MERSİN İLİNDE 202 HIV/AIDS OLGUSUNUN EPİDEMIYOLOJİK VE KLİNİK ÖZELLİKLERİNİN DEĞERLENDİRİLMESİ

Abstract

Türkiye'de ilk HIV/AIDS olgusu 1985 yılında bildirilmiş ve bu tarihten itibaren olgu sayısı yıllar içinde giderek artmıştır. Bu çalışma ile ilimizdeki HIV/AIDS olgularının epidemiyolojik ve klinik özelliklerinin değerlendirilmesi amaçlanmıştır. Mersin ilinde Ocak 1993-Aralık 2015 tarihleri arasında tanı konan 202 HIV/AIDS olgusuna ait veriler hasta dosyalarından elde edilmiştir. Çalışmaya 158'i (%78.2) erkek olmak üzere toplam 202 HIV/AIDS olgusu alınmıştır. Olguların 136 (%67.3)'sı 24-44 yaş aralığındadır. Olguların 198’i (%98.0) Türk vatandaşı olup 115 (%40.1)'i sosyal güvenceye sahiptir. Mesleklerine göre değerlendirildiğinde en yüksek grup 66 olgu (%32.6) ile işçilerde görülmektedir. En yüksek risk faktörünü 16 (%7.9) olgu ile cinsel ilişki oluşturmaktadır. HIV/AIDS insidansı 2000 yılından yüz binde 2.0 iken, 2015 yılında bu oranın yüz binde 10.9’a çıktığı tespit edilmiştir. Olgular ilk başvurduklarında ortalama CD4+T lenfosit hücre sayısı 39'unda (%19.3) >500'den büyük olduğu saptanmıştır. AIDS aşamasında fırsatçı enfeksiyonların eşlik etmektedir. Viral yük oranları 49'unda (%24.3) <10000 küçüktür. 59 (%29.2) olgu anti-retroviral tedavi almaktadır. Çalışma süresince olguların 11'i (%5.4) hayatını kaybetmiştir. Bölgemizde HIV/AIDS insidansı yıllar itibariye artmaktadır. Çalışmamızda, olgulara ait risk faktörlerine çok büyük oranda ulaşılamamıştır. Tespit edilen olguların risk faktörlerinin belirlenmesi, bu hastalıkla mücadele için planlanacak sağlık hizmetlerine yön verecektir.

Keywords

• HIV
• AIDS
• epidemiyoloji
• klinik takip

EVALUATION OF EPIDEMIOLOGICAL AND CLINICAL FEATURES OF 202 HIV/AIDS CASES DIAGNOSED IN MERSIN

Abstract

The number of cases has steadily increased over the years since 1985 in Turkey. The aim of this study was to evaluate the epidemiological and clinical characteristics of HIV/AIDS cases in our province. Data on 202 HIV/AIDS cases diagnosed between January 1993 and December 2015 in Mersin were obtained from patient files. A total of 202 HIV/AIDS cases, 158 (78.2%) males, were included in the study. 136 (67.3%) of the cases were in the 24-44 age range. 198 (98.0%) of the cases were Turkish citizens and 115 cases (40.1%) had social security 66 cases (32.6%) are the most common workers. The highest risk factor was risky sexual intercourse with 16 (7.9%) cases. While the incidence of HIV/AIDS was 2.0 per hundred thousand in 2000, it was found that this rate increased to 10.9 per hundred thousand in 2015. Opportunistic infections were detected during the AIDS phase. When the patients applied for the first time, the mean number of CD4+ T lymphocyte cells was greater than> 500 in 39 (19.3%). Viral load rates are in the range of <10000 in 49 (24.3%). 59 (29.2%) cases received anti-retroviral therapy. During the study 11 (5.4%) of the cases died. In our region, the incidence of HIV/AIDS has been increasing over the years. Risk factors of cases have not been reached to a large extent. Risk factors are  determined in the shortest time and education and health services should be planned to combat this disease.

Keywords

• HIV
• AIDS
• epidemiology
• clinical follow

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