Igan Hakan, Hanci Hayrunisa
Regional Education and Research Hospital, Erzurum/Turkey.
Faculty of Pharmacy, Department of Pharmaceutical Microbiology, Ataturk University, Erzurum/Turkey.
J Vector Borne Dis. 2024 Jul 7. doi: 10.4103/JVBD.JVBD_143_21.
Crimean-Congo Hemorrhagic Fever disease (CCHF) is a potentially deadly viral disease and Turkey is the country in which the disease is seen the most. The purpose of this study is to estimate the frequency and case fatality ratio (CFR) of CCHF disease in Erzurum/Turkey between years 2015-2021.
The CCHF positivity in patients was detected on serum samples via RT-PCR method with RNA detection. Demographic data belonging to positive patients, such as, age, sex, region of residence, tick contact was analyzed retrospectively.
It was detected that the RT-PCR test of 521 patients out of a total of 1378 sent to the laboratory were positive. Each sample belonged to a single patient and repeating samples were left out of the research. The year with least positive patient ratio in relation to potential CCHF positive samples was 2017 (21.12%) whereas the year with the most positivity ratio was 2020 (55.48%) The case fatality ratio in the six-year period was calculated to be 1.34%.
This study has demonstrated that there is a significant rise in CCHF patient numbers, especially in 2020 when the Covid-19 pandemic started. In order to prevent this rise, it is crucial that the effect of Covid-19 pandemic on the increase in interactions of humans with ticks is researched thoroughly, a biological intervention is made and the public awareness on CCHF disease is increased.
克里米亚-刚果出血热(CCHF)是一种潜在的致命性病毒疾病,土耳其是该病发病最为常见的国家。本研究的目的是估算2015年至2021年间土耳其埃尔祖鲁姆地区CCHF疾病的发病率和病死率(CFR)。
通过RNA检测的逆转录聚合酶链反应(RT-PCR)方法检测患者血清样本中的CCHF阳性情况。对阳性患者的人口统计学数据,如年龄、性别、居住地区、蜱虫接触情况进行回顾性分析。
在总共送往实验室的1378名患者中,检测发现521名患者的RT-PCR检测呈阳性。每个样本属于一名患者,重复样本未纳入研究。与潜在CCHF阳性样本相比,阳性患者比例最低的年份是2017年(21.12%),而阳性率最高的年份是2020年(55.48%)。六年期间的病死率计算为1.34%。
本研究表明CCHF患者数量显著增加,尤其是在2020年新冠疫情开始时。为防止这种增长,深入研究新冠疫情对人类与蜱虫接触增加的影响、进行生物干预并提高公众对CCHF疾病的认识至关重要。