Year 2020, Volume 59 , Issue 2, Pages 101 - 108 2020-06-30

Bir acil serviste hayvan kökenli yaralanmaların incelenmesi
Evaluation of wounds due to animals at an emergency department

Meltem Songür KODİK [1] , Kemal GÖKÇEK [2] , İ̇lhan UZ [3] , Güçlü Selahattin KIYAN [4]


Amaç: Hayvan kaynaklı yaralanmalar, kuduz virüsü bulaşma riski ve sebep olduğu enfeksiyon nedeni ile önemli bir halk sağlığı problemidir. Türkiye'de halen kuduz vakaları saptanmaktadır. Kuduzla mücadelede hayvan ısırıklarının epidemiyolojisi ve sürveyansının bilinmesi ile ısırılma sonrası kuduz profilaksisi uygulanmaları kritik öneme sahiptir. Bu çalışmamızda, Ege Üniversitesi Tıp Fakültesi acil servisine hayvan yaralanmaları ile başvuru sıklığını, yaralanmaların özelliklerini ve kuduz profilaksi uygulamalarını belirlemeyi amaçladık. Gereç ve Yöntem: Bu tanımlayıcı ve retrospektif çalışmada hayvan yaralanması nedeniyle 01.03.2016-01.12.2018 tarihleri arasında Ege Üniversitesi Acil Servise başvuran olguların dosyaları incelenmiş ve analiz edilmiştir. Belirlenen 427 vakadan fare (n=4; 0,9%) ve yarasa (n=2; 0,5%) ısırıkları analize dahil edilmemiştir. Bulgular: Başvuran 421 hastanın dosyası incelendiğinde; 266’sının erkek (%63,2), 155’inin kadın (%36,8) olduğu bulunmuştur. On yaş ve altındaki başvuran sayısı 45 kişi (%10,6) olarak saptanmıştır. En sık ısırılan bölge alt ekstremitedir (n=220, %52,2). Daha çok köpek tarafından ısırılma mevcuttur (n=312, %74,1). Erişkinlerde 18-59 yaş arasında yaralanma oranı %78,8 (n=332) olarak bulunmuştur. Hastaların 23’üne (%5,5) immünglobulin yapılmış olup, bu hastaların deri altına uzanan kesileri mevcuttur. Isırılan hastaların çoğu sahipsiz hayvanlar olup (n=288, %68,4) bu hayvanlar tarafından ısırılan hastaların hepsine kuduz aşısı yapılmışken, sahipli hayvanlar tarafından (n=69, %16,4) ısırılanların da büyük çoğunluğuna kuduz aşısı yapılmıştır (n=59, %85,5). Sonuç: Bu çalışmaya göre hayvansal kökenli yaralanmalar açısından en büyük riski sahipsiz hayvanlar taşımaktadır. Sahipli hayvanların kontrollerinin ve aşılamalarının yetersiz yapıldığı, bu nedenle de sahipli hayvan ısırması sonrası aşılama yapılmak zorunda kalındığı düşünülebilir. Ek olarak, evcil hayvanların aşılarının ve kontrollerinin yapılmasının yanında hayvan ısırıklarının azaltılmasında ve kuduzun önlenmesi için topluma hayvan ısırıklarından korunma konusunda eğitim vermek etkili olacaktır.
Aim: Due to the risk of rabies contamination and infection, wounds by animals are a significant public health concern. Rabies are still encountered in Turkey. The knowledge of the epidemiology and surveillance of animal bites and rabies prophylaxis is critical in combating this disease. This study aimed to determine the frequency and characteristics of wounds due to animals and rabies prophylaxis at the emergency department of Ege University Faculty of Medicine. Materials and Methods: In this descriptive and retrospective study, the medical records of patients admitted to the Emergency Department of Ege University Faculty of Medicine between 01.03.2016 and 01.12.2018 with wounds due to animals were reviewed. Of the 427 cases reviewed, four cases (0.9%) due to rats and two patients (0.5%) wounded by bats were not included in the analysis.‎ Results: Of the 421 applicants, 266 were males (63.2%), and 155 were females (36.8%). Forty-five patients (10.6%) were aged ≤10 (10.6%). Adults aged 18-59 years constituted 78.8% (n=332) of the applications. Most commonly, the wounds were in the lower extremities (220, 53.3%). The attacks were made commonly by dogs (n=312, 74.1%). Immunoglobulins were administered to patients who had injuries extending to the subcutaneous tissues (n=23, 5.5%). The majority of the patients were wounded by stray animals (288, 68.4%). All these patients received the rabies vaccine. On the other hand, the majority of patients wounded by owned animals (n=69, 16.4%) got a rabies vaccine as well (n=59, 85.5%). Conclusion: Our findings indicate that the most significant risks were due to stray animals. It can be concluded that controls and vaccination of owned animals are insufficient, requiring immunization after the injuries. Additionally, to reduce animal bites and prevent rabies, public education about animal bites will be useful as well.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0003-4565-3374
Author: Meltem Songür KODİK (Primary Author)
Institution: Ege University Faculty of Medicine, Department of Emergency Medicine, Izmir
Country: Turkey


