{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:01:22Z","timestamp":1777723282403,"version":"3.51.4"},"reference-count":32,"publisher":"Akademiai Kiado Zrt.","issue":"19","license":[{"start":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T00:00:00Z","timestamp":1715472000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,5,12]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A rhinosinusitis az orr- \u00e9s orrmell\u00e9k\u00fcregek\n                    ny\u00e1lkah\u00e1rty\u00e1j\u00e1nak v\u00e1lad\u00e9kk\u00e9pz\u0151d\u00e9ssel \u00e9s \u00f6d\u00e9m\u00e1s duzzanattal j\u00e1r\u00f3 gyullad\u00e1sa. Az\n                    akut bakteri\u00e1lis rhinosinusitis f\u0151k\u00e9nt sz\u00f6v\u0151dm\u00e9nyes eseteiben gyakran sz\u00fcks\u00e9ges\n                    fekv\u0151beteg-int\u00e9zm\u00e9nybe val\u00f3 felv\u00e9tel. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A Szegedi\n                    Tudom\u00e1nyegyetem F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinik\u00e1j\u00e1nak\n                    fekv\u0151betegoszt\u00e1ly\u00e1ra 2016 \u00e9s 2022 k\u00f6z\u00f6tt akut rhinosinusitis miatt felvett\n                    gyermekek anyag\u00e1nak retrospekt\u00edv elemz\u00e9se, illetve annak meg\u00e1llap\u00edt\u00e1sa, hogy a\n                    COVID\u201319-j\u00e1rv\u00e1ny befoly\u00e1ssal volt-e a felv\u00e9telt ig\u00e9nyl\u0151 esetek ar\u00e1ny\u00e1ra.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> Demogr\u00e1fiai \u00e9s klinikai adatok gy\u0171jt\u00e9se, az\n                    eredm\u00e9nyek \u00f6sszehasonl\u00edt\u00e1sa hazai \u00e9s nemzetk\u00f6zi irodalmi adatokkal.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> 497 gyermekb\u0151l 471 beteg kezel\u00e9se kiz\u00e1r\u00f3lag\n                    ambul\u00e1nsan t\u00f6rt\u00e9nt. 26 gyermek, 17 fi\u00fa \u00e9s 9 l\u00e1ny ker\u00fclt felv\u00e9telre (1 f\u0151 2\n                    alkalommal). Az \u00e1tlag\u00e9letkor 7,65 \u00e9v volt. A felv\u00e9telek 52%-a a h\u00e1rom t\u00e9li\n                    h\u00f3napban, az \u00f6sszes felv\u00e9tel 89%-a a novembert\u0151l \u00e1prilisig terjed\u0151 id\u0151szakban\n                    t\u00f6rt\u00e9nt. 19 esetben akut ethmoiditis, 5 esetben akut sinusitis maxillaris, 2\n                    esetben akut pansinusitis, 1 alkalommal akut sphenoiditis volt a felv\u00e9teli\n                    diagn\u00f3zis. A felv\u00e9tel oka 19 gyermekn\u00e9l a k\u00f6vetkezm\u00e9nyes szemh\u00e9j\u00f6d\u00e9ma, 7 esetben\n                    az alkalmazott ter\u00e1pia melletti progresszi\u00f3 volt, 1 betegn\u00e9l intracranialis\n                    sz\u00f6v\u0151dm\u00e9ny igazol\u00f3dott. Az \u00e1tlagos hospitaliz\u00e1ci\u00f3 4,2 nap volt. 16 esetben\n                    amoxicillin-klavul\u00e1nsav, 11 esetben cefuroxim parenteralis ad\u00e1sa t\u00f6rt\u00e9nt. 9\n                    esetben (8 orbitalis, 1 intracranialis sz\u00f6v\u0151dm\u00e9ny) elker\u00fclhetetlen volt a m\u0171t\u00e9t.\n                    Minden betegn\u00e9l funkcion\u00e1lis endoszk\u00f3pos beavatkoz\u00e1s t\u00f6rt\u00e9nt. 2 alkalommal,\n                    orbitat\u00e1lyog miatt, k\u00fcls\u0151 megnyit\u00e1sra is sz\u00fcks\u00e9g volt, az intracranialis\n                    sz\u00f6v\u0151dm\u00e9nyn\u00e9l idegseb\u00e9szeti m\u0171t\u00e9t is t\u00f6rt\u00e9nt. <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> A\n                    vizsg\u00e1lt param\u00e9terek korrel\u00e1lnak az irodalmi adatokkal, a COVID\u201319-j\u00e1rv\u00e1nynak\n                    tulajdon\u00edthat\u00f3 esetsz\u00e1mv\u00e1ltoz\u00e1st nem tapasztaltunk.\n                        <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> Az akut rhinosinusitis konzervat\u00edv\n                    ter\u00e1pi\u00e1val \u00e1ltal\u00e1ban gy\u00f3gy\u00edthat\u00f3, de el\u0151fordulhatnak s\u00falyos, \u00e9letet\n                    vesz\u00e9lyeztet\u0151 sz\u00f6v\u0151dm\u00e9nyek. B\u00e1r a k\u00f3rh\u00e1zi felv\u00e9telt ig\u00e9nyl\u0151 esetek sz\u00e1ma\n                    cs\u00f6kkent, a sz\u00f6v\u0151dm\u00e9nyek ar\u00e1nya nem v\u00e1ltozott, ez\u00e9rt nagyon fontos azok gyors\n                    felismer\u00e9se \u00e9s hat\u00e9kony kezel\u00e9s. Orv Hetil. 2024; 165(19): 747\u2013753.<\/jats:p>","DOI":"10.1556\/650.2024.33022","type":"journal-article","created":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T15:03:40Z","timestamp":1715526220000},"page":"747-753","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Hospitaliz\u00e1ci\u00f3t ig\u00e9nyl\u0151 gyermekkori akut rhinosinusitisek 2016 \u00e9s 2022 k\u00f6z\u00f6tt klinik\u00e1nkon \u2013 retrospekt\u00edv elemz\u00e9s"],"prefix":"10.1556","volume":"165","author":[{"given":"\u00c9va","family":"Kelemen","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Bella","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eszter","family":"Erd\u00e9lyi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Be\u00e1ta","family":"Kiss Fekete","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Sztan\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Rov\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gnes","family":"Kiricsi","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Klinikai K\u00f6zpont, F\u00fcl-Orr-G\u00e9g\u00e9szeti \u00e9s Fej-Nyakseb\u00e9szeti Klinika Szeged, Tisza Lajos krt. 111., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1136\/archdischild-2012-302983","article-title":"The role of antibiotics in the treatment of acute rhinosinusitis in children: a systematic review","volume":"98","author":"1 Cronin","year":"2013","unstructured":"1 Cronin MJ, Khan S, Saeed S. 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