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作为三级医疗中心,对过去三年遇到的疥疮病例进行的流行病学评估。

Epidemiological Evaluation of Scabies Cases Encountered in the Last Three Years as a Tertiary Health Center.

作者信息

Turan Çağrı, Metin Nurcan, Utlu Zeynep

机构信息

University of Health Sciences Erzurum Regional Training and Research Hospital, Clinic of Dermatology and Venereology, Erzurum, Turkey.

出版信息

Turkiye Parazitol Derg. 2020 Jun 2;44(2):77-82. doi: 10.4274/tpd.galenos.2020.6796.

Abstract

OBJECTIVES

We aimed to reveal the change in the demographic characteristics of patients with scabies in the last three years and the increase in frequency of patients with scabies observed in our region.

METHODS

All patients diagnosed as having scabies in Erzurum Regional Training and Research Hospital and Palandöken State Hospital, Clinic of Dermatology between January 2017 and December 2019 were retrospectively evaluated. Data such as age, gender, citizenship, presentation dates were recorded from the hospital database by anonymizing.

RESULTS

The disease was significantly more common in men than women (p<0.001). Of female patients, 40.9% and of male patients, 51.9% were young adults (15-44 years of age). Of 252.261 patients who were admitted to the dermatology outpatient clinic in the past three years, 1.952 (0.77%) were diagnosed as having scabies. It was observed that the frequency of scabies gradually increased in the last three years (0.55%, 0.80% and 0.94%, respectively). The case frequency was significantly higher in 2019 compared to 2017 (p<0.001). Considering the quarters of the year, the lowest rate was observed in the first quarter of 2017, while the highest was in the last quarter of 2019 (0.42% and 1.54%, respectively). It was determined that the frequency of scabies between the quarters of the year increased significantly in the last quarters (p<0.001). One hundred and twenty six (6.5%) patients had a recurrent presentation. It was remarkable that suspicion of treatment failure gradually increased from 3.2% to 6.2% in the past three years.

CONCLUSION

The frequency of scabies in our region was indeed increased significantly in 2019 and especially in the 3 and 4 quarters.

摘要

目的

我们旨在揭示过去三年疥疮患者人口统计学特征的变化以及在我们地区观察到的疥疮患者频率的增加情况。

方法

对2017年1月至2019年12月期间在埃尔祖鲁姆地区培训与研究医院和帕兰多肯州立医院皮肤科门诊诊断为疥疮的所有患者进行回顾性评估。通过匿名化从医院数据库记录年龄、性别、国籍、就诊日期等数据。

结果

该疾病在男性中比女性明显更常见(p<0.001)。女性患者中40.9%以及男性患者中51.9%为年轻人(15 - 44岁)。在过去三年中皮肤科门诊收治的252261名患者中,1952名(0.77%)被诊断为疥疮。观察到在过去三年中疥疮频率逐渐增加(分别为0.55%、0.80%和0.94%)。与2017年相比,2019年病例频率显著更高(p<0.001)。考虑一年中的季度,2017年第一季度发病率最低,而2019年最后一个季度最高(分别为0.42%和1.54%)。确定一年中各季度之间疥疮频率在最后几个季度显著增加(p<0.001)。126名(6.5%)患者有复发表现。值得注意的是,在过去三年中治疗失败的怀疑率从3.2%逐渐增加到6.2%。

结论

我们地区2019年疥疮频率确实显著增加,尤其是在第三和第四季度。

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