Evaluation of Tick and Crimean Congo Hemorrhagic Fever Cases Admitted to a State Hospital

Hatice Bozkurt Yavuz; Ramazan Yavuz

Makale detayları

Evaluation of Tick and Crimean Congo Hemorrhagic Fever Cases Admitted to a State Hospital

Yazarlar:

Hatice Bozkurt Yavuz | Ramazan Yavuz

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 2, pp.468-475

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001291775

pISSN:

2146-9954

Anahtar kelimeler:

Özet:

 Crimean-Congo Hemorrhagic Fever CCHF is an important health problem due to high mortality. The frequency of this disease, mostly transmitted by ticks, is also on the rise in our region. The aim of this study is to reveal the epidemiological characteristics of tick bite and CCHF cases, and also to determine the risk factors associated with hospitalization. In this retrospective study, 3744 applications of 1606 cases who admitted to our hospital with Non-venomous insect bites between 2018 and 2020 were examined. The differences between the years were evaluated. Patients with and without the diagnosis of CCHF were compared. Risk factors affecting hospitalization were determined. Forty two of 47 patients CCHF RT-PCR tests were positive and their treatment were carried out by hospitalization. Univariate logistic regression analysis showed statistically significant relationships between hospitalization and the removal of the tick by someone other than the healthcare worker odds ratio OR:48.0, confidence interval CI:6.56-360.0; additional complaints at first admission OR:102.0, CI:41.0-253.0; increased Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase, C-Reactive Protein, Activated Partial Thromboplastin Time, International Normalized Ratio INR, Platelet Lymphocyte ratio and NeutrophilLymphocyte ratio results; and decreased Leukocyte and Platelet results. CCHF cases in our region have followed an increasing course in the last 3 years. The rate of tick removal by someone other than a healthcare worker was significantly higher in CCHF patients. Therefore, we recommend taking additional precautions regarding ticks and providing, training especially to farmers. In addition, cases with additional complaints or abnormalities in the specified laboratory parameters should be followed closely.

 Crimean-Congo Hemorrhagic Fever CCHF is an important health problem due to high mortality. The frequency of this disease, mostly transmitted by ticks, is also on the rise in our region. The aim of this study is to reveal the epidemiological characteristics of tick bite and CCHF cases, and also to determine the risk factors associated with hospitalization. In this retrospective study, 3744 applications of 1606 cases who admitted to our hospital with Non-venomous insect bites between 2018 and 2020 were examined. The differences between the years were evaluated. Patients with and without the diagnosis of CCHF were compared. Risk factors affecting hospitalization were determined. Forty two of 47 patients CCHF RT-PCR tests were positive and their treatment were carried out by hospitalization. Univariate logistic regression analysis showed statistically significant relationships between hospitalization and the removal of the tick by someone other than the healthcare worker odds ratio OR:48.0, confidence interval CI:6.56-360.0; additional complaints at first admission OR:102.0, CI:41.0-253.0; increased Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase, C-Reactive Protein, Activated Partial Thromboplastin Time, International Normalized Ratio INR, Platelet Lymphocyte ratio and NeutrophilLymphocyte ratio results; and decreased Leukocyte and Platelet results. CCHF cases in our region have followed an increasing course in the last 3 years. The rate of tick removal by someone other than a healthcare worker was significantly higher in CCHF patients. Therefore, we recommend taking additional precautions regarding ticks and providing, training especially to farmers. In addition, cases with additional complaints or abnormalities in the specified laboratory parameters should be followed closely.

 Crimean-Congo Hemorrhagic Fever CCHF is an important health problem due to high mortality. The frequency of this disease, mostly transmitted by ticks, is also on the rise in our region. The aim of this study is to reveal the epidemiological characteristics of tick bite and CCHF cases, and also to determine the risk factors associated with hospitalization. In this retrospective study, 3744 applications of 1606 cases who admitted to our hospital with Non-venomous insect bites between 2018 and 2020 were examined. The differences between the years were evaluated. Patients with and without the diagnosis of CCHF were compared. Risk factors affecting hospitalization were determined. Forty two of 47 patients CCHF RT-PCR tests were positive and their treatment were carried out by hospitalization. Univariate logistic regression analysis showed statistically significant relationships between hospitalization and the removal of the tick by someone other than the healthcare worker odds ratio OR:48.0, confidence interval CI:6.56-360.0; additional complaints at first admission OR:102.0, CI:41.0-253.0; increased Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase, C-Reactive Protein, Activated Partial Thromboplastin Time, International Normalized Ratio INR, Platelet Lymphocyte ratio and NeutrophilLymphocyte ratio results; and decreased Leukocyte and Platelet results. CCHF cases in our region have followed an increasing course in the last 3 years. The rate of tick removal by someone other than a healthcare worker was significantly higher in CCHF patients. Therefore, we recommend taking additional precautions regarding ticks and providing, training especially to farmers. In addition, cases with additional complaints or abnormalities in the specified laboratory parameters should be followed closely.

