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. 2017; 2(3): 6-11

Clinical scoring for distinction of bacterial and viral upper respiratory tract infections of children

Mesut Arslan; Ayşegül Elbir Şahin; Osman Gülsever; Hatice Şanlı Güneş; Betül Aslaner Aldemir; Fatih Duran; İrfan Oğuz Şahin.

Introduction: Upper
respiratory tract infections (URTI) are
the most common infections of childhood. 
The purpose of our study is to develop a clinical scoring method to
distinguish viral and bacterial infections in the patients who were diagnosed
with URTI. Methods: This study was conducted in pediatric 220 patients
with URTI whose ages were between 5 and 15. The previous studies about clinical scoring of
bacterial and nonbacterial URTI were reviewed to determine signs and symptoms
to evaluate in our study. These signs,
symptoms and throat swab culture results of the patients were
recorded. Results: Throat swab culture were positive at 93 patients
(42%). According to this clinic scoring system; fever, painful anterior
servical lymphadenopathy, lack of cough, tonsillar hypertrophy were found to be
statistically significant in terms of predicting bacterial infections.
Dysphagia, abdominal pain, headache, lack of conjunctivitis, the absence of
hoarseness and the absence of diarrhea were found to be statistically

Conclusion: Acording to total score – culture relationship,
total score 7 and higher could be considered significant. As a result of our
study, we could not develop an effective scoring due to the high number of
parameters, low sensitivity and specifity. 

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Journal of Contemporary Medical Education


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