Tokat İlinde Yaşayan İnsanlardaki Kene Tutunma Bölgelerinin Değerlendirilmesi

Abstract

Amaç: Bu çalışmada, Türkiye’de Kırım Kongo Kanamalı Ateşi KKKA açısından endemik olan bir bölgede kene enfestastonu olan kişilerin demografik özelliklerinin ve kenelerin tutunma bölgelerinin değerlendirilmesi amaçlanmıştır.Yöntem: 2009 yılında Tokat ilinde 5,089 kişi kene enfestasyonu şikayeti ile hastanelere başvurmuştur. Kene tutunması olan her hasta için sağlık personelleri tarafından doldurulan hastaların isim, yaş, cinsiyet, meslek, tarih, yaşadığı alan, seyahat bilgisi ve ek notları içeren standart formlar incelenmiştir. Kene tutunma bölgeleri karın, kollar, koltuk altı, sırt, göğüs, baş ve boyun, kalça, bacaklar ve perine olmak üzere 9 gruba, hastaların yaşları da 0-9, 10-19, 20-39, 40-64 ve ≥65 olmak üzere 5 gruba ayrılarak incelenmiştir. Bulgular: Başvuran kişilerin büyük bir kısmında n=1,051, %23,3 kenelerin bacaklara tutunduğu tespit edilmiştir. 20-39 yaş grubundaki kişiler n=1.228, %27,24 kene tutunması oranının en yüksek olduğu grup olarak belirlenmiştir. Hastalardan 2.825 %62,67 ’inin erkek, 1.683 %37,33 ’ının kadın olduğu tespit edilmiştir. Ayrıca, 2.740 %60.78 hastanın kırsal alanlarda, 1.768 %39,22 hastanın kentsel alanlarda yaşadığı belirlenmiştir. İnsanlar üzerinden toplanan kenelerin tür teşhisleri yapıldığında, örneklerin Argas 1 tür , Dermacentor 2 tür , Haemaphysalis 3 tür ve 1 alttür , Hyalomma 4 tür , Ixodes 5 tür ve Rhipicephalus 4 tür cinsleri içerisinde toplam 20 taksona ait olduğu belirlenmiştir. Sonuç: Bu çalışmayla birlikte, KKKA endemik Tokat bölgesinde kene enfestasyonu olan hastaların demografik özellikleri ve kenelerin tutunma bölgeleri ilk kez değerlendirilmiştir. Ayrıca, Türkiye’de insanların Argas vespertilionis ve Ixodes gibbosus türü keneler tarafından enfeste edildikleri ilk kez tespit edilmiştir

Keywords

• KKKA, insan enfestayonu, kene, Tokat, Türkiye

Tick attachment sites in humans living in the Tokat province of Turkey

Abstract

Objective: The aim of this study was to evaluate the attachment sites of ticks and the demographic properties of patient infested by ticks in Tokat province, a Crimean-Congo hemorrhagic fever CCHF endemic region in Turkey.Methods: In 2009, 5,089 patients with tick bites admitted to hospitals of Tokat province. A standard questionnaire, including the name, age, gender, profession, date, living area, and travel history of patients, was filled by health personals for each patient with a tick bite. Attachment sites of ticks were divided into 9 groups: abdomen, arms, axilla, back, chest, head and neck, hip, legs, and perineum, while the age-group of patients were as follows: 0-9, 10-19, 20-39, 40-64 and ≥65. Results: The majority of the patients applied n=1,051, 23.3% were found ticks on the legs of them. 20-39 year age group tick-infested were the highest proportion n=1228, 27.24% , while 2,825 62.67% of patients were male, and 1,683 37.33% were female. In addition, it was determined that 2,740 60.78% of patients were living in rural, while 1,768 39.22% were living in urban areas. A total of 20 tick taxa were identified, comprising 6 genera: Argas 1 species , Dermacentor 2 species , Haemaphysalis 3 species and 2 tür , Haemaphysalis 3 tür ve 1 alttür , Hyalomma 4 tür , Ixodes 5 tür ve Rhipicephalus 4 tür cinsleri içerisinde toplam 20 taksona ait olduğu belirlenmiştir. Sonuç: Bu çalışmayla birlikte, KKKA endemik Tokat bölgesinde kene enfestasyonu olan hastaların demografik özellikleri ve kenelerin tutunma bölgeleri ilk kez değerlendirilmiştir. Ayrıca, Türkiye’de insanların Argas vespertilionis ve Ixodes gibbosus türü keneler tarafından enfeste edildikleri ilk kez tespit edilmiştir

Keywords

• CCHF, human infestation, tick, Tokat, Turkey

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