Üniversite Hastanesi Acil Servisine Başvuran Akut Gastroenteritli Hastalarda Parazitik Ajanların Analizi

Yıl 2021, Cilt: 16 Sayı: 3, 336 - 340, 01.11.2021

Hakan Hakkoymaz , Selçuk Nazik , Ali İhsan Kilci , Özlem Güler , Murat Tepe , Nazmi Yaman

https://doi.org/10.17517/ksutfd.794362

Öz

Amaç
Akut gastroenterit, ishal ile karakterize bir hastalıktır. Bu hastalıkta virüs, bakteri ve parazit en yaygın faktörlerdir. Bu çalışmada, acil servise (AS) başvuran gastroenteritli hastalarda intestinal parazitlerinin çeşitliliğini değerlendirmeyi amaçladık.
Gereç ve Yöntem
Bu tanımlayıcı ve kesitsel çalışmada, Kasım 2014 - Kasım 2017 tarihleri arasında hastanemiz acil servisine başvuran akut gastroenteritli (ICD: K52.9) toplam 4177 hasta kaydı retrospektif olarak değerlendirildi.
Bulgular
Olguların % 45,9'u (n = 188) erkek, % 54,1'i (n = 222) kadın cinsiyette idi. Paraziter ishalin en sık nedeni E. histolytica (% 85.2) idi. Çalışmaya alınan 410 hastanın% 34,6'sında (n = 142) mikroskopik incelemede lökosit vardı. Lökositli hastaların% 62,7'sinin (n = 89) mikroskopik incelemesinde de parazitler görülmüştür. Dışkı örneğinde parazit ve lökosit birlikteliği değerlendirildiğinde, dışkı örneğinde parazit bulunan hastalarda lökositlerin varlığı anlamlı olarak daha yüksekti (p <0.0001). Dışkı örneğindeki parazit ve eritrosit birlikteliği birlikte değerlendirildiğinde, dışkı örneğindeki parazit bulunan hastalarda eritrosit varlığı anlamlı olarak daha yüksek bulundu (p <0.0001).
Sonuç
E. histolytica, bölgemizde ve tüm dünyada önemli bir halk sağlığı sorunudur. Bu sorunun kanalizasyon ve altyapı çalışmaları ve içme ve kullanma suyunun temizliği ile azaltılacağına inanıyoruz.

Anahtar Kelimeler

Gastroenterit, Parazit, Acil Servis

AN ANALYSIS OF PARASITIC AGENTS IN PATIENTS WITH GASTROENTERITIS ADMITTED TO A UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT

Öz

Objective
Acute gastroenteritis is a disease characterized by diarrhea. In this disease, virus, bacteria and parasite are the most common factors. In this study, we aimed to evaluate the diversity of intestinal parasites in patients with gastroenteritis who applied to the Emergency Department (ED).
Material and Methods
In this descriptive and cross-sectional study, a total of 4177 records of patients with acute gastroenteritis (ICD: K52.9) who were admitted to the ED of our hospital between November 2014 and November 2017 were evaluated retrospectively. A total 410 stool samples for intestinal parasites using the standard parasitological methods were examined.
Results
45.9% of the cases (n=188) were male and 54.1% (n=222) were female. The most common cause of parasitic diarrhea was E. histolytica (85.2%). Of the 410 patients included in the study, 34.6% (n = 142) had leukocytes in the microscopic examination. The microscopic examination of 62.7% (n = 89) of patients with leukocytes also showed parasites. Evaluating the coexistence of parasites and leukocytes together in the stool sample the presence of leukocytes was significantly higher in patients with parasites in the stool sample (p <0.0001). When the coexistence of parasites and erythrocytes in the stool sample were evaluated together, the presence of erythrocytes was significantly higher in patients with parasites in the stool sample (p <0.0001).
Conclusion
E. histolytica is an important public health problem in our region and all over the world. We believe that this problem will be reduced by sewage and infrastructure works and by improvement in sanitation of drinking and utility water.

Anahtar Kelimeler

Gastroenteritis, Parasite, Emergency Medicine

Kaynakça

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