{"id":14315,"date":"2021-01-05T01:22:21","date_gmt":"2021-01-04T22:22:21","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/zonguldak-bolgesinde-komur-madeni-iscilerinde-leptospiroz-seroprevalansi\/"},"modified":"2021-01-05T01:22:21","modified_gmt":"2021-01-04T22:22:21","slug":"zonguldak-bolgesinde-komur-madeni-iscilerinde-leptospiroz-seroprevalansi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/zonguldak-bolgesinde-komur-madeni-iscilerinde-leptospiroz-seroprevalansi\/","title":{"rendered":"Zonguldak B\u00f6lgesinde K\u00f6m\u00fcr Madeni \u0130\u015f\u00e7ilerinde Leptospiroz Seroprevalans\u0131"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Leptospiroz, d\u00fcnya \u00e7ap\u0131nda en yayg\u0131n g\u00f6r\u00fclen zoonotik hastal\u0131klardan birisidir. \u0130nsanlara \u00e7o\u011funlukla fare d\u0131\u015fk\u0131s\u0131 ve idrar\u0131yla kontamine olan su ve toprakla temas sonucu mikroorganizman\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fc bozulmu\u015f deriden veya mukozadan v\u00fccuda girmesiyle bula\u015f\u0131r. \u00c7ift\u00e7iler, \u00e7eltik i\u015finde \u00e7al\u0131\u015fanlar, kanalizasyon i\u015f\u00e7ileri, maden i\u015f\u00e7ileri, avc\u0131lar, askeri personel, gemiciler, \u00e7obanlar, s\u00fct sa\u011f\u0131c\u0131lar\u0131, mezbaha i\u015f\u00e7ileri, kasaplar, veteriner hekimler ve laboratuvar \u00e7al\u0131\u015fanlar\u0131 leptospiroz a\u00e7\u0131s\u0131ndan riskli meslek gruplar\u0131d\u0131r. Bu \u00e7al\u0131\u015fmada Zonguldak b\u00f6lgesinde k\u00f6m\u00fcr madeni i\u015f\u00e7ilerinde leptospiroz seroprevalans\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Zonguldak ve Bart\u0131n illerindeki T\u00fcrkiye Ta\u015fk\u00f6m\u00fcr\u00fc Kurumu\u2019na ba\u011fl\u0131 5 farkl\u0131 k\u00f6m\u00fcr madeninde \u00e7al\u0131\u015fan toplam 185 g\u00f6n\u00fcll\u00fc maden i\u015f\u00e7isinden, 2013 Haziran-Temmuz aylar\u0131nda kan \u00f6rnekleri al\u0131nm\u0131\u015ft\u0131r. Serum \u00f6rnekleri -80\u00b0C\u2019de saklanm\u0131\u015ft\u0131r. Ayr\u0131ca maden i\u015f\u00e7ilerinin ya\u015f, yerle\u015fim b\u00f6lgesi, madende \u00e7al\u0131\u015fma s\u00fcresi, ba\u015fka mesleklerle u\u011fra\u015fma, madende fare ve\/veya fare pisli\u011fi g\u00f6rme, madende farelerin e\u015fya ve\/veya yiyecek i\u00e7ecekle temas\u0131n\u0131 tespit etme ve madende el hijyeni gibi demografik ve epidemiyolojik verileri i\u00e7in anket yap\u0131lm\u0131\u015ft\u0131r. Leptospiroz seroepidemiyolojik \u00e7al\u0131\u015fmalar\u0131nda referans test y\u00f6ntemi olarak kullan\u0131lan mikroskopik agl\u00fctinasyon testi (MAT) Ankara Etlik Veteriner Kontrol Merkez Ara\u015ft\u0131rma Enstit\u00fcs\u00fc Spiroket Hastal\u0131klar\u0131 Te\u015fhis Laboratuvar\u0131\u2019nda Haziran 2014\u2019te yap\u0131lm\u0131\u015ft\u0131r. MAT ile 8 ayr\u0131 serotip i\u00e7in (Leptospira grippotyphosa Moskva V, L. australis Bratislava Jez Bratislava, L. canicola Hund Utrech IV, L. hardjo Hardjoprajitno, L. pomona Pomona, L. icterohaemorrhagiae Ictero 1, L. hebdomadis Hebdomadis ve L. patoc Patoc 1) anti-Leptospira antikor d\u00fczeyleri ara\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Bulgular<\/strong>: Tamam\u0131 erkek olan i\u015f\u00e7ilerin ya\u015f