Aeromonas-associated diarrhea in ıstanbul: A comparison of two different eras in the past 16 years

Amaç: 1997’den önce İstanbul’da Aeromonas pekçok ishalden sorumlu idi. Bu tarihten sonra bu gram negatif bakteri nadiren görülür oldu. Aeromonas’a bağlı ishal sıklığındaki değişiklikleri ve muhtemel sebeplerini araş- tırdık. Materyal ve Metot: 1994-1997 ve 2003-2008 tarihleri arasında ishali olan ardışık 553 hasta ve 736 dışkı örneği geriye dönük olarak farklı yaş gruplarına göre Aeromonas türleri varlığı açısından incelendi. Bulgular: 1994-1997 arasında 35 vakada (35/147, %26,5), 2003-2008 arasında 2 vakada (2/205, %0,97) etken bakteri olarak Aeromonas türleri izole edildi. Sonuçlar: Aeromonas türlerinin sebep olduğu ishal vakalarındaki bu azalma muhtemelen Sağlık Bakan- lığı’nın 1997’de İstanbul bölgesindeki yetersiz hijyenli içme suyu satan açık su satış depolarının kapatılmasının sonucudur.

(İstanbul ilinde aeromonas ilişkili diyare: Son 16 yıl içinde iki farklı dönemin karşılaştırılmasi)

ABSTRACT Background: Before 1997, Aeromonas spp. were responsible from many diarrhea cases in Istanbul. After that time, this gram-negative bacteria was encountered in seldom cases. We investigated the change in frequency of Aeromonas-associated diarrhea and its possible causes. Material and Methods: Between 1994 and 1997 and between 2003 and 2008, fecal samples of 553 and 736 consecutive patients with acute diarrhea, respectively, belonging to different age groups were retrospectively investigated for the presence of Aeromonas spp. Results: Aeromonas spp. were isolated as the causative bacteria in 35 cases (35/147, 26.5%) from 1994 to 1997 and in 2 cases (2/205, 0.97%) from 2003 to 2008. Conclusions: We conclude that the decrease in acute diarrhea caused by Aeromonas spp. most probably was the result of the Health Minister's ban in 1997 of open drinking water sales depots, which were delivering inadequately sanitized drinking water to residential areas in Istanbul.

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Yeni Tıp Dergisi-Cover
  • ISSN: 1300-2317
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: -