Üçüncü basamak bir hastanede rotavirüs, enterik adenovirüs ve enterik parazit enfeksiyonlarının prevalansı ve demografik özellikleri: Altı yıllık retrospektif kesitsel çalışma

Year 2021, Volume: 14 Issue: 2, 199 - 207, 25.08.2021

Taylan Bozok , Tuğçe Şimşek

https://doi.org/10.26559/mersinsbd.862795

Cited By: 3

Abstract

Amaç: Bu çalışmada ishal ön tanılı hastaların rotavirüs, enterik adenovirüs ve enterik parazit inceleme sonuçlarının demografik verilerle ilişkilerinin analiz edilmesi amaçlandı. Yöntem: Ocak 2014 – Aralık 2019 tarihleri arasında Niğde Eğitim ve Araştırma Hastanesi laboratuvarında taze dışkı örneğinde immünkromatografik yöntemle çalışılmış rotavirüs, adenovirüs antijeni ve ışık mikroskobu altında 40x büyütmede parazit inceleme sonuçları retrospektif olarak değerlendirildi. Test sonuçları yaşa, cinsiyete, uyruğa, mevsimlere, yıllara ve hastaneye başvuru şekline göre ki-kare yöntemi ile analiz edildi. p değeri <0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: İncelenen altı yıllık rotavirüs, adenovirüs ve dışkıda parazit inceleme testlerinin pozitiflik oranları; rotavirüs için %7.7, adenovirüs için %2.3 ve parazit inceleme için %16.8 olarak bulundu. Rotavirüs ve adenovirüs pozitifliği en yüksek 0-2 yaş grubunda (%11.1), parazit görülme oranları ise en yüksek 6-10 yaş grubunda (%23.9) tespit edildi. Rotavirüs pozitifliği kış aylarında, parazit görülme oranları ise yaz aylarında yüksek bulundu (p<0.001). Adenovirüs pozitifliği ise sonbahar ve kış aylarında yüksek oranda tespit edildi (p=0.009). Rotavirüs pozitifliği göçmenlerde daha yüksek oranda tespit edildi (p=0.021). Rotavirüs ve adenovirüs pozitifliği yatan hastalarda, gaitada parazit görülme oranları ayaktan başvuran hastalarda yüksek bulundu (p<0.001). Sonuç: Bölgemizde klinik tanı açısından rotavirüs ve adenovirüse bağlı gastroenteritlerin özellikle kış aylarında ve beş yaş ve altı çocuklarda daha fazla görüldüğü, bunun yanında parazitlere bağlı gastroenteritlerin de yaz aylarında ve 6-10 yaş arası çocuklarda daha sık rastlandığı göz önünde bulundurulmalıdır.

Keywords

Rotavirüs, Adenovirüs, Parazit, Prevalans, Demografik

Supporting Institution

Yok

Prevalence and demographic features of rotavirus, enteric adenovirus and enteric parasite infections in a tertiary hospital: A six-year retrospective cross-sectional study

Abstract

Aim: In this study, it was aimed to analyze the relationship between rotavirus, enteric adenovirus, and enteric parasite examination results and demographic data of patients with pre-diagnosis of diarrhea. Method: Between January 2014 and December 2019, in Niğde Training and Research Hospital laboratory; in fresh stool samples, results of rotavirus-adenovirus antigen performed by immunochromatographic method and parasite examined under light microscope at 40x objective were evaluated retrospectively. The test results were analyzed with the chi-square method according to age, gender, nationality, seasons, years, and outpatient/hospitalized. The p-value of <0.05 was considered statistically significant. Results: Positivity rates of examined six-year rotavirus, adenovirus, and fecal parasite tests were 7.7% for rotavirus, 2.3% for adenovirus, and 16.8% for parasite analysis. Rotavirus and adenovirus positivity was highest in the 0-2 age group (11.1%), and the highest rate of parasites was in the 6-10 age group (23.9%). Rotavirus positivity was found to be high in the winter months and the rate of parasites in the summer months (p<0.001). Adenovirus positivity was found with a high rate in the autumn and winter months (p=0.009). Rotavirus positivity was found with a higher rate in immigrants (p=0.021). While rotavirus and adenovirus positivity was found to be higher inpatients, the rate of stool parasites was found to be higher in outpatients (p<0.001). Conclusion: In terms of clinical diagnosis in our region, it should be kept in mind that rotavirus and adenovirus-related gastroenteritis are more common especially in winter months and in children aged five and under five, while gastroenteritis due to parasites is more common especially in summer months and in children between the ages of 6-10 years.

Keywords

Rotavirus, adenovirus, parasite, prevalence, demographic

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