ortalamalar\u0131 36\u00b16 y\u0131l idi. Madende yeralt\u0131nda \u00e7al\u0131\u015fma s\u00fcresi ortalama 11\u00b16 y\u0131l, yeralt\u0131nda haftal\u0131k \u00e7al\u0131\u015fma s\u00fcresi ortalama 44\u00b16 saat olarak saptand\u0131. \u0130\u015f\u00e7ilerin %18.9\u2019u k\u00f6yde, %50.3\u2019\u00fc il\u00e7ede, %30.8\u2019i il merkezinde ikamet etmekteydi. \u0130\u015f\u00e7ilerin %7.0\u2019si \u00e7ift\u00e7ilik, %2.7\u2019si avc\u0131l\u0131k, %0.5\u2019i gemicilik ve %0.5\u2019i besicilik de yapmaktayd\u0131. \u0130\u015f\u00e7ilerin %82.7\u2019si maden i\u00e7erisinde her g\u00fcn fare g\u00f6rd\u00fcklerini, %35.7\u2019si madende fare pisli\u011fi g\u00f6rd\u00fcklerini ifade ettiler. \u0130\u015f\u00e7ilerin %68.1\u2019i madende kulland\u0131klar\u0131 giyeceklerde ve yiyecek-i\u00e7ecek kaplar\u0131nda fare yeni\u011fi g\u00f6rd\u00fcklerini belirtiler. \u0130\u015f\u00e7ilerin %91.9\u2019u madene g\u00f6t\u00fcrd\u00fckleri yiyecekleri yemek vaktine kadar po\u015fet\/kese k\u00e2\u011f\u0131d\u0131 i\u00e7erisinde saklad\u0131klar\u0131n\u0131 bildirdiler. Madende i\u015f\u00e7ilerin %76.2\u2019sinin el temizli\u011fi yapt\u0131\u011f\u0131, bunlar\u0131n da %94.3\u2019\u00fcn\u00fcn sadece suyla el temizli\u011fi yapt\u0131\u011f\u0131 saptand\u0131. Leptospiroz a\u00e7\u0131s\u0131ndan riskli bir ortam tan\u0131mlanmas\u0131na ra\u011fmen maden i\u015f\u00e7ilerinin hi\u00e7birinin serum \u00f6rne\u011finde MAT ile seropozitiflik saptanmad\u0131.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Madenciler taraf\u0131ndan leptospiroz bula\u015fmas\u0131 a\u00e7\u0131s\u0131ndan riskli bir ortam ve davran\u0131\u015f modelleri tan\u0131mlanmakla birlikte, Zonguldak b\u00f6lgesinde k\u00f6m\u00fcr madencilerinden toplanan 185 serum \u00f6rneklerinde leptospiroz seropozitifli\u011fi saptanmad\u0131. Klimik Dergisi 2019; 32(2): 174-7.<\/p>\n<p><strong>Cite this article as<\/strong>: Y\u0131lmaz \u00d6, \u00c7elebi G, Atabek E, et al. [Seroprevalence of leptospirosis in coal miners in Zonguldak region]. Klimik Derg. 2019; 32(2): 174-7. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Leptospiroz, d\u00fcnya \u00e7ap\u0131nda en yayg\u0131n g\u00f6r\u00fclen zoonotik hastal\u0131klardan birisidir. \u0130nsanlara \u00e7o\u011funlukla fare d\u0131\u015fk\u0131s\u0131 ve idrar\u0131yla kontamine olan su ve toprakla temas sonucu mikroorganizman\u0131n b\u00fct\u00fcnl\u00fc\u011f\u00fc bozulmu\u015f deriden veya mukozadan v\u00fccuda girmesiyle bula\u015f\u0131r. \u00c7ift\u00e7iler, \u00e7eltik i\u015finde \u00e7al\u0131\u015fanlar, kanalizasyon i\u015f\u00e7ileri, maden i\u015f\u00e7ileri, avc\u0131lar, askeri personel, gemiciler, \u00e7obanlar, s\u00fct sa\u011f\u0131c\u0131lar\u0131, mezbaha i\u015f\u00e7ileri, kasaplar, veteriner hekimler ve laboratuvar \u00e7al\u0131\u015fanlar\u0131 [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4887,2729,4885,4295],"class_list":["post-14315","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-komur","tag-leptospiroz","tag-madenciler","tag-seroepidemiyolojik-calismalar"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14315"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14315\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}