Ömer DUYURAN, Can ACIPAYAM, Nurten SERİNGEÇ AKKEÇECİ, Sevcan İPEK, Rumeysa DUYURAN

6ay-18 yaş arasındaki çocuklarda anemi etiyolojisi

Amaç: Anemi, insan ve toplum sağlığını ilgilendiren önemli bir halk sağlığı sorunudur. Bu çalışmada farklı yaş gruplarında anemi etiyolojisini belirlemeyi ve sosyal farkındalık yaratmayı amaçladık.Yöntemler: Çalışmaya (retrospektif kohort çalışması), Ocak 2015-Ocak 2018 tarihleri arasında, KSU Tıp Fakültesi Çocuk Hematoloji ve Onkoloji Polikliniğine başvuran 6 ay - 18 yaş arasındaki anemi hastaları dahil edilmiştir.Bulgular: Çalışmaya 1120 hasta dahil edildi. 873 hastada Demir eksikliği anemisi, 184 hastada talasemi minör, 25 hastada vitamin B12 eksikliği anemisi, 13 hastada otoimmün hemolitik anemi, 10 hastada ise kalıtsal sferotositoz ve diğer anemi etiyolojileri vardı. Tüm hastaların% 16,4'ünde, 6-12 yaş arası hastaların % 33,8'inde talasemi minor vardı. Tüm hastaların %77,9’unda demir eksikliği anemisi vardı. 6 ay ile 2 yaş arası hastaların % 81,3'ünde, 2-6 yaş arası hastaların % 74,3'ünde, 6-12 yaş arası hastaların % 60,4'ünde ve 12-18 yaş arası hastaların % 85,0'inde demir eksikliği anemisi vardı. Demir eksikliği anemisi 2-6 yaş grubunda erkeklerde (%60,2) sık görülürken (P=0,002), 12-18 yaş grubunda kadınlarda (%80,6) yaygındı (P=0,000). Sonuç: Bu çalışmanın sonucunda risk altındaki toplumlarda tarama ve demir takviyesinin yapılması gerektiği sonucuna varılmıştır.

Anahtar Kelimeler:

Anemi etiyolojisi, Demir eksikliği anemisi, Talasemi minor, Tarama, B12 vitamini eksikliği

Etiology of anemia in children aged between 6 months and 18 years

Aim: Anemia is an important public health problem that concerns human and community health. In this study, we aimed to determine the etiology of anemia in different age groups and create social awareness.Methods: The study (retrospective cohort study) included anemia patients between 6 months and 18 years old who applied to the Pediatric Hematology and Oncology Outpatient Clinic of KSU Medical Faculty between January 2015 and January 2018.Results:1120 patients were included in the study. There were 873 with iron deficiency anemia, 184 with thalassemia minor, 25 with vitamin B12 deficiency anemia, 13 with autoimmune hemolytic anemia, 10 with hereditary spherocytosis and the other etiology of anemia. While 16.4% of all patients and 33.8% of patients aged 6-12 years had thalassemia minor. On the other side, 81.3% of patients aged 6 months-2 years, 74.3% of patients aged 2-6 years, 60.4% of patients aged 6-12 years and 85.0% of patients aged 12-18 years had iron-deficiency anemia. Iron deficiency anemia was common in males (60.2%) in the 2-6 years age group (P=0.002), but it was common in females (80.6%) in the 12-18 years age group (P<0.001). Conclusion: As a result of this study, it has been concluded that screening and iron supplementation should be done in societies at risk.

Keywords:

Anemia etiology, Iron-deficiency anemia, Thalassemia minor, Screening, Vitamin B12 deficiency,

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