Atopik Astımlı Türkiye Cumhuriyeti Vatandaşları ile Mültecilerin Deri Prick Test Sonuçlarının Karşılaştırılması

Year 2020, Volume: 17 Issue: 2, 228 - 232, 20.08.2020

Şerif Kurtuluş , Remziye Can , Zafer Sak

https://doi.org/10.35440/hutfd.734929

Abstract

Amaç: Astım ve atopi çevresel maruziyetler ile değişkenlik gösterir. Göç ve Mültecilikte Alerjik astım hastaları için dezavantajlı grupta yer alır.
Materyal ve Metod: Kesitsel tasarımlı 431 hastada, Ocak 2015-2017 tarihleri arasında, Atopik astımlı Türkiye Cumhuriyeti vatandaşı ile Çadır kampta yaşayan Suriyeli Mültecilerin Deri Prick Test (DPT) sonuçlarının değerlendirilmesi amaçlandı.
Bulgular: Atopik Astım tanılı %45,7 Suriyeli Mülteciler olmak üzere toplam 431 hastaya SPT yapıldı. Kadın cinsiyet %75,4 ‘tür. Yaş ortalaması 30,5 ’tir. Hem TC vatandaşı hem de Mültecilerde en çok görülen alerjen Ev tozu akarıdır. Uyruğa göre: Mantar karışımı (13,343/0,000), Hamam Böceği (8,541/0,003) ve Tahıl karışımına (6,556/0,011) gruplar arasında anlamlı fark izlendi. Cinsiyete göre: Mantar Karışımı (6,173/0,013) ve Hamam Böceğine (4,495/0,034) gruplar arasında anlamlı fark izlendi. Yaş gruplarına göre: 17-34 yaş grubunda Mantar Karışımına (21,567/0,000), 45 ve üzeri yaş grubunda ise Ağaç polenine (6,062/0,048) karşı gruplarda anlamlı fark bulunmuştur.
Sonuç: Göç ve Mültecilik durumlarında Alerjik Astım önemli bir sağlık sorunudur. TC vatandaşı ve Mültecilerde en sık alerjen pozitifliği ev tozu akarında görülmektedir. Suriyeli Mültecilerde sırayla Ev tozu akarı, Ot karışımı ve Mantar karışımı şeklindedir. Bu çalışma Mültecilerde Aeroalerjenleri gösteren ilk çalışma olmasıyla literatüre katkı sunacaktır.

Keywords

Aeroallergen, Astma, Deri Prick Test, Göçmen, Mülteci

Supporting Institution

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Project Number

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Thanks

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The Comparison of Skin Prick Test Results of the Refugees with the Citizens of the Republic of Turkey with Atopic Asthma

Abstract

Background: The aim of this study to evaluate the results of the skin prick test (SPT) of citizens of the Republic of Turkey (T.R.) and Syrian refugees who are with atopic asthma.
Materials and Methods: This cross-sectional study was conducted with 431 patients between January 2015 and 2017. At the study were evaluated the results of the SPT of the citizens of the T.R with atopic asthma and Syrian refugees who are living in tent camps. For this study, approval was obtained from the non-interventional ethics committee of Harran University with the decision dated June 04, 2017 and numbered 17/04/23.
Results: SPT was performed in 431 patients with atopic asthma, 45.7% of whom were Syrian Refugees. Of the patients, 75.4% were female. The mean age was 30.5. House dust mite is the most common allergen encountered in both Turkish citizens and refugees. By the nationality, a significant difference was observed between the groups in terms of mould mixture (p <0.001), cockroach (p<0.05) and grain mixture (p<0.05). According to gender, there was a significant difference between the groups in terms of mould mixture (p <0.05) and cockroach (p<0.05). It was observed that the sensitivity of wild grass (41%) and cat hair (39.1%) in T.C women, mushroom mixture (61.9%) in Syrian refugee women and wild grass (60.7%) in Syrian refugee men were higher.
Conclusion: Allergic asthma is an important health problem in migration and refugee situations. In Turkish citizens and refugees, allergen positivity is most common in house dust mites. In Syrian refugees, it is as house dust mite, herb mix and mushroom mix, respectively. This study will contribute to the literature as it is the first study to show allergens in refugees.

Project Number

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