Efekt adenotómie, alergie a fajčenia na mikrobiálnu kolonizáciu horného aerodigestívneho traktu u detí

English version

Autoři: B. Uhliarová ¹; G. Bugová ²; M. Jeseňák ³; S. Pechacova ²; M. Hamarova ²; A. Hajtman ²
Působiště autorů: Department of Otorhinolaryngology, FD Roosevelt Faculty Hospital, Banska Bystrica, Slovak Republic ¹; Department of Otorhinolaryngology, Head and Neck Surgery, Comenius University, Jessenius Faculty of Medicine, University Hospital, Martin, Slovak Republic ²; Department of Paediatrics, Comenius University, Jessenius Faculty of Medicine, University Hospital, Martin, Slovak Republic ³
Vyšlo v časopise: Epidemiol. Mikrobiol. Imunol. 66, 2017, č. 2, s. 67-72
Kategorie: Původní práce

Souhrn

Cieľ:
Vyšetriť mikrobiálnu kolonizáciu horného aerodigestívneho traktu a sledovať vplyv adenoidných vegetácií, alergie a expozície cigaretovému dymu na prítomnosť patogénov.

Metodika:
Do prospektívnej štúdie bolo zaradených 43 detí s adenoidnými vegetáciami a 17 zdravých detí. Autori určovali mikrobiologický nález v strednom nosovom priechode, nosohltane a podnebných mandliach. Sledovali efekt vykonania adenotómie, prítomnosti atopie a expozície cigaretovému dymu na mikrobiálnu kolonizáciu.

Výsledky:
Patogénne baktérie sme izolovali signifikantne častejšie u detí s adenoidnými vegetáciami v porovnaní so zdravými deťmi. Adenotómia viedla k signifikantnému zníženiu kolonizácie horného aerodigestívneho traktu patogénmi. Atopiu sme diagnostikovali u 33 % detí s adenoidnými vegetáciami. U detí s atopiou ako aj u detí, ktoré boli exponované cigaretovému dymu sme detegovali signifikantne vyššie zastúpenie patogénov.

Záver:
Infekcia zohráva úlohu v patogenéze adenoidných vegetácií, čomu napovedá zvýšený výskyt patogénnych baktérií a ich pokles po adenotómii. Alergia ako aj expozícia tabakovému dymu sú spojené so zvýšenouincidenciou patogénnych baktérií v horných dýchacích orgánov.

KĽÚČOVÉ SLOVÁ:
patogénne baktérie – horné dýchacie orgány – adenoidné vegetácie – alergia – fajčenie

Zdroje

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