Cutaneous leishmaniasis and its status in Hatay province, Turkey
[ N/A ]
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Refik Saydam National Public Health Agency (RSNPHA)
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Cutaneous leishmaniasis (CL), which is endemic in the South-East Anatolia and Cukurova areas, has been an important public health problem for years. This study is an: analysis of Mustafa Kemal University, Research Hospital, Parasitology Laboratory and Hatay Provincial Health Directorate's data collected between years 2006-2011, to determine more recent cutaneous leishmaniasis sources in Hatay province and reasons for this increasing trend. Method: Smear samples were collected from 596 patients who applied to the Parasitology Laboratory in between January 2006-July 2011. Information forms including the lesion's duration, number, location (as providence and village), patient's age and location have been filled. In cases suspected of cutaneous leishmaniasis, a smear was performed, stained with Giemsa and microscopy examination was performed with 100X immersion objective. Positive CL recognition was placed on cases when the amastigot form of parasite was observed. Ki square test was used for statistical analyses. Results: Two hundred seventy three cases of 596 patients (45.8% of patients) were found to be CL positive. One hundred thirty nine (50.9%) of positive cases were female and 134 (49.1%) of positive cases were male. Thirty nine (14,3%) of 273 positive cases have more than one lesion. The lesion locations of head, neck and trunk were most commonly involved among women (p=0,036, p=0,240), on the other hand leg was most common side on men (p=0,014). CL commonly observed at ages between 0-12 in 73 (26.7%) cases, and ages between 13-24 in 89 (32.6%) cases. Most of the lesion durations were between 0-6 months. All the cases notified to Hatay Provincial Health Directorate between years 2006- 2011 were assessed except the cases belong to Mustafa Kemal University, Research Hospital, Parasitology Laboratory. Total of 535 patients (269 men, 266 women; including our patients) were notified. It is noticed that Provincial Health Directorate's data includes only age, gender, year and town and also clinical features of the patient. Conclusion: In Hatay, unlike previous years, presence of new CL focal points were observed. These cases are concentrated at Hassa, Samandagi and Altinözü towns and particularly at regions very close to Syrian border. These locations could be the reasons for increased number of CL cases. For this reason performing periodical screenings at the provinces and towns where CL was diagnosed should be realized. Moreover, giving seminars and educational sessions were planned in collaboration with Hatay Provincial Health Directorate.
Açıklama
Anahtar Kelimeler
Cutaneous leishmaniasis, Hatay, Smear
Kaynak
Turk Hijyen ve Deneysel Biyoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
71
Sayı
4
