronchiolitis, has a close correlation with clinical findings, and is a useful tool in predicting hospital admission.

Introduction-A clinical course ranging from mild local findings to life-threatening systemic findings may occur after scorpion stings. The purpose of this study was to identify priority markers indicating scorpion stingÀrelated cardiac involvement.Methods-Our study was performed between July 2014, and September 2015 in theÇukurova University medical faculty pediatric emergency department, in Adana, Turkey. Patients admitted with scorpion stingÀrelated cardiac involvement and a control group consisting of patients with no scorpion stingÀrelated cardiac involvement were included in the study. Troponin I at time of presentation and at 6 and 24 h, N-terminal prohormone of brain natriuretic peptide (NTproBNP), ejection fraction as determined by echocardiography at 24 h, and peak and end of T wave (Tp-e) and Tp-e/QTc ratios with echocardiography at 24 h were evaluated.Results-A patient group consisting of 7 cases of scorpion envenomationÀrelated myocarditis and a control group of 30 cases of scorpion intoxication without myocarditis findings were enrolled. Statistically significantly high glucose, white blood cell values, creatine kinase MB, troponin I, and NTproBNP values were identified in the scorpion stingÀrelated myocarditis group (P<0.05). Ejection fractions determined by echocardiography at time of presentation were significantly lower in the patients with myocarditis compared with the control group (P<0.05). A statistically significant difference was identified between Tp-e/corrected QT interval (QTc) ratios investigated in DI and V2 derivations in patient and control group echocardiograms (P<0.05).Conclusions-We think that use can be made of NTproBNP in addition to echocardiography and troponin I in the early diagnosis of scorpion stingÀrelated myocarditis and that Tp-e and Tp-e/QTc ratios identified via echocardiography can be used as early markers; however, further studies with larger numbers are needed to confirm this.

Amaç: Ateş çoğu kez ciddi bir hastalık belirtisi olmamasına rağmen, aileleri kaygılandıran ve çocuk acil birimlerine sıklıkla başvuruya neden olan bir yakınmadır. Doğal bir savunma düzeneği olduğu sağlık çalışanlarınca bilindiği halde, ailelerin ateş düşürücü ilaç kullanımına erken ve sık başvurduğu görülmektedir. Bu çalışma üçüncü basamak çocuk acil birimimize ateş yakınmasıyla getirilen hastaların ebeveynlerinin konu ile ilgili bilgi düzeyi, tutum ve davranışlarını belirleyen tanımlayıcı bir çalışmadır. Yöntemler: Ateş yakınmasıyla getirilen çocukların ebeveynlerine araştırmanın amacı ile ilgili bilgi aktarılıp, yüzyüze görüşme yapılarak 22 soruluk anket formu uygulanmıştır. Bulgular: Çalışmamıza %91'i anne olmak üzere 200 ebeveyn katıldı. Hastalarımızın %73'ü sadece ateş yakınması ile başvurdu. %36'sının başvuru sırasında >38 °C vücut sıcaklığı olduğu görüldü. Ebeveynlerin %58 ateşi >38 °C olarak tanımladığı, %47,5'inin ise ateşi ölçerek belirlediği, %84,5'inin evinde ateş ölçer bulundurduğu, %62,5'inin ateş hakkında bilgiyi sağlık personelinden aldığı görüldü. Ebeveynlerin eğitim düzeyinden bağımsız olarak %83,5 oranında hekim önerisiyle doğru dozlarda ilaç uyguladıkları belirlendi. Sonuç: Önceki çalışmalara göre ateş ile ilgili ebeveynlerin bilgi ve hekim ile iletişim aşamasında ılımlı düzeyde iyileşme olduğu düşüncesine varılmıştır. Ailelerde ateş varlığında panik hali, kaygı duygusu ve yanlış uygulamaların devam ettiği görülmüştür. Bu nedenle de kapsamlı aile eğitimlerinin olması gerektiği ve süreğen eğitim ile ateşli çocuğun yönetiminin geliştirilebileceği, acil birimlerine başvuruların azaltılabileceği kanaatine varılmıştır. Anahtar Kelimeler: Ateş, ebeveyn ateş bilgisi, aile eğitimi Introduction: Although fever is mostly not a sign of a serious disease, it causes concern in parents as well as frequent admissions to pediatric emergency units. Healthcare professionals are aware that fever is a natural defense system of the body, however, most families administer antipyretics early and frequently. The present study was performed as a descriptive study to demonstrate the level of knowledge, attitudes and behavior patterns regarding fever among the parents of patients brought to our tertiary care pediatric emergency unit with the complaint of fever. Methods: The researchers approached parents in the emergency department and informed them about the study. A 22-item questionnaire was given to the parents. Results: A total of 200 parents participated in the study and 91% of them were mothers. 73% of patients presented to the emergency department with the only complaint of fever. At admission, 36% of patients were found to have a body temperature of >38 °C. 58% of parents reported a temperature of >38 °C to define fever. 47.5% of parents determined fever by measurement and 84.5% of them reported having temperature measurement device in their house. 62.5% of participants stated that they have acquired knowledge about fever from health professionals. The majority of parents (83.5%), independent from their educati...

Objective Scorpion stings are an important health problem in many parts of the world. The aim of this study was to retrospectively examine cases of scorpion stings to evaluate their epidemiological, clinical, and laboratory features and to determine strategies that can reduce morbidity and mortality in these cases. Methods Scorpion stings experienced by children between 2007 and 2013 were retrospectively reviewed. The patients were categorized into groups based on severities of toxicities, and demographic, clinical, and laboratory features were compared between the groups. Results The mean ± SD age of the 189 patients with scorpion stings was 83.43 ± 59.62 months. There was a significant difference between the clinical stages and the age distribution of the cases (P < 0.05). White blood cell counts differed significantly between the groups (P < 0.05). There was not a significant difference in mean platelet volume and platelet distribution width between the groups, but plateletcrit and low platelet count were significantly different between stage 1 and stage 3 cases (P < 0.05). Glucose, creatinine kinase-myoglobin binding, and troponin I were also significantly different (P < 0.05). The mortality rate was 0%. Conclusions People living in regions where scorpion stings are frequent should be informed about preventive measures against these stings, cases of scorpion stings should be monitored in appropriate centers, and staff offering care to these cases should be educated about treatment methods. In addition, treatment protocols should be determined in accordance with regions where the stings occur and studies should be performed to describe prognostic indicators.