Kocaeli Med J. 2017; 6(1): 63-67

An Evaluatýon Of Rabýes Cases At A Town Publýc Hospýtal

Rabia Akel Taþdemir¹, Ayþe Ferdane Oðuzöncül², Edibe Pirinçci^2
1Bigadic Public Hospital, Balikesir, Turkey
²Firat University School Of Medicine, Department Of Public Health Elazig, Turkey

INTRODUCTION: This study was conducted between June 1, 2012 and June 1, 2013 with the aim of evaluating patients who came to the of B Public Hospital's emergency room due to bites by animals suspected to have rabies.
METHODS: All 197 cases that came to the emergency room due to bite and contact with rabies-suspected animals were included in the study. The researcher obtained permission to analyze the Emergency Service Patient Evaluation Forms for these cases retrospectively, and the cases were evaluated considering their age, sex, residence, type of contact, area of contact, shape of wound, duration before coming to the health center after the contact and the administration of vaccination or immunoglobulin. In addition, the researcher determined the suspected animals, their types, and whether they had owners.
RESULTS: In the study sample, 67% of 197 cases were males. Their average age was 30.10± 22.11 years. Of them, 64.5% lived in the country. In 54.8% of the cases, owned animals were involved. An evaluation of the distribution of the cases showed that 55.8% were upper extremity injuries, while 22.3% were lower extremity injuries. The rest were distributed as 6.6% (head and neck) and 15.3% (body and gluteal area). Of all the cases, 77.7% came to the emergency center on the first day after contact, 21.3% waited 2 to 5 days before coming to the center, and 1% waited for more than five days. Of the bite victims who lived in the country, 63.1% had deep wounds, and 31.3% of the bite victims who lived in the city had deep wounds (p<0.001).
DISCUSSION AND CONCLUSION: All the bite victims who came to the emergency service were vaccinated. There was a high rate of contact with owned and monitorable animals at the hospital, which shows that animal control and vaccination are very important in Turkey.

Keywords: contact with suspicious animals, rabies, rabies prophylaxis

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Bir Ýlçe Devlet Hastanesi Acil Servisine Kuduz Þüphesiyle Baþvuran Olgularýn Deðerlendirilmesi

Rabia Akel Taþdemir¹, Ayþe Ferdane Oðuzöncül², Edibe Pirinçci^2
1Bigadiç Devlet Hastanesi, Balýkesir
²Fýrat Üniversitesi Týp Fakültesi, Halk Saðlýðý Anabilim Dalý, Elazýð

GÝRÝÞ ve AMAÇ: Bu çalýþma, bir yýl boyunca 01 Haziran 2012- 2013 tarihleri arasýnda bir devlet hastanesi acil servisine kuduz þüpheli hayvan ýsýrýðý sebebiyle baþvuran olgularýn deðerlendirilmesi amacýyla yapýlmýþtýr.
YÖNTEM ve GEREÇLER: Bu çalýþmaya, bir ilçedeki devlet hastanesi acil servisine kuduz riskli hayvan ýsýrýk ve temaslarý nedeniyle baþvuran 197 olgunun tamamý dâhil edilmiþtir. Bu olgular hakkýnda düzenlenmiþ Acil Servis Hasta Deðerlendirme Formlarý için gerekli izinler alýnarak retrospektif olarak incelenmiþ ve olgular yaþ, cinsiyet, ikamet ettiði yer, temas þekli, temas bölgesi, yaranýn þekli, temastan sonra saðlýk merkezine baþvuru süresi, aþý ya da immunglobulin uygulama durumu açýsýndan deðerlendirilmiþtir. Ayrýca þüpheli hayvan, türü ve sahipli olup olmadýðý saptanmýþtýr.
BULGULAR: Çalýþma gurubumuzdaki 197 olgunun %67.0’si erkekti. Yaþ ortalamasý 30.10± 22,11 yýl olarak saptandý. Baþvuran olgularýn %64.5 kýrsal alanda yaþýyordu. Olgularýn % 54.8’inde olaydan sahipli hayvanlar sorumluydu. Temas bölgesine göre olgularýn daðýlýmý incelendiðinde %55,8 üst ekstremite, %22.3 alt ekstremite yaralanmasý þeklinde olup geri kalanlar %6.6 baþ-boyun, %15.3 gövde- gluteal bölge þeklinde idi. Temas sonrasý %77.7’si ilk gün, %21.3’ü 2-5 gün arasý, %1.0’de 5. günden sonra acil servise baþvurusunu yapmýþtýr. Kýrsal bölgede yaþayanlarda %63.1’i ýsýrýlan yer derin yaralanmaya neden olurken, kentsel bölgede yaþayanlarda derin yaralanma oraný %31.3 olarak bulunmuþtur (p<0.001).
TARTIÞMA ve SONUÇ: Acil servise baþvuran olgularýn tamamý aþýlanmýþtýr. Hastanemiz acil servisine müracaat eden olgularda sahipli ve takibi mümkün olan hayvanlarla temasýn yüksek olmasý ülkemizin için hayvan kontrolü ve aþýlamanýn ne kadar önemli olduðunu ortaya koymuþtur.

Anahtar Kelimeler: kuduz, þüpheli hayvan temasý, kuduz profilaksisi

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