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Kene Isırması ile Gelen Askeri Personelde İnfeksiyöz Hastalık Olma Durumunun Değerlendirilmesi

Yıl 2022, Cilt 12, Sayı 3, 455 - 459, 30.05.2022
https://doi.org/10.16899/jcm.1064396

Öz

Giriş: Kene ısırması riskli yüksek olan kırsal bölgelerde gerek operasyonlar, gerekse eğitimler şeklinde mesleğini icra etmek zorunda olan askeri personel bu hastalıklar açısından riskli grupların başında gelmektedir. Bu çalışmanın amacı; kene ısırması nedeniyle başvuran askeri personelin tıbbi tanı ve takibinin değerlendirilerek sunulmasıdır. Yöntem: Tek merkezli gözlemsel çalışma olarak planlanan bu çalışmaya Aralık 2012-Aralık 2013 tarihleri arasında kene ısırması şikayetiyle müracaat eden gönüllü tüm hastalar dahil edildi. Bulgular: 79 hastadan 12(%15) hastadaki kene sağlık personeli tarafından çıkarıldı. Isırmalar vücut bölgeleri sırasıyla baş-boyun (%8,8), gövde (%17,7), üst ekstremite (%24), alt ekstremite (%45,5) ve genital (%3,8) görüldü. Hastaların vital bulgularında değişiklik ile muayenesinde kene bulunması arasında ve vital bulgularında değişiklik ile ısırılma bölgesi arasında istatistiksel olarak anlamlı ilişki saptanmadı ((p>0,05). Ayrıca lökosit, AST, ALT, LDH, PTZ ve diğer biyokimyasal parametrelerde değişiklik ile muayenesinde kene bulunması arasında ve biyokimyasal parametrelerde değişiklik ile ısırılma bölgesi arasında istatistiksel olarak anlamlı ilişki saptanmadı (p>0,05). 79 hastanın hiçbirinde hastalık gelişmedi, ölen hasta olmadı ve tamamı iyileşerek taburcu edildi. Sonuç: Kene ısırması takibi önerilir. Ancak bu nedenle başvuran askeri personelin prognozu iyi olduğundan askeri operasyon ve eğitimlere ara verilmeyebilir.

