Mantar Zehirlenmesi ile Acil Servise Başvuran Vakaların Retrospektif İncelemesi

Yıl 2023, Cilt: 3 Sayı: 2, 38 - 41, 29.09.2023

Pelin Çelik , Fatma Hastaoğlu

Öz

Mantar zehirlenmeleri, acil servislerde başvurulara neden olan önemli bir halk sağlığı sorunudur. Yetişkinlerde görülen tüm akut zehirlenme olgularının yaklaşık olarak %7'sini mantar zehirlenmeleri oluşturmaktadır. Mantarın cinsine göre, klinik tablo, bulantı kusma gibi gastrointestinal sistem şikayetlerinden karaciğer yetmezliğine hatta ölüme kadar değişiklik göstermektedir. Çalışmada, Ocak-Aralık 2021 tarihleri arasında bir üniversite hastanesi erişkin ve çocuk acil servislerine mantar zehirlenmesi nedeni ile başvuran 42 vaka retrospektif olarak değerlendirildi. Vakaların %38.2’sinin yetişkin erkek hastalardan, %33.3’ünün 18 yaş altı çocuklardan oluştuğu ve acil servis başvurularının %52.4’ünün yaz aylarında olduğu saptandı. Çalışmada, 22 olguda (%52.3) bulantı ve kusma, 8 olguda (%19) ishal en sık görülen geliş şikayetleri idi. Vakaların büyük çoğunluğunda (%90.4) semptomatik tedavi sonucu sekelsiz iyileşme görüldü. Sonuç olarak, çalışmanın yapıldığı il ve çevresindeki mantar zehirlenmelerinin genellikle 18 yaş altı çocuklar ile erişkin erkeklerde ve yaz aylarında gerçekleştiği ve çoğunlukla iyileşme sağlandığı saptandı. Mantar zehirlenmesinde halkın bilinçlendirilmesi en iyi tedavidir. Bu nedenle halkın zehirli mantarlar konusunda uyarılması ve zehirlenme bulguları ve bulgular görüldüğünde vakit kaybetmeden hastaneye başvurmaları konusunda bilinçlendirilmesi mortalitenin azaltılmasında önemlidir.

Anahtar Kelimeler

Mantar zehirlenmeleri, Acil servis, Başvuru sıklığı

Retrospective Investigatıon of Case Attending Emergency Department With Mushroom Poisoning

Öz

Mushroom poisoning is an important public health problem that causes applications in emergency departments. Mushroom poisonings constitute approximately 7% of all acute poisoning cases in adults. Depending on the type of fungus, the clinical picture varies from gastrointestinal system complaints such as nausea and vomiting to liver failure and even death. In the study, 42 cases who applied to the adult and pediatric emergency services of a university hospital due to mushroom poisoning between January and December 2021 were evaluated retrospectively. It was determined that 38.2% of the cases were adult male patients, 33.3% were children under the age of 18, and 52.4% of the emergency service admissions were during the summer months. In the study, nausea and vomiting in 22 cases (52.3%) and diarrhea in 8 cases (19%) were the most common presenting complaints. In the vast majority of cases (90.4%), recovery was observed without sequelae as a result of symptomatic treatment. As a result, it was determined that the mushroom poisonings in and around the province where the study was conducted generally occur in children under 18 years of age and adult men and in the summer months, and mostly recovery is achieved. Public awareness is the best treatment for mushroom poisoning. For this reason, it is important to warn the public about poisonous mushrooms and to raise awareness about poisoning signs and to apply to the hospital without delay when they are seen.

Anahtar Kelimeler

Mushroom poisoning, Emergency department, Frequency of admission

Kaynakça

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