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Tıp fakültesi son sınıf öğrencilerinin kuduz hastalığı ve profilaksisi hakkındaki bilgi düzeylerinin değerlendirilmesi

Yıl 2023, Cilt: 4 Sayı: 3, 72 - 78, 30.09.2023

Mustafa Ahmet Akçalı , Mustafa Burak Sayhan , Ömer Salt

https://doi.org/10.55665/troiamedj.1241584

Öz

Amaç: Kuduz, hem insan hem de hayvan sağlığını etkileyen zoonotik karakterli, akut, ilerleyici viral ensefalit tablosu ile seyreden bir hastalıktır. Çalışmamızda, tıp fakültesinde eğitim gören son sınıf öğrencilerinin kuduz hastalığı ve profilaksisi ile ilgili bilgi düzeylerinin ölçülmesi amaçlanmıştır.
Yöntem: Araştırmanın evrenini; 2019-2020 eğitim-öğretim yılında, Tıp Fakültesi son sınıfta eğitim gören 163 öğrenci oluşturdu. Katılımcılarla yüz yüze görüşme yapılarak, anket formları dolduruldu. Anket formu; Türkiye Cumhuriyeti Sağlık Bakanlığı tarafindan 2019 yılında yayımlanan Kuduz Profilaksi Rehberi esas alınarak oluşturuldu.
Bulgular: Çalışmamızda katılımcıların %88,34’nün (n=114) kuduz şüpheli temas öncesi endikasyonları hakkında yeterli bilgi düzeyine sahip olmasına rağmen, % 64,4’nün (n= 105) temas sonrası proflaksinin etkinliği hakkında ki bilgi düzeyleri yetersiz tespit edildi. Ayrıca katılımcıların % 66,24’nün (n=108) kuduz şüpheli temas sonrası antibiyotik başlama endikasyonlarını, %29’u (n=) kuduz aşısı/kuduz immünglobulini uygulama endikasyonlarını, % 46’sı (n=75) ise uygulama şekli ve yapıldığı bölgeyi bilmedikleri saptandı.
Sonuç: Tıp Fakültesi son sınıf öğrencilerinin kuduz hastalığı ve profilaksisi ilgili yeterli bilgi düzeylerine sahip olmadığı saptandı.

Anahtar Kelimeler

Kuduz Profilaksi Tıp Fakültesi son sınıf öğrencisi

Destekleyen Kurum

Yok

Kaynakça

  • 1.The World Health Organization. Rabies. Epidemiology and burden of disease. https://www.who.int/news-room/fact-sheets/detail/rabies. Accessed on May 31, 2023.
  • 2.The World Health Organisation. Rabies; Current strategies for human rabies pre and post-exposure prophylaxis: in Humans. https://www.who.int/docs/default-source/searo/india/health-topic-pdf/pep-prophylaxis-guideline-15-12-2014.pdf?sfvrsn=8619bec3_2. Accessed on May 31, 2023.
  • 3.T.C. Sağlık Bakanlığı, Kuduz Profilaksi Rehberi. https://dosyaism.saglik.gov.tr/Eklenti/64260,kuduz‐pofilaksi‐rehberipdf.pdf?0. Accessed on April 05, 2022.
  • 4.Singh R, Singh KP, Cherian S, et al. Rabies epidemiology, pathogenesis, public health concerns and advances in diagnosis and control: a comprehensive review. Vet Q 2017;37(1):212-51.
  • 5.Şimşek AÇ, Yücel A, Çankaya S. Knowledge Levels About Rabies Disease in Health Care Professionals Providing Services in Rabies Vaccine Centers in Ankara. Ankara Medical Journal 2019;(1):244‐50.
  • 6.O’Brien KL, Nolan T, Rabies SWo: The WHO position on rabies immunization - 2018 updates. Vaccine 2018;16(93):201-20.
  • 7.Zhou H, Zhu W, Zeng J, et al. Probable Rabies Virus transmission through organ transplantation, China, 2015. Emerg Infect Dis 2016;22:1348-52.
  • 8.Derinöz O, Akar T. Animal Bites Cases Presented to a University Hospital Pediatric Emergency Room. J Pediatr Emerg Intensive Care Med 2017;4:22-6.
  • 9.Gönen İ. Türkiye’deki Hekimlerin Kuduz Hastalığıyla İlgili Bilgi ve Tutumlarının Değerlendirilmesi. Tıpta Uzmanlık Tezi. İstanbul: Marmara Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilimdalı, 2010.
  • 10.Hassam Shah FS, Jawed M, Nouruddin S, et al. Knowledge and practices among the general practitioners of Karachi regarding dog bite management, J Pak Med Assoc 2009;59:861.
  • 11.Bhalla S, Mehta JP, Singh A. Knowledge and Practice among General Practitioners of Jamnagar city Regarding Animal Bite. Indian J Community Med 2005;30:94-6.
  • 12.Warrell MJ. Current rabies vaccines and prophylaxis schedules: preventing rabies before and after exposure. Travel Med Infect Dis 2012;10:1-15.
  • 13.Söğüt Ö, Sayhan MB, Gökdemir MT, ve ark. Türki-ye’nin Güneydoğusunda önlenebilir bir halk sağlığı sorunu: kuduz riskli temas olguları. Akademik Acil Tıp Dergisi 2011;1(10):14-7.
  • 14.Wilde H, Lumlertdacha B, Meslin FX, et al. World-wide rabies deaths prevention-a focus on the current inadequacies in post-exposure prophylaxis of animal bite victims. Vaccine 2016;34:187–9.
  • 15.Tarantola A, Tejiokem MC, Briggs DJ. Evaluating new rabies post-exposure prophylaxis (PEP) regimens or vaccines. Vaccine 2019;37:1:88-93.
  • 16.Tarantola A, Blanchi S, Cappelle J, et al. Rabies post-exposure prophylaxis noncompletion after dog bites: estimating the unseen to meet the needs of the underserved. Am J Epidemiol 2018;187(2):306–15.
  • 17.Dodet B, Goswami A, Gunasekera A, et al, Rabies awareness in eigth Asian Countries. Vaccine 2008;26(50):6344-8.
  • 18.Paschos NK, Makris EA, Gantros A, et al. Primary closure versus non-closure of dog bite wounds. A randomised controlled trial. Injury 2014;45:237-40.
  • 19.Derinoz O, Akar T. Animal Bites Cases Presented to a University Hospital Pediatric Emergency Room. J Pediatr Emergency Intensive Care Med 2017;4(1):22-7.

Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students

Yıl 2023, Cilt: 4 Sayı: 3, 72 - 78, 30.09.2023

Mustafa Ahmet Akçalı , Mustafa Burak Sayhan , Ömer Salt

https://doi.org/10.55665/troiamedj.1241584

Öz

Objective: Rabies is a zoonotic disease with acute, progressive viral encephalitis that affects both human and animal health. In our study, it was aimed to measure the level of knowledge about rabies and prophylaxis of senior students of the faculty of medicine.
Methods: The study population was 163 students in their final year during the academic year 2019–2020. The participants were interviewed face to face and filled the required questionnaire. The questionnaire was developed based on the Guide for Rabies Prophylaxis published in 2019 by the Republic of Türkiye Ministry of Health.
Results: In our study, 88.34% (n=114) of the participants did not have sufficient knowledge about rabies pre-contact indications. It was determined that 64.4% (n= 105) of the participants had insufficient knowledge about the effectiveness of post-exposure prophylaxis. In addition, it was determined that indications for starting antibiotics after rabies exposure of 66.24% (n=108) of the participants and 29% (n=) rabies vaccine/ human rabies immunoglobulin (HRIG) application indications and 46% (n=75) did not know the method of application and the area where it was applied.
Conclusion: It was determined that the senior students of the faculty of medicine did not have sufficient information about rabies and prophylaxis.