 Kırım-Kongo Kanamalı Ateşi KKKA yüksek mortalitesi nedeniyle önemli bir sağlık sorunudur. Çoğunlukla kene ile bulaşan bu hastalığın sıklığı bölgemizde artış halindedir. Araştırmanın amacı hastanemize kene ısırığı ile gelen olguların epidemiyolojik özelliklerini araştırmak, KKKA açısından değerlendirmek ve hastaneye yatış ilişkili risk faktörlerini belirlemektir.Retrospektif tipteki bu araştırmada 2018-2020 tarihleri arasında hastanemize zehirsiz böcek tarafından sokulma ile başvuran ve kene tarafından sokulduğu tespit edilen 1606 olgunun 3744 başvurusu incelendi. Yıllar arasındaki farklar değerlendirildi. KKKA tanısı alan ve almayan hastalar karşılaştırıldı. Lojistik regresyon analiziyle hastane yatışını etkileyen risk faktörleri belirlendi.KKKA RT-PCR testi, sevk edilen toplam 47 kişinin 42sinde pozitif geldi. Bu hastaların tedavilerinin hastanede yatarak gerçekleştirildiği görüldü. Tek değişkenli lojistik regresyon analizi yapıldığında, KKKA nedeniyle hastane yatışı ile keneyi sağlık çalışanı dışında birinin çıkarması odds ratio OR:48,0; güven aralığı GA: 6,56-360,0, ilk başvuru sırasında ek şikayet olması OR:10,0; GA:41,0-253,0, Alanin Aminotransferaz, Aspartat Aminotransferaz, Laktat Dehidrogenaz, C-Reaktif Protein, Aktive Parsiyel Tromboplastin Zamanı ve Uluslararası Düzeltme Oranı INR, Trombosit Lenfosit ve NötrofilLenfosit oranı yüksekliği; Lökosit ve Trombosit düşüklüğü arasında istatistiksel anlamlı ilişki bulundu. Bölgemizde KKKA vakaları son 3 yılda giderek artan bir seyir izlemiştir. KKKA hastalarında, kenenin sağlık çalışanı dışında biri tarafından çıkarılma oranı belirgin şekilde yüksekti. Bu nedenle endemik bölgelerde kene konusunda ek önlemler alınmasını ve hayvancılıkla uğraşan kişilere eğitim verilmesini öneriyoruz. Ayrıca gelişinde ek şikayeti bulunan veya belirtilen laboratuvar parametrelerinde anormallik tespit edilen olgular yakından takip edilmelidir.

Makale detayları

Evaluation of Tick and Crimean Congo Hemorrhagic Fever Cases Admitted to a State Hospital

Yazarlar:

Hatice Bozkurt Yavuz | Ramazan Yavuz

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 2, pp.468-475

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001291775

pISSN:

2146-9954

Crimean-Congo Hemorrhagic Fever

Tick

Neutrophil Lymphocyte Ratio

Platelet Lymphocyte RatioKırım Kongo Kanamalı Ateşi

Kene

Nötrofil Lenfosit Oranı

Platelet Lenfosit Oranı

Sayı

Makale detayları

Yazarlar: Hatice Bozkurt Yavuz | Ramazan Yavuz

Yayıncı: Gumushane University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 2, pp.468-475

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001291775

pISSN: 2146-9954

Sayı

Yazarlar:

Hatice Bozkurt Yavuz | Ramazan Yavuz

Yayıncı:

Gumushane University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi Vol.12 Issue 2, pp.468-475

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001291775

pISSN:

2146-9954