Akademik Veri Yönetim Sistemi
Tezin Türü: Tıpta Uzmanlık
Tezin Yürütüldüğü Kurum: İstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Türkiye
Tezin Onay Tarihi: 2011
Tezin Dili: Türkçe
Öğrenci: YUSUF KENAN BAYHAN
Danışman: Erdal Polat
Özet:
Parasitic infections caused by protozoa and helminths continue to be one of the important health problems of our country. These diseases, which also have an important place in health expenditures, also cause labor force and economic losses in people. Lack of cleanliness, sanitation and uncontrolled spread of feces play an important role in the transmission and spread of protozoan and helminth diseases. Since transmission is easy in places where children gather together, such as nurseries, kindergartens and primary schools, parasitic infections are more common in children. The study started in March 2010 and was completed in June 2011. The status of the most common parasitic infections in children aged 7-12 in the Altınşehir neighborhood of Küçükçekmece district of Istanbul in recent years was investigated and compared with the results of studies conducted in previous years. The hemograms and IgE levels of blood samples taken from these children were examined to investigate the effect of parasites on the blood picture and the role of the increase in IgE levels. Of 200 children whose stool samples were examined, A. lumbricoides was found in 2 (% 1%), E. vermicularis in 3 (% 1.5%), H. nana in 1 (% 0.5%), G. intestinalis in 16 (% 8%), E. coli in 9 (% 4.5%), E. histolytica in 2 (% 1%), and B. hominis in 3 (% 1.5%), a total of 36 intestinal parasites were found. G. intestinalis and E. coli were seen in 6 of the stool samples, G. intestinalis and B. hominis were seen in 2, and E. coli and B. hominis were seen together in 1. E. vermicularis eggs were seen in 39 (% 19.5) of the 200 cellophane slides examined, but T. saginata was not found. Of the children with E. vermicularis eggs, 22 (% 20.2) were female and 17 (% 18.7) were male. In the cellophane slide examination, E. vermicularis eggs were seen in the stools of 39 children with E. vermicularis eggs in 3 (% 7.7). No difference was observed between girls and boys in terms of E. vermicularis infection, which is an indicator of personal and family hygiene deficiency. In our study, it was determined that intestinal parasites such as A. lumbricoides and T. trichiura, transmitted due to human feces contaminating the soil, were completely eliminated in the 7-12 age group in the Altınşehir neighborhood of Küçükçekmece district of Istanbul. However, it was observed that parasitic infections such as E. vermicularis and G. intestinalis, transmitted as a result of lack of cleaning, continued. This situation can be attributed to the fact that sanitation is sufficient in Istanbul and that pressurized and sufficient water is constantly provided to homes. The hemograms of these patients were found to be completely normal (between 30-40%), but HCT was found to be 28% in 1 parasitic child in whom H. nana was detected. No difference was observed between the IgE levels of serum samples of children with and without parasites.