Düzce'de deprem sonrası gıda ile uğraşanlarda taşıyıcılık durumu
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Tarih
2002
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info:eu-repo/semantics/openAccess
Özet
Bu çalışma; 1999 depremi sonrasında, gıda ile uğraşanlarda fekal-oral yolla bulaşan etkenlerin taşıyıcılığını belirlemek ve tedavisini sağlayarak yayılımını engellemek amacıyla planlandı. 12 Kasım 1999 Düzce depremi sonrasında Düzce'de yemek hazırlama ve dağıtım işi ile uğraşan 96 kişiden dışkı ve burun sürüntü örnekleri alındı. Dışkı örnekleri bakteriyolojik ve parazitolojik açıdan değerlendirildi. Örneklerin parazitolojik incelemesinde nativ-lugol ve formalin-eter sedimantasyon yöntemi ile yoğunlaştırma yöntemleri kullanıldı. Burun sürüntü örnekleri ise standart yöntemlerle değerlendirilip kuşkulu stafilokok kolonileri idantifiye edilerek Kirby-Bauer disk difüzyon yöntemi ile antibiyotik duyarlılıkları belirlendi. İncelenen dışkı örneklerinin 19(%19.8)'unda parazit belirlendi. Parazit görülme sıklığı Düzce'de uzun süredir yaşayan kişilerde dışarıdan gelenlere göre 3.5 kat daha fazla idi. Hiçbir örnekte patojen bakteri üremedi. Burun kültürlerinden 33(%34.4)'ünde Staphylococcus aureus üredi. Bu kökenlerden sadece bir suş oksasiline dirençli bulundu ve etkene yönelik tedavi önerildi. Sonuç olarak; çalışmada bağırsak parazitine rastlanma sıklığının, özellikle Düzce içinde yaşamakta olanlarda belirgin olmak üzere oldukça yüksek olması dikkat çekici olup bu yüksekliğin deprem sonrası bozulan hijyen koşulları ile ilişkili olabileceği kanısına varıldı.
This study was planned to determine the carriage of agents transmitted by fecal-oral route in food handlers in Düzce after the 1999 earthquake and to prevent the spread of microorganisms with therapy. For this purpose, stools and nasal swabs of 96 people working in food processing and distribution in Düzce after the earthquake on November 12, 1999, were investigated. Bacteriological and parasitological evaluation of fecal specimens were performed. Native-lugol and formalin-ether sedimentation techniques were used in parasitological examination. Nasal swabs were evaluated by standard methods. Colonies suspected to be staphylococci were identified, and their antibiotic susceptibility patterns were determined with Kirby-Bauer disk diffusion method. Nineteen (19.8%) stool specimens yielded parasites. The frequency of parasitic infection was higher (x3.5) in specimens of people living in Düzce for a long time than the non-residents. No pathogenic bacteria were isolated from the fecal specimens. Staphylococcus aureus was isolated from 33 (34.4%) of nasal specimens. Only one isolate was oxacillin-resistant, and therapy was applied. In conclusion; the frequency of intestinal parasites was found high, especially in the fecal samples of people living in Düzce. This result was thought to be associated with the altered hygienic conditions after the earthquake.
This study was planned to determine the carriage of agents transmitted by fecal-oral route in food handlers in Düzce after the 1999 earthquake and to prevent the spread of microorganisms with therapy. For this purpose, stools and nasal swabs of 96 people working in food processing and distribution in Düzce after the earthquake on November 12, 1999, were investigated. Bacteriological and parasitological evaluation of fecal specimens were performed. Native-lugol and formalin-ether sedimentation techniques were used in parasitological examination. Nasal swabs were evaluated by standard methods. Colonies suspected to be staphylococci were identified, and their antibiotic susceptibility patterns were determined with Kirby-Bauer disk diffusion method. Nineteen (19.8%) stool specimens yielded parasites. The frequency of parasitic infection was higher (x3.5) in specimens of people living in Düzce for a long time than the non-residents. No pathogenic bacteria were isolated from the fecal specimens. Staphylococcus aureus was isolated from 33 (34.4%) of nasal specimens. Only one isolate was oxacillin-resistant, and therapy was applied. In conclusion; the frequency of intestinal parasites was found high, especially in the fecal samples of people living in Düzce. This result was thought to be associated with the altered hygienic conditions after the earthquake.
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