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When the child starts daycare or school, there is also an increase in upper respiratory tract infections. Flu, flu, middle ear inflammation, rhinitis, sinusitis, tonsillitis and inflammation of the flesh in this period, such as waiting for the child's upper respiratory diseases sometimes can have serious consequences. Anadolu Health Center Ear Nose Throat Specialist Op. Dr. Anıl Güngör, Describes those interested in upper respiratory tract infections.
: Causes upper respiratory diseases?
Kiss. Dr. Anil Gungor: Viruses are the cause of 70 percent of upper respiratory diseases. In other words, without the use of antibiotics, the child's nutrition, fluid intake and fever can be avoided. For protection, children who attend daycare and school can receive the flu vaccine. Bacteria are responsible for 30 percent of upper respiratory tract infections. And 90 percent of these diseases are caused by three important bacteria. One of them is hemophilus influenza B (HIB), the other is pneumococci group and the third is a germ called moraxsella.
: What protection does the vaccine provide?
Kiss. Dr. Anil Gungor: Vaccination is also a very important method to prevent bacterial infections. Although vaccination does not completely prevent infections, it allows for fewer and lighter infections. In many countries there is a vaccine that has been included in the routine vaccine schedule. Pneumococcal vaccine is given to children in the risk group.
: Who is at risk?
Kiss. Dr. Anil Gungor: Children in the nursery, kept in crowded environments for a long time, premature children; growth and developmental retardation, heart disease, children with immunodeficiency and bedridden patients in the family, children who have chemotherapy at home relatives, children of health personnel are the risk group.
: Causes middle ear inflammation?
Kiss. Dr. Anil Gungor: One of the most common upper respiratory diseases in children after influenza and influenza is inflammation of the middle ear that can cause serious consequences if left untreated. In particular, children who attend daycare or school can often have upper respiratory tract infections because their immune systems do not develop very well, their anatomy does not develop very well, and they often encounter microbes. These infections cause fluid accumulation in the middle ear and inflammation of the middle ear.
Inflammation of the middle ear usually develops after a child has had a cold during the last 10 days. Continuous tugging and scratching, restlessness, decreased appetite and changes in sleep patterns; discharge of the ear, high fever, balance disorders in long-term situations, frequent falls, bumps, clumsiness, delay in walking-speech, lack of understanding of the child's speech should suggest middle ear inflammation. If left untreated, middle ear infections can adversely affect the child's language and social development and may cause permanent hearing loss.
: What are the effects other than hearing loss?
Kiss. Dr. Anil Gungor: In addition to hearing loss, the possibility of infection jumping into any of these organs can be very serious due to the fact that the middle ear is very close to the brain, facial nerve and balance organ. For example, in the event of a jump to the brain, meningitis can cause permanent paralysis if it goes to the equilibrium organ, and if it jumps to the facial nerve, facial paralysis may occur. Therefore, the more the child has an ear infection, the greater the risk. According to international criteria, the child who has had more than four middle ear infections in six months and more than gold per year should be controlled, the vaccines should be completed and a tube should be inserted into his ears.
: Do children have sinusitis?
Kiss. Dr. Anil Gungor: Without rhinitis (nasal inflammation) sinusitis (sinus inflammation), without sinusitis without rhinitis. In fact, the nose and sinuses are covered with the same tissues. One inflammation results in the other being affected. That's why we call them rhinosinusitis. There is a misconception that children in the community do not have sinuses and therefore cannot have sinusitis. However, the cheek sinuses developed when children were born. Children who attend day care centers often have rhinitis and sinusitis, especially in winter. Noses flow. Mostly we allow it. Because if we attempt to treat every child who has had an infection and every child with a runny nose, the next infection will create the same thing in the child. If the child does not have a nose in the kindergarten, the child will have a nose in primary school. Antibiotic treatment is given if rhinosinusitis lasts long. Surgical intervention may be necessary for rhinosinusitis who do not respond to treatment.
: Should tonsils and nasal flesh be removed?
Kiss. Dr. Anil Gungor: The immune system is not sufficiently developed in childhood, nose and mouth germs taken from the first defense system is met tonsils and nasal flesh. The tonsils and nasal flesh, which can be defined as soldiers in the throat region of the immune system, gradually disappear after the immune system develops. Sometimes, however, these two structures themselves can become a source of disease and require surgery. Today, with the emergence of new antibiotics, the need for tonsil and nasal surgery has decreased. Tonsil and nasal flesh grows too much or itself becomes a place that holds germs, producing must be taken.