Zeynep TURKMEN, Selda MERCAN, Can CALİCİ, Serkan TURKDOGRU, Neylan ZİYALAR

The Importance of Biological Samples and Toxicological Analysis in Suspected Munchausen by Proxy Syndrome (MbPS) Cases [Munchausen by Proxy Sendromu (MbPS) Şüphesi olgularında Biyolojik Örneklerin ve Toksikolojik Analizin Önemi]

Çocuk istismarının bir türü olarak MbPS olguları, genellikle bir yetişkinin çıkar sağlamak adına çocukta hastalık durumu yaratmasına dayalı adli olgulardır. Burada söz konusu olan çıkar kavramı, maddi boyutlu değil, doymak bilmeyen ilgi görme ihtiyaçlarını karşılamak, sağlık çalışanları ile sürekli aynı ortamda bulunma isteği gibi psikolojik ve duygusal boyutu olan bir durumdur. Bu tür olgularda, böyle bir istismarın varlığını ortaya koyacak delilleri yakalamak ve ortaya çıkarmak, çocuk ve yetişkin (özellikle failin anne olması durumunda) arasındaki bağın hassas bir bağ olmasından dolayı kolay değildir. Ayrıca tüm sağlık çalışanlarının her türlü suç şüphesini ilgili adli merciye bildirme yükümlülükleri bulunmaktadır. MbPS olgularında, yaratılan hastalık tablosunun bir ilaç etken maddesi aracılığı ile olduğu durumlarda, klinikteki MbPS şüphesini doğrulamak için mağdurdan alınacak biyolojik örneklerin ve toksikolojik analizin, teşhisin konmasına önemli katkısı olduğu bilinmektedir. Bu çalışma, MbPS olgularını, ihmal sonucu meydana gelen kasıtlı olmayan ilaç zehirlenmeleri tanısından ayırmak için, biyolojik örneklerin toplanması ve uygun analiz yöntemlerinin seçilmesi konusunda farkındalık yaratabilmek amacıyla hazırlanmıştır. Anahtar kelimeler: Munchausen by Proxy Sendromu, biyolojik örnek, toksikoloji, ceza sorumluluğu

Anahtar Kelimeler:

Munchausen by Proxy Sendromu, biyolojik örnek, toksikoloji, ceza sorumluluğu

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