Sağlık Öğrencilerinde Tüberküloz Prevalansı

Year 2020, Volume: 9 Issue: 4, 333 - 339, 02.01.2021

Lale Türkmen , Aydın Kıvanç

https://doi.org/10.37989/gumussagbil.816696

Abstract

Tüberküloz (TB), küresel çabalara rağmen yüksek morbidite ve mortalite oranlarıyla günümüzün halk sağlığı sorunlarından biri olmaya devam ediyor. Hem gelişmekte olan hem de gelişmiş ülkelerde, sağlık çalışanları ve öğrenciler maruziyet ve enfeksiyon için önemli bir risk grubunu temsil etmektedir. TB enfeksiyon kontrolünün önemli bileşenlerinden biri, sağlık çalışanlarının gizli tüberküloz enfeksiyonu için rutin olarak taranması ve testi pozitif olanlara kemoprofilaksi uygulanmasıdır. Bu çalışmanın amacı, gelecekte sağlık hizmeti sektöründe aktif olarak görev alacak olan sağlıklı, sağlık teknikeri öğrencileri arasında saflaştırılmış protein türevi (PPD) reaksiyonlarının dağılımını analiz etmek ve skar varlığı, skar sayısı ve PPD reaktivitesi arasındaki korelasyonu belirlemektir. 2017-2020 yılları arasında Sağlık Hizmetleri Meslek Yüksekokulunda öğrenim gören öğrencilerin demografik özellikleri ve PPD deri testi sonuçları ve önceki Bacillus Calmette-Guèrin (BCG) skar sayısı retrospektif olarak değerlendirilmiştir. İstatistiksel değerlendirmeler SPSS V.22 programı kullanılarak yapılmıştır. Bağımsız değişkenler sayı ve yüzde ile gösterilmiştir. Bağımlı değişkenlere ise, ki-kare testi uygulanmıştır. Çalışmaya toplam 390 öğrenci dahil edilmiştir. Öğrencilerin %13,1’i PPD pozitif olarak bulunmuştur. PPD pozitiflik oranları, %10,0 (15-20 mm) ve %3,1 (20 ve üzeri mm) olarak tespit edilmiştir. Öğrencilerin skar sayıları sıfırdan ikiye kadar değişmiştir. BCG skar sayıları ve PPD endürasyon çapları arasındaki ilişki istatistiksel olarak anlamlı bulunmuştur (p<0,05). BCG skarı olmayanların öğrencilerin tamamı PPD negatiftir. Sağlık teknikeri adayları arasında PPD negatifliği ve BCG pozitifliğinin yüksek oranı aşı kaynaklı koruyucu bağışıklığın bir göstergesidir.

Keywords

Tüberküloz, PPD deri testi, BCG, Sağlık teknikeri öğrencileri

Supporting Institution

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Project Number

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Thanks

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The Prevalence of Tuberculosis in Health Students

Abstract

Tuberculosis (TB), continues to be one of today's public health problems with high morbidity and mortality rates despite global efforts. Healthcare professionals and students represent an important risk group for exposure and infection in both developing and developed countries. One of the important components of tuberculosis infection control is the routine screening of healthcare workers for latent tuberculosis infection and chemoprophylaxis for positive ones. The aim of this study is to analyze the distribution of purified protein derivative (PPD) reactions among healthy health technician students who will be active in the healthcare sector in the future and to determine the correlation between scar presence, scar number and PPD reactivity. The number of previous Bacillus Calmette-Guèrin (BCG) traces between the years 2017-2020 were evaluated retrospectively by demographic characteristics and PPD test. Statistical evaluations were made using the SPSS V.22 program. Independent variables are shown with numbers and percentages. Chi-square test was applied to dependent variables. A total of 390 students were included in the study. 13,1% of the students were found to be PPD positive. PPD positivity rates were determined as 10,0% (15-20 mm) and 3,1% (20 and above mm). The number of scars of the students varied from zero to two. The relationship between BCG scar numbers and PPD induration diameters were statistically significant (p<0,05). All of the students without BCG scar were PPD negative. The high rate of PPD negativity and BCG positivity among health technician candidates is an indicator of vaccine-induced protective immunity.

Keywords

Tuberculosis, PPD skin tests, BCG, Health technican students

Project Number

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