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Amaç: Bruselloz tüm dünyada yaygın olarak görülen ve halk sağlığı açısından problem yaratmaya devam eden bir zoonozdur. Görülme sıklığı ülkelerin gelişmişlik düzeyleri ile ters orantılıdır. Gelişmekte olan ülkelerde ciddi veri eksikliklerine rağmen varlığını endemik şekilde sürdürdüğü görülmektedir. Ülkemizde yapılan seroprevalans çalışmaları bruselloz oranını %1,3 ile %26,7 arasında bildirmektedir. Bu çalışmada Ordu ilinde bruselloz sıklığına yönelik herhangi bir veri olmadığından ilimizdeki durumun değerlendirilmesi amaçlanmıştır. Yöntem: 2014-2018 yılları arasında Ordu Üniversitesi Tıp Fakültesi Hastanesi poliklinik ve servis hastalarından bruselloz şüphesiyle alınarak laboratuvarımıza gönderilen 2500 serum örneği retrospektif olarak değerlendirilmiştir. Tanı amacıyla Rose Bengal testi ve Coombs aglütinasyon testi kullanılmıştır. Coombs aglütinasyon testi 1/320 ve üzeri ise anlamlı kabul edilmiştir. Bulgular: Bruselloz ön tanısı ile değerlendirilen 2500 örneğin 375’inde (%15) Rose Bengal testi pozitif saptanmıştır. Örneklerin 305’inde (%12) ise Coombs aglütinasyon testi anlamlı değer olan 1/320 ve üzerinde pozitif saptanmıştır. Değerlendirilen yıllar içerisinde en düşük oran 2016 yılında %6,3 olarak saptanmış, 2018 yılında ise %18 pozitiflik izlenmiştir. Sonuç: Ülkemizde endemik olmaya devam eden bir zoonoz olan bruselloz ilimizde, ülkemizdeki pek çok ile göre daha yüksek oranlarda olup klinik yakınmaların uyumlu olduğu hastalarda tanıda akılda tutulmalıdır. Hayvancılık ve süt ürünleri üretimi faaliyetleri ilimizde yoğun olup sonuçlarımız Ordu ilinden bildirilen ilk verilerdir
Objective: Brucellosis is a zoonosis that is widespread all over the world and continues to be a major problem in terms of public health. Seroprevalence is inversely proportional to the level of development of the countries. Despite the lack of serious data in developing countries, it seems that they continue their existence endemically. Seroprevalence studies in our country report the rate of brucellosis between 1.3% and 26.7%. Since there is no data on the frequency of brucellosis in the province of Ardu, it is aimed at evaluating the situation in our province. Methods: In this study, conducted between 2014 and 2018 in Ardu University Medical Faculty Hospitals with the prediagnosis of brucellosis sent from outpatient clinics and services, the serum results of 2500 patients were evaluated retrospectively. For diagnosis, Rose Bengal test and Coombs agglutination test were used. Coombs agglutination test was considered to be significant at 1/320 and above. Results: Of the 2500 samples evaluated with brucellosis pre-diagnosis, 375 (15%) Rose Bengal test was positive. In 305 (12%) of the samples Coombs agglutination test was found to have a positive value of 1/320 and above. The lowest rate was 6.3% in 2016 and 18% in 2018. Conclusions: Brucellosis, which is an endemic zoonosis in our country, has been detected in higher rates in our province compared to many others. Therefore, the diagnosis should be kept in mind in patients with compatible clinical complaints. Our results are the first data
Objective: Brucellosis is a zoonosis that is widespread all over the world and continues to be a major problem in terms of public health. Seroprevalence is inversely proportional to the level of development of the countries. Despite the lack of serious data in developing countries, it seems that they continue their existence endemically. Seroprevalence studies in our country report the rate of brucellosis between 1.3% and 26.7%. Since there is no data on the frequency of brucellosis in the province of Ordu, it is aimed to evaluate the situation in our province. Methods: In this study, conducted between 2014 and 2018 in Ordu University Medical Faculty Hospitals with the prediagnosis of brucellosis sent from outpatient clinics and services, the serum results of 2500 patients were evaluated retrospectively. For diagnosis, Rose Bengal test and Coombs agglutination test were used. Coombs agglutination test was considered to be significant at 1/320 and above. Results: Of the 2500 samples evaluated with brucellosis pre-diagnosis, 375 (15%) Rose Bengal test was positive. In 305 (12%) of the samples Coombs agglutination test was found to have a positive value of 1/320 and above. The lowest rate was 6.3% in 2016 and 18% in 2018. Conclusions: Brucellosis, which is an endemic zoonosis in our country, has been detected in higher rates in our province compared to many others. Therefore, the diagnosis should be kept in mind in patients with compatible clinical complaints. Our results are the first data reported from Ordu province where livestock and dairy products activities are intense.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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