İlknur BOSTANCI, Tülin ÇATAKLI, Yıldız DALLAR

Acil Servise Başvuran Beş Yaş Altındaki Çocuklarda Yaz Dönemi İshallerinin Sosyodemografik Dağılımı

Amaç: Yaz ishalleri özellikle az gelişmiş ve gelişmekte olan ülkelerde sık görülmektedir. Çalışmamızda Ankara Eğitim ve Araştırma Hastanesi Çocuk Acil Servisine 1 Temmuz- 30 Eylül yaz döneminde başvuran 0-5 yaş grubundaki ishal olgularının sosyodemografik dağılımı incelendi.Gereç - Yöntem: 0-5 yaş grubundaki 961 akut ishal olgusu incelendi. Olguların öykü ve fizik muayenelerini takiben ebeveynlerle yüzyüze görüşme tekniği ile hazırlanan anket formu dolduruldu.Bulgular: Olguların %97.3’ünde ateş, %94.3’ünde kusma eşlik etmekte idi. Olguların %83.4’ünde gaita mikroskopisi normal olup %11.3’ünde Amip veya Giardia trofozoid ve kistleri saptandı. Gaitası sulu-mukuslu olan grupta Trofozoid ve kist miktarları daha yüksek idi (%44). Olguların %99.2’sinde gaita kültüründe üreme saptanmadı. Olguların %83.1’inde evde yaşayan kişi sayısı üç %0.6’sında 6 kişi ve üzerindeydi. Altı kişi ve daha üzeri olan grup % 0.6 idi. Olguların %11.9’unda anne okur-yazar değilken, bu oran babalarda %3.2 idi. Olguların % 77.4’ü içme suyu kaynağı olarak şehir şebeke suyunu kullanmakta idi. Olguların %66.1’i her yemekten önce düzenli su ile el yıkadığını söylerken %10.5’i yemekten önce elini sabunla yıkamıyordu. Olguların %50.5’i ishalin 24-48’inci, %29.9’u 48-72’inci saatlerinde acil servise başvurmuştu.Sonuç: Yaz aylarında ishal nedeniyle çocuk acil servisine başvuran olgu sayısı fazladır. Bu mevsimde kontamine su ve gıdaların daha çok tüketilmesi ishalin yaygınlaşmasına neden olmaktadır. İshalin önlenmesinde kişisel hijyen tek başına yeterli değildir, bir halk sağlığı sorunu olarak ele alınması gerekmektedir.

Anahtar Kelimeler:

İshal, çocukluk çağı, yaz dönemi

SOCIO-DEMOGRAPHIC DISTRIBUTION OF SUMMER SEASON DIARREHEA IN CHILDREN BELOW 5 YEARS WHO WERE TAKEN TO THE EMERGENCY SERVICE

Objective: Summer season diarrheas are common especially in the underdeveloped and developing countries. Material-Methods: In our study, 961 acute diarrhea cases who were within the age range of 0-5 years and who applied to the Child Emergency Service of the Ankara Education and Research Hospital during the period of 1 July-30 September 2006 were analysed. Results: 97.3% of the cases were accompanied with fever and 94.3% of them were accompanied with vomiting. In 83.4% of the cases fecal microscopies were normal, in 11.3% of them ne trofozoid+kist were found. In the group with mucoid stools with mucus trofozoid+kists were higher (44%). In 99.2% of the stool culture did not yield any microorganism. In 83.1% of the cases, the number of households was three, while 0.6% of them was having six or more. In 11.9% of the caeses the mother was illeterate while this figure was 3.2% for the fathers. 66.1% of the cases declared that they were washing hands regularly before each meal however only 10.5% of them were using soap. 50.5% of the cases admitled during the 24-48th hours of the diarrhea while 29.9% of them applied during the 48-72nd hours of the diarrhea.Conclusion: To conclude, the number of the cases applying to the child emergency services because of acute diarrhea during the summer is high. More consumption of contaminated water and food during this season results in the spread of diarrhea. With this research we wanted to draw attention to the characteristics of diarrheas seen in summer and to the precautions to be taken

Keywords:

Diarrhea, childhood, summer,

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