Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics

ÇAYLAN, Rahmet; AYDIN, Kemalettin; Koksal, Iftihar; YILMAZ, Gürdal; GÜNAYDUN, Sucu Nurgün

Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics

Sucu Nurgün GÜNAYDUN, (Rize Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Rize, Türkiye)

Kemalettin AYDIN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Trabzon, Türkiye)

Gürdal YILMAZ, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Trabzon, Türkiye)

Rahmet ÇAYLAN, (Atatürk Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, Türkiye)

İftihar KÖKSAL (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Trabzon, Türkiye)

Turkish Journal of Medical Sciences

2 1

Yıl: 2010 Cilt: 40 Sayı: 6 Sayfa Aralığı: 829 - 834 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics

Öz:

Amaç: Kırım-Kongo Kanamalı Ateşi (KKKA) 1944 yılından beri bilinen, dünyada birçok insanı etkileyen ve mortalite oranı yüksek olan bir hastalıktır. Bu çalışmanın amacı bölgemizdeki KKKA olgularının epidemiyolojik ve klinik özelliklerini belirlemekti. Yöntem ve gereç: Sunulan çalışma Karadeniz Teknik Üniversitesinde 2004-2006 yılları arasında hastanede yatırılan KKKA’lı hastalarda yapıldı. Hastaların demografik, coğrafik, iklimsel ve klinik özellikleri incelendi. Bulgular: Bu çalışmada KKKA’li toplam 102 hasta incelendi. Hastaların hepsi kırsal kesimde yaşıyor ve %85.2’si hayvancılık yapıyordu. Hiçbir vaka sıradağların denize bakan yüzeyindeki bölgeden olmayıp, vakaların deniz ile iç bölgeleri ayıran sıradağların kesildiği ve akarsuların denize ulaştığı Harşit, Kelkit ve Çoruh Vadileri’ndeki denizden yükseklikleri 1100-2265 m arasındaki yerleşim alanlarından geldiği tespit edildi.

Anahtar Kelime:

Konular: Cerrahi

Türkiye’nin Doğu Karadeniz bölgesindeki kırım-kongo kanamalı ateş vakaları: Demografik, coğrafik, iklimsel ve klinik özellikler

Öz:

Crimean-Congo hemorrhagic fever (CCHF) is a disease that is known since 1944 affecting many people across the world and causing a high mortality rate. The aim of this study was to determine the epidemiological and clinical characteristics of the CCHF cases in our region. Materials and methods: The present study was conducted in patients with CCHF who were hospitalized between 2004 and 2006 at Karadeniz Technical University. Demographic, geographic, climatic, and clinical characteristics of all patients were investigated. Results: A total of 102 patients with confirmed CCHF were investigated in this study. All of the patients were from rural areas. Eighty-seven patients (85.2%) were livestock workers. None of the cases was from the region where mountain range faced the sea and all cases were from areas of Harşit, Kelkit, and Çoruh valleys situated at 1100-2265 m above sea level where the mountain ranges ceased to separate the sea and inner regions and streams reached the sea. Conclusion: CCHF case series have been reported from Turkey as well and particularly Middle Anatolia and northeastern regions have been determined as endemic areas recently. Population of those regions mostly earns their life from livestock breeding and agriculture, which increases the risk of exposure to ticks and development of CCHF. Therefore, especially in cases coming from regions categorized as endemic, it has been concluded that mortality can be reduced by carefully taken medical history and practice of rapid medical treatment and replacement therapies in consideration of CCHF pre-diagnosis.Sonuç: Son yıllarda Türkiye’den de KKKA vaka serileri bildirilmeye başlanmış olup, özellikle ülkemizin Orta Anadolu ve Kuzeydoğu bölgeleri hastalık açısından endemik bölgeler olarak belirlenmiştir. Bu bölgelerde halkımız geçimini genel olarak tarım ve hayvancılıkla sağlamakta olup, bu durum kene ile temas riskini artırarak KKKA gelişimine neden olabilmektedir. Bu nedenle özellikle endemik olarak kabul ettiğimiz bölgelerden başvuran hastalarımızın epidemiyolojik hikayelerinin dikkatlice sorgulanması, KKKA ön tanısının düşünülerek yapılacak hızlı tıbbi müdahale ve replasman tedavileri ile mortalitenin düşürüleceği kanısına varılmıştır.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GÜNAYDUN S, AYDIN K, YILMAZ G, ÇAYLAN R, Koksal I (2010). Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. , 829 - 834.
Chicago	GÜNAYDUN Sucu Nurgün,AYDIN Kemalettin,YILMAZ Gürdal,ÇAYLAN Rahmet,Koksal Iftihar Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. (2010): 829 - 834.
MLA	GÜNAYDUN Sucu Nurgün,AYDIN Kemalettin,YILMAZ Gürdal,ÇAYLAN Rahmet,Koksal Iftihar Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. , 2010, ss.829 - 834.
AMA	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. . 2010; 829 - 834.
Vancouver	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. . 2010; 829 - 834.
IEEE	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I "Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics." , ss.829 - 834, 2010.
ISNAD	GÜNAYDUN, Sucu Nurgün vd. "Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics". (2010), 829-834.

APA	GÜNAYDUN S, AYDIN K, YILMAZ G, ÇAYLAN R, Koksal I (2010). Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. Turkish Journal of Medical Sciences, 40(6), 829 - 834.
Chicago	GÜNAYDUN Sucu Nurgün,AYDIN Kemalettin,YILMAZ Gürdal,ÇAYLAN Rahmet,Koksal Iftihar Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. Turkish Journal of Medical Sciences 40, no.6 (2010): 829 - 834.
MLA	GÜNAYDUN Sucu Nurgün,AYDIN Kemalettin,YILMAZ Gürdal,ÇAYLAN Rahmet,Koksal Iftihar Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. Turkish Journal of Medical Sciences, vol.40, no.6, 2010, ss.829 - 834.
AMA	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. Turkish Journal of Medical Sciences. 2010; 40(6): 829 - 834.
Vancouver	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics. Turkish Journal of Medical Sciences. 2010; 40(6): 829 - 834.
IEEE	GÜNAYDUN S,AYDIN K,YILMAZ G,ÇAYLAN R,Koksal I "Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics." Turkish Journal of Medical Sciences, 40, ss.829 - 834, 2010.
ISNAD	GÜNAYDUN, Sucu Nurgün vd. "Crimean-Congo hemorrhagic fever cases in the eastern Black Sea Region of Turkey: Demographic, geographic, climatic, and clinical characteristics". Turkish Journal of Medical Sciences 40/6 (2010), 829-834.