Orcid: 0000-0002-9295-4965
Author: Kemal GÖKÇEK
Institution: Mugla Sitki Kocman University Training and Research Hospital, Emergency Service, Mugla
Country: Turkey


Orcid: 0000-0001-7879-8241
Author: İ̇lhan UZ
Institution: Ege University Faculty of Medicine, Department of Emergency Medicine, Izmir
Country: Turkey


Orcid: 0000-0001-8431-7387
Author: Güçlü Selahattin KIYAN
Institution: Ege University Faculty of Medicine, Department of Emergency Medicine, Izmir
Country: Turkey


Dates

Publication Date : June 30, 2020

Bibtex @research article { etd756389, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2020}, volume = {59}, pages = {101 - 108}, doi = {10.19161/etd.756389}, title = {Evaluation of wounds due to animals at an emergency department}, key = {cite}, author = {Kodi̇k, Meltem Songür and Gökçek, Kemal and Uz, İ̇lhan and Kıyan, Güçlü Selahattin} }
APA Kodi̇k, M , Gökçek, K , Uz, İ , Kıyan, G . (2020). Evaluation of wounds due to animals at an emergency department . Ege Tıp Dergisi , 59 (2) , 101-108 . DOI: 10.19161/etd.756389
MLA Kodi̇k, M , Gökçek, K , Uz, İ , Kıyan, G . "Evaluation of wounds due to animals at an emergency department" . Ege Tıp Dergisi 59 (2020 ): 101-108 <http://egetipdergisi.com.tr/en/pub/issue/55079/756389>
Chicago Kodi̇k, M , Gökçek, K , Uz, İ , Kıyan, G . "Evaluation of wounds due to animals at an emergency department". Ege Tıp Dergisi 59 (2020 ): 101-108
RIS TY - JOUR T1 - Evaluation of wounds due to animals at an emergency department AU - Meltem Songür Kodi̇k , Kemal Gökçek , İ̇lhan Uz , Güçlü Selahattin Kıyan Y1 - 2020 PY - 2020 N1 - doi: 10.19161/etd.756389 DO - 10.19161/etd.756389 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 101 EP - 108 VL - 59 IS - 2 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.756389 UR - https://doi.org/10.19161/etd.756389 Y2 - 2020 ER -
EndNote %0 Ege Tıp Dergisi Evaluation of wounds due to animals at an emergency department %A Meltem Songür Kodi̇k , Kemal Gökçek , İ̇lhan Uz , Güçlü Selahattin Kıyan %T Evaluation of wounds due to animals at an emergency department %D 2020 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 59 %N 2 %R doi: 10.19161/etd.756389 %U 10.19161/etd.756389
ISNAD Kodi̇k, Meltem Songür , Gökçek, Kemal , Uz, İ̇lhan , Kıyan, Güçlü Selahattin . "Evaluation of wounds due to animals at an emergency department". Ege Tıp Dergisi 59 / 2 (June 2020): 101-108 . https://doi.org/10.19161/etd.756389
AMA Kodi̇k M , Gökçek K , Uz İ , Kıyan G . Evaluation of wounds due to animals at an emergency department. ETD. 2020; 59(2): 101-108.
Vancouver Kodi̇k M , Gökçek K , Uz İ , Kıyan G . Evaluation of wounds due to animals at an emergency department. Ege Tıp Dergisi. 2020; 59(2): 101-108.

Authors of the Article
Meltem Songür KODİK [1]
Kemal GÖKÇEK [2]
İ̇lhan UZ [3]
Güçlü Selahattin KIYAN [4]