Anahtar Kelimeler

Rabies, Prophylaxis Medical senior students

Kaynakça

  • 1.The World Health Organization. Rabies. Epidemiology and burden of disease. https://www.who.int/news-room/fact-sheets/detail/rabies. Accessed on May 31, 2023.
  • 2.The World Health Organisation. Rabies; Current strategies for human rabies pre and post-exposure prophylaxis: in Humans. https://www.who.int/docs/default-source/searo/india/health-topic-pdf/pep-prophylaxis-guideline-15-12-2014.pdf?sfvrsn=8619bec3_2. Accessed on May 31, 2023.
  • 3.T.C. Sağlık Bakanlığı, Kuduz Profilaksi Rehberi. https://dosyaism.saglik.gov.tr/Eklenti/64260,kuduz‐pofilaksi‐rehberipdf.pdf?0. Accessed on April 05, 2022.
  • 4.Singh R, Singh KP, Cherian S, et al. Rabies epidemiology, pathogenesis, public health concerns and advances in diagnosis and control: a comprehensive review. Vet Q 2017;37(1):212-51.
  • 5.Şimşek AÇ, Yücel A, Çankaya S. Knowledge Levels About Rabies Disease in Health Care Professionals Providing Services in Rabies Vaccine Centers in Ankara. Ankara Medical Journal 2019;(1):244‐50.
  • 6.O’Brien KL, Nolan T, Rabies SWo: The WHO position on rabies immunization - 2018 updates. Vaccine 2018;16(93):201-20.
  • 7.Zhou H, Zhu W, Zeng J, et al. Probable Rabies Virus transmission through organ transplantation, China, 2015. Emerg Infect Dis 2016;22:1348-52.
  • 8.Derinöz O, Akar T. Animal Bites Cases Presented to a University Hospital Pediatric Emergency Room. J Pediatr Emerg Intensive Care Med 2017;4:22-6.
  • 9.Gönen İ. Türkiye’deki Hekimlerin Kuduz Hastalığıyla İlgili Bilgi ve Tutumlarının Değerlendirilmesi. Tıpta Uzmanlık Tezi. İstanbul: Marmara Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilimdalı, 2010.
  • 10.Hassam Shah FS, Jawed M, Nouruddin S, et al. Knowledge and practices among the general practitioners of Karachi regarding dog bite management, J Pak Med Assoc 2009;59:861.
  • 11.Bhalla S, Mehta JP, Singh A. Knowledge and Practice among General Practitioners of Jamnagar city Regarding Animal Bite. Indian J Community Med 2005;30:94-6.
  • 12.Warrell MJ. Current rabies vaccines and prophylaxis schedules: preventing rabies before and after exposure. Travel Med Infect Dis 2012;10:1-15.
  • 13.Söğüt Ö, Sayhan MB, Gökdemir MT, ve ark. Türki-ye’nin Güneydoğusunda önlenebilir bir halk sağlığı sorunu: kuduz riskli temas olguları. Akademik Acil Tıp Dergisi 2011;1(10):14-7.
  • 14.Wilde H, Lumlertdacha B, Meslin FX, et al. World-wide rabies deaths prevention-a focus on the current inadequacies in post-exposure prophylaxis of animal bite victims. Vaccine 2016;34:187–9.
  • 15.Tarantola A, Tejiokem MC, Briggs DJ. Evaluating new rabies post-exposure prophylaxis (PEP) regimens or vaccines. Vaccine 2019;37:1:88-93.
  • 16.Tarantola A, Blanchi S, Cappelle J, et al. Rabies post-exposure prophylaxis noncompletion after dog bites: estimating the unseen to meet the needs of the underserved. Am J Epidemiol 2018;187(2):306–15.
  • 17.Dodet B, Goswami A, Gunasekera A, et al, Rabies awareness in eigth Asian Countries. Vaccine 2008;26(50):6344-8.
  • 18.Paschos NK, Makris EA, Gantros A, et al. Primary closure versus non-closure of dog bite wounds. A randomised controlled trial. Injury 2014;45:237-40.
  • 19.Derinoz O, Akar T. Animal Bites Cases Presented to a University Hospital Pediatric Emergency Room. J Pediatr Emergency Intensive Care Med 2017;4(1):22-7.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Bulaşıcı Hastalıklar
Bölüm Makaleler
Yazarlar

Mustafa Ahmet Akçalı

Mustafa Burak Sayhan

Ömer Salt

Yayımlanma Tarihi 30 Eylül 2023
Gönderilme Tarihi 25 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 4 Sayı: 3

Kaynak Göster

APA Akçalı, M. A., Sayhan, M. B., & Salt, Ö. (2023). Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Medical Journal, 4(3), 72-78. https://doi.org/10.55665/troiamedj.1241584
AMA Akçalı MA, Sayhan MB, Salt Ö. Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Med J. Eylül 2023;4(3):72-78. doi:10.55665/troiamedj.1241584
Chicago Akçalı, Mustafa Ahmet, Mustafa Burak Sayhan, ve Ömer Salt. “Assessment of the Level of Knowledge of Rabies and Prophylaxis for Rabies Among Medical Senior Students”. Troia Medical Journal 4, sy. 3 (Eylül 2023): 72-78. https://doi.org/10.55665/troiamedj.1241584.
EndNote Akçalı MA, Sayhan MB, Salt Ö (01 Eylül 2023) Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Medical Journal 4 3 72–78.
IEEE M. A. Akçalı, M. B. Sayhan, ve Ö. Salt, “Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students”, Troia Med J, c. 4, sy. 3, ss. 72–78, 2023, doi: 10.55665/troiamedj.1241584.
ISNAD Akçalı, Mustafa Ahmet vd. “Assessment of the Level of Knowledge of Rabies and Prophylaxis for Rabies Among Medical Senior Students”. Troia Medical Journal 4/3 (Eylül 2023), 72-78. https://doi.org/10.55665/troiamedj.1241584.
JAMA Akçalı MA, Sayhan MB, Salt Ö. Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Med J. 2023;4:72–78.
MLA Akçalı, Mustafa Ahmet vd. “Assessment of the Level of Knowledge of Rabies and Prophylaxis for Rabies Among Medical Senior Students”. Troia Medical Journal, c. 4, sy. 3, 2023, ss. 72-78, doi:10.55665/troiamedj.1241584.
Vancouver Akçalı MA, Sayhan MB, Salt Ö. Assessment of the level of knowledge of rabies and prophylaxis for rabies among medical senior students. Troia Med J. 2023;4(3):72-8.

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