Kaynakça

  • 1. Ergonul O, Celikbas A, Dokuzoguz B, Eren S, Baykam N, Esenler H. Characteristics of patients with Crimean-Congo hemorrhagic fever in a recent outbreak in Turkey and impact of oral ribavirin therapy. Clin Infect Dis 2004; 39: 284-7.
  • 2. Khan AS, Maupin GO, Rollin PE, et al. An outbreak of Crimean-Congo hemorrhagic fever in the United Arab Emirates, 1994-1995. Am J Trop Med Hyg. 1997 Nov;57(5):519-25.
  • 3. Ergonul O. An Emerging Infection in Turkey: Crimean-Congo haemorrhagic fever. Lancet Infect Dis 2006; 6: 203-14.
  • 4. Papa A, Bino S, Papadimitriou E, Velo E, Dhimolea M, Antoniadis A. Suspected Crimean Congo Haemorrhagic Fever cases in Albania. Scand J Infect Dis, 2008; 40(11-12): 978-80
  • 5. Yilmaz GR, Buzgan T, Irmak H, et al. The epidemiology of Crimean Congo hemorrhagic fever in Turkey, 2002-2007. Int J Infect Dis, 2009; 13(3): 380-6.
  • 6, Watts D M, Ksiasek T G, Linthicum K J, Hoogstraal H. Crimean-Congo hemorrhagic fever. The arboviruses: epidemiology and ecology, 2019, 177-222.
  • 7. Whitehouse CA. Crimean-Congo Hemorrhagic Fever. Antivir Res 2004; 64: 145-160.
  • 8. Hoogstraal H. The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa. J Med Entomol 1979; 15: 307-417.
  • 9. Anderson JF, Magnarelli LA. Biology of Ticks. Infect Dis Clin North Am 2008; 22; 195-215.
  • 10. Kara A. Kırım Kongo kanamalı ateşi. Turk Arch Ped 2008; 43: 108-18.
  • 11. Faulde M K, Rutenfranz M, Keth A, Hepke J, Rogge M, Görner A. Pilot study assessing the effectiveness of factory-treated, long-lasting permethrin-impregnated clothing for the prevention of tick bites during occupational tick exposure in highly infested military training areas, Germany. Parasitology research, 2015, 114.2: 671-678.
  • 12. Sammito S, Müller-Schilling L, Gundlach N, Faulde M, Böckelmann I. Workplace-related risk of tick bites in military personnel stationed in Northern Germany. Int Arch Occup Environ Health. 2019 Oct;92(7):1061-1065.
  • 13. Goldfarb LG, Chumakov MP, Myskin AA, Kondratenko VF, Reznikov OY. An epidemiological model of Crimean Hemorrhagic Fever. Am J Trop Med Hyg 1980; 29: 260
  • 14. Karti SS, Odabasi Z, Korten V, et al. Crimean-Congo Hemorrhagic Fever in Turkey. Emerg Infect Dis 2004; 19: 1379-1384
  • 15. Bakir M, Ugurlu M, Dokuzoguz B, Bodur H, Tasyaran MA, Vahaboglu H. Crimean-Congo haemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures. J Med Microbiol 2005; 54: 385-9
  • 16. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Kırım-Kongo Kanamalı Ateşi. http://www.saglik.gov.tr/KKKA, erişim tarihi; 01.06.2011.
  • 17. Ozturk B, Tutuncu E, Kuscu F, Gurbuz Y, Sencan I, Tuzun H. Evaluation of factors predictive of the prognosis in Crimean-Congo haemorrhagic fever: new suggestions. Int J Infect Dis 2012; 16(2): e89-93
  • 18. Ozturk Engin D, Sengoz Inan A, Erdem İ, et al. Crimean-Congo haemorrhagic fever: evalation of eight cases. Turk J Infect 2009; 23(3): 105-108.
  • 19. Monsalve Arteaga L, Muñoz Bellido JL, Vieira Lista MC, et al. Crimean-Congo haemorrhagic fever (CCHF) virus-specific antibody detection in blood donors, Castile-León, Spain, summer 2017 and 2018. Euro Surveill. 2020 Mar;25(10):1900507.
  • 20. Bartolini B, Gruber CE, Koopmans M, et al. Laboratory management of Crimean-Congo haemorrhagic fever virus infections: perspectives from two European networks. Euro Surveill. 2019 Jan;24(5):1800093.

Evaluation of the Status of Infectious Diseases in Military Personnel Who Visit Clinics Due to Tick Bite

Yıl 2022, Cilt 12, Sayı 3, 455 - 459, 30.05.2022
https://doi.org/10.16899/jcm.1064396

Öz

Introduction: This study aims to evaluate and present the findings obtained from medical diagnosis and follow-up of military personnel admitted to the relevant units due to tick bites. Method: All volunteer patients with complaints of tick bites between 2012 and 2013 were included in this study, and this paper was designed as a single-centre observational study. Results: The ticks attach to the body of 12 (15%) of 79 patients were removed by the medical personnel. The bites were observed to be in the head and neck (8.8%), torso (17.7%), upper extremity (24%), lower extremity (45.5%) and genital area (3.8%). There was no statistically significant relationship between the change in vital symptoms of patients and the presence of ticks in their physical examination, as well as between the change in vital findings and the location of bite site (p>0,05). In addition, there was no statistically significant relationship between the change in leukocyte, AST, ALT, LDH, PTZ and other biochemical parameters and the presence of ticks in the examination, as well as a change in biochemical parameters and the bite site (p>0.05). None of the 79 patients progressed the disease; no patients died, and all of them recovered and were discharged from the hospital. Conclusion: : Tick bite monitoring is recommended. However, because of the good prognosis of the military personnel who applied with it, military operations and trainings may not be interrupted.

