Sezgin YILMAZ, Mustafa KÖSE, Ahmet KORUL

İnsanlarda hidatidozis'te risk faktörlerinin ve hasta profilinin belirlenmesi

Amaç: Bu çalışma, insan hidatidozis'inde (kistik ekinokokkozis) hasta profilini belirlemek ve risk faktörlerini ortaya koymak için Afyonkarahisar'da gerçekleştirilmiştir. Gereç ve Yöntem: Hidatidozis tanısı konulan ve cerrahi tedavi alan 166 tane hastanın hastane kayıtları çıkartılmış ve kendilerine 30 sorudan oluşan bir anket uygulanmıştır. Bulgular: Hidatidozis insidansının, kadınlarda (%53) erkeklerden (%47) daha yüksek olduğu görülmüştür. Kistler en yüksek oranda karaciğer (%53) ve akciğerlerde (%40,4), en düşük oranda ise beyinde(%1,2) görülmüştür. Enfeksiyon en yüksek 50-59 (19,9) ve en düşük 0-9 (%2, 4) yaş gruplarında görülmüştür. En yüksek oran ilk-orta (%49,1) öğrenim grubunda ve en düşük oran da (%0,6) lisans üstü eğitim grubunda bulunmuştur. En yüksek oranda yıllık geliri 10.000 TL'den düşük gelirli grupta (%48,8) ve en düşük olarak da 50.000 TL ve üzeri gelir grubunda (%0,6) görüldüğü saptanmıştır. İnsidans kırsalda ikamet edenlerde (%62) şehirde ikamet edenlerden (%38) daha yüksek oranda görülmüştür. Hidatidosis'in köpek sahibi olanlarda daha yüksek (%54,8), olmayanlarda daha düşük (%45,2) oranlarda görüldüğü saptanmıştır. Öneri: Hidatidozis, özellikle endemik olduğu ülkelerde büyük sosyo-ekonomik etkileri olan çok önemli bir halk sağlığı problemi olarak kabul edilmektedir. Bu araştırma ile Türkiye'de halk sağlığını tehdit eden önemli bir paraziter zoonoz olan hidatidozis'te hasta profili, demografisi ve risk faktörleri kapsamlı olarak ortaya konulmuştur.

Determination of risk factors and patient profile in human hydatidosis

Aim: This study was carried out in Afyonkarahisar to determinethe patient profile and to reveal risk factors in human hydatidosis (cystic echinococcosis) out in Afyonkarahisar region, Turkey.Materials and Methods: The hospital records of 166 patientsdiagnosed with hydatidosis and treated surgically were evaluated. The patients were subjected to a questionnaire consistingof 30 questions.Results: The incidence of hydatidosis was found to be higherin women (53%) than in men (47%). Cysts shoved the highestproportion in the liver (53%) and in the lungs (40.4%) and lowest in the brain (1.2%). Infection was exclusively concentratedbetween 50 and 59 (19.9%) year old patients and the lowestwas in the 0-9 (2, 4%) age group. The rate was 49.1% in the elementary-secondary education group and 0.6% in the post graduate studies group. There was a close association between theincidence and patient's income. Patients had lower income (lessthe 10.000 TL) showed higher incidence (48.8%) whereas those having higher income (50.000 TL and over) had the lowestincidence rate (0.6%). Incidence was higher in rural residents(62%) than in urban residents (38%). Hydatidosis was foundto be higher in dog owners (54.8%) than in non-dog owners(45.2%).Conclusion: Hydatidosis is considered a very important publichealth problem with major socio-economic impacts in countries where it is particularly endemic. Patient profiles, demographics and risk factors are extensively presented in hydatidosis,an important parasitic zoonosis that threatens public health inTurkey in this study

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