Su ile bulaşması muhtemel enfeksiyon hastalıklarının epidemiyolojisi ve maliyet analizi
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Dosyalar
Tarih
2006
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Selçuk Üniversitesi Meram Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı Kliniği'nde 1 Ocak 2003-31 Aralık 2004 tarihleri arasındaki 24 aylık dönemde yatarak tedavi edilen su ile bulaşması muhtemel 109 enfeksiyon olgusunu epidemiyolojik yönden incelemek, aynı kliniğin verilerini inceleyen on sene önceki çalışma ve literatür ile kıyaslamak ve maliyet yönünden analiz etmektir. Gereç ve Yöntem: Bu tanımlayıcı nitelikteki araştırmada, hastanede tedavi görmüş su ile bulaşması muhtemel enfeksiyonu olan 109 olgunun yaş, cinsiyet, yerleşim yeri, zaman özellikleri incelenmiş; hastane kayıtlarından toplam, kişi başına toplam ve günlük maliyeti analiz edilmiştir. Bulgular: Çalışmaya alınan 109 olgunun 65'i (%59.6) kadın olup, 18 yaş ve altında toplam 11 (%10.1), 60 yaş ve üzerinde 25 (%22.9) olgu vardı. Klinik ve laboratuvar bulgularına göre 109 olgudan 23'ü (%21.1) akut gastroenterit, 33'ü (%30.3) amipli dizanteri, 29'u (%26.6) salmonellozis, 3'ü (%2.8) giardiazis, 1'i (%0.9) kronik gastroenterit olup, 20 olguda da (%18.3) hepatit A tanısı konuldu. 2003 yılında en uzun yatış süresi ortalama 9.81 2.08 gün ile hepatit A'ya ait iken 2004 yılında 12.09 2.60 gün ile salmonellozise aitti. Kişi başına ortalama hastane maliyeti, 2003 yılında .696,184.00089.480 TL (466 ), 2004 yılında 976.101.000220.765 TL (678 ) idi. Sonuç: Su ile bulaşması muhtemel hastalıklar toplumumuz için önemli bir sağlık sorunu olmaya devam etmekte ve maliyetleri degiderek yükselmektedir.
Objective: To make an epidemiological analysis of hospitalized cases of diseases possibly transmitted trough water, during a peri­od of 24 months between January 1st 2003 and December 31st 2004, in the Infection Disease and Clinical Microbiology Department of Meram Medical Faculty of Selçuk University and to compare the results with a former similar study and the literature and make a cost analysis. Materials and Methods: In this descriptive study, 109 of hospi­talized cases of diseases possibly transmitted thorough water were evaluated according to age, gender, residence, time of the disease. Mean hospitalization time and cost of illness were ana­lyzed according to hospital records. Results: Sixty-five (59.6%) of the 109 cases were women. There were 11 patients under 18 years old (10.1%), and 25 patients (22.9%) at and above 60 years old. According to clinical and laboratory findings, 23 cases had (21.1%) acute gastroenteritis, 33 cases had (30.3%) amebiasis, 29 cases had (26.6%) salmonel-losis, 3 cases had (2.8%) giardiasis, 1 case (0.9%) was defined as chronic gastroenteritis and twenty cases (18.3%) were diagnosed as hepatitis A. The longest mean hospitalization time was 9.81 ±2.08 days for hepatitis A in 2003 and 12.09±2.60 days for salmonellosis in 2004. The cost of the illness per patient in 2003 was 696.184.000±89.480 TL (466 ) and 976.101.000±220.765 TL (678 ) in 2004. Conclusion: Diseases possibly transmitted through water contin­ue to be an important health problem for our society and cause a growing economical lost .
Objective: To make an epidemiological analysis of hospitalized cases of diseases possibly transmitted trough water, during a peri­od of 24 months between January 1st 2003 and December 31st 2004, in the Infection Disease and Clinical Microbiology Department of Meram Medical Faculty of Selçuk University and to compare the results with a former similar study and the literature and make a cost analysis. Materials and Methods: In this descriptive study, 109 of hospi­talized cases of diseases possibly transmitted thorough water were evaluated according to age, gender, residence, time of the disease. Mean hospitalization time and cost of illness were ana­lyzed according to hospital records. Results: Sixty-five (59.6%) of the 109 cases were women. There were 11 patients under 18 years old (10.1%), and 25 patients (22.9%) at and above 60 years old. According to clinical and laboratory findings, 23 cases had (21.1%) acute gastroenteritis, 33 cases had (30.3%) amebiasis, 29 cases had (26.6%) salmonel-losis, 3 cases had (2.8%) giardiasis, 1 case (0.9%) was defined as chronic gastroenteritis and twenty cases (18.3%) were diagnosed as hepatitis A. The longest mean hospitalization time was 9.81 ±2.08 days for hepatitis A in 2003 and 12.09±2.60 days for salmonellosis in 2004. The cost of the illness per patient in 2003 was 696.184.000±89.480 TL (466 ) and 976.101.000±220.765 TL (678 ) in 2004. Conclusion: Diseases possibly transmitted through water contin­ue to be an important health problem for our society and cause a growing economical lost .
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Su ile bulaşması muhtemel enfeksiyonlar, maliyet analiz.
Kaynak
Türkiye Aile Hekimliği Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
3