Kaynakça

  • 1. Ergonul O, Celikbas A, Dokuzoguz B, Eren S, Baykam N, Esenler H. Characteristics of patients with Crimean-Congo hemorrhagic fever in a recent outbreak in Turkey and impact of oral ribavirin therapy. Clin Infect Dis 2004; 39: 284-7.
  • 2. Khan AS, Maupin GO, Rollin PE, et al. An outbreak of Crimean-Congo hemorrhagic fever in the United Arab Emirates, 1994-1995. Am J Trop Med Hyg. 1997 Nov;57(5):519-25.
  • 3. Ergonul O. An Emerging Infection in Turkey: Crimean-Congo haemorrhagic fever. Lancet Infect Dis 2006; 6: 203-14.
  • 4. Papa A, Bino S, Papadimitriou E, Velo E, Dhimolea M, Antoniadis A. Suspected Crimean Congo Haemorrhagic Fever cases in Albania. Scand J Infect Dis, 2008; 40(11-12): 978-80
  • 5. Yilmaz GR, Buzgan T, Irmak H, et al. The epidemiology of Crimean Congo hemorrhagic fever in Turkey, 2002-2007. Int J Infect Dis, 2009; 13(3): 380-6.
  • 6, Watts D M, Ksiasek T G, Linthicum K J, Hoogstraal H. Crimean-Congo hemorrhagic fever. The arboviruses: epidemiology and ecology, 2019, 177-222.
  • 7. Whitehouse CA. Crimean-Congo Hemorrhagic Fever. Antivir Res 2004; 64: 145-160.
  • 8. Hoogstraal H. The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa. J Med Entomol 1979; 15: 307-417.
  • 9. Anderson JF, Magnarelli LA. Biology of Ticks. Infect Dis Clin North Am 2008; 22; 195-215.
  • 10. Kara A. Kırım Kongo kanamalı ateşi. Turk Arch Ped 2008; 43: 108-18.
  • 11. Faulde M K, Rutenfranz M, Keth A, Hepke J, Rogge M, Görner A. Pilot study assessing the effectiveness of factory-treated, long-lasting permethrin-impregnated clothing for the prevention of tick bites during occupational tick exposure in highly infested military training areas, Germany. Parasitology research, 2015, 114.2: 671-678.
  • 12. Sammito S, Müller-Schilling L, Gundlach N, Faulde M, Böckelmann I. Workplace-related risk of tick bites in military personnel stationed in Northern Germany. Int Arch Occup Environ Health. 2019 Oct;92(7):1061-1065.
  • 13. Goldfarb LG, Chumakov MP, Myskin AA, Kondratenko VF, Reznikov OY. An epidemiological model of Crimean Hemorrhagic Fever. Am J Trop Med Hyg 1980; 29: 260
  • 14. Karti SS, Odabasi Z, Korten V, et al. Crimean-Congo Hemorrhagic Fever in Turkey. Emerg Infect Dis 2004; 19: 1379-1384
  • 15. Bakir M, Ugurlu M, Dokuzoguz B, Bodur H, Tasyaran MA, Vahaboglu H. Crimean-Congo haemorrhagic fever outbreak in Middle Anatolia: a multicentre study of clinical features and outcome measures. J Med Microbiol 2005; 54: 385-9
  • 16. T.C. Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Kırım-Kongo Kanamalı Ateşi. http://www.saglik.gov.tr/KKKA, erişim tarihi; 01.06.2011.
  • 17. Ozturk B, Tutuncu E, Kuscu F, Gurbuz Y, Sencan I, Tuzun H. Evaluation of factors predictive of the prognosis in Crimean-Congo haemorrhagic fever: new suggestions. Int J Infect Dis 2012; 16(2): e89-93
  • 18. Ozturk Engin D, Sengoz Inan A, Erdem İ, et al. Crimean-Congo haemorrhagic fever: evalation of eight cases. Turk J Infect 2009; 23(3): 105-108.
  • 19. Monsalve Arteaga L, Muñoz Bellido JL, Vieira Lista MC, et al. Crimean-Congo haemorrhagic fever (CCHF) virus-specific antibody detection in blood donors, Castile-León, Spain, summer 2017 and 2018. Euro Surveill. 2020 Mar;25(10):1900507.
  • 20. Bartolini B, Gruber CE, Koopmans M, et al. Laboratory management of Crimean-Congo haemorrhagic fever virus infections: perspectives from two European networks. Euro Surveill. 2019 Jan;24(5):1800093.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Hayri CANBAZ (Sorumlu Yazar)
YILDIRIM BEYAZIT ÜNİVERSİTESİ YENİMAHALLE EĞİTİM VE ARAŞTIRMA HASTANESİ
0000-0001-6989-7854
Türkiye

Destekleyen Kurum yok
Proje Numarası yok
Teşekkür -
Yayımlanma Tarihi 30 Mayıs 2022
Kabul Tarihi 3 Mayıs 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 3

Kaynak Göster

AMA Canbaz H. Evaluation of the Status of Infectious Diseases in Military Personnel Who Visit Clinics Due to Tick Bite. J Contemp Med. 2022; 12(3): 455-459.