Skabies İnsidansında Artış: Üçüncü Basamak, Retrospektif, Tek Merkez Çalışması

Amaç: Son yıllarda bölgemizde gözlemlediğimiz skabies olgularındaki artışı ve skabies hastalarının demografik özelliklerini araştırmayı amaçladık. Gereç ve Yöntemler: Elazığ Fethi Sekin Şehir Hastanesi Dermatoloji Kliniğine Ocak 2019 ve Aralık 2021 tarihleri arasında başvuran ve skabies tanısı alan tüm hastalar retrospektif olarak değerlendirildi. Yaş, cinsiyet, vatandaşlık ve başvuru tarihleri hastane veri tabanından anonimleştirilerek elde edildi. Bulgular: 2019-2021 yılları arasında dermatoloji polikliniğine başvuran toplam 191925 hastanın 2898’ine skabies tanısı kondu. Bu üç yılda gözlenen skabies hasta sıklıklarının istatistiksel olarak anlamlı artış gösterdiği gözlendi (χ2:296.158; p=0.000). Skabies frekansının son üç yılda tedricen arttığı (sırasıyla %0.95, %1.75 ve %1.99) gözlendi. Hastalık erkeklerde kadınlara oranla anlamlı olarak daha sıktı (p<0.001). Hastaların yaş ortalaması yıllara göre 27.52, 27.74, 26.78 idi. Yıllar içinde toplam yaş ortalaması ve erkek hastaların yaş ortalamasında değişim olmazken kadınların yaş ortalamasında anlamlı bir azalma tespit edildi (p<0.001). Yaş gruplarına göre skabies görülme sıklığı her yıl için 15-44 yaş arasındaki hastalarda en yüksek izlendi. Yılın çeyrekleri değerlendirildiğinde skabies frekansının, son çeyreklerde anlamlı derecede arttığı ve en yüksek değerine 2021 yılının son çeyreğinde ulaştığı gözlendi (p<0.001). Sonuç: Bölgemizdeki skabies hasta sıklığının son üç yıl içinde giderek arttığı, bu artışın en fazla 2021 yılında ve yılın son çeyreğinde olduğu tespit edildi.

Anahtar Kelimeler:

Skabies, salgın, insidans

Increase in Scabies Incidence: Tertiary, Retrospective, Single Center Study

Objective: The purpose of this study was to investigate the increase in scabies cases that we have observed in our region in recent years and changes in the frequency of scabies. Materials and Methods: All patients who applied to Elazig Fethi Sekin City Hospital Dermatology Clinic between January 2019 and December 2021 and were diagnosed with scabies were evaluated retrospectively. Age, gender, citizenship and application dates were obtained by anonymizing from the hospital database. Results: Scabies was diagnosed in 2898 of a total of 191925 patients who applied to the dermatology outpatient clinic between 2019-2021. It was observed that there was a statistically significant increase in the frequency of scabies patients in this period (χ2:296.158; p=0.000). It was observed that the frequency of scabies increased gradually in the last three years (0.95%, 1.75% and 1.99%, respectively). The disease was significantly more common in males than females (p<0.001). The mean age of the patients was 27.52, 27.74, 26.78 by years. There was no change in the mean age of the total patients and the mean age of the male patients over the years. However, a significant decrease was found in the mean age of women (p<0.001). According to age groups, the incidence of scabies was highest in patients between the ages of 15-44 for each year. When the quarters of the year were evaluated, it was observed that the frequency of skabies increased significantly in the last quarters and reached its highest value in the last quarter of 2021 (p<0.001). Conclusion: It was detected that the frequency of patients with scabies in our region has been increasing gradually in the last three years. It was determined that this increase was the most in 2021 and in the last quarter of the year.

Keywords:

Scabies, outbreak, incidence,

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