Review of syphilis patient records in İzmir state venereal diseases clinic from 1994 to 2004
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada 10 yıllık bir sürede Deri ve Zührevi Hastalıklar Polikliniğine kesin veya olası sifiliz tanısı ile başvuran hastaların demografik özelliklerinin, klinik bulgularının, tanı kriterlerinin, tedavi şekillerinin ve izlem sonuçlarının değerlendirilmesi amaçlanmıştır. Yöntem ve Gereç: 1994-2004 yılları arasında İzmir Deri ve Zührevi Hastalıklar Polikliniğine başvuran kesin veya olası sifiliz (CDC kriterlerine göre) tanısı ile takip edilen hastalar retrospektif olarak incelenmiştir. Bulgular: Toplam 689 hasta değerlendirilmiştir, hastaların 378 (% 54.7) erkek ve 311 (% 45.3) kadındır. Yaş ortalaması 13-77 (35.2±11.2) dir. Olguların 153'ü seks işçisidir. Olguların % 12.3'ü primer,% 17.4'ü sekonder, % 70.3'ü latent dönemdedirler. Semptomatik hastalarda en sık karşılaşılan klinik bulgu şankır (% 12) ve döküntü(% 9.2) idi. Human Immunodeficiency Virus (HIV) seroiojisi sadece % 19.6 hastada incelenmiş ve iki olguda pozitif bulunmuştur. En sık tercih edilen tedavi şekli üç doz (bir hafta ara ile) 2.4 milyon ünite benzatin penisilin uygulamasıdır. Sonuç: Çalışmamız sifılizin Türk toplumu için hala güncel olduğunu ve standart tedavi ve takip programlarının eksik olduğununa işaret etmektedir.
Aim: the aim of this study was to evaluate patients attending a sexually transmitted infection (STI) outpatient clinic with a presumptive or definitive diagnosis of syphilis with regard to demographic characteristics, clinical findings, diagnostic criteria, treatment regimens and folow-up data over a 10-year period. Materials and Methods: the records of patients who had a presumptive/definitive diagnosis of syphilis [according to Centers for Disease Control (CDC) criteria] and who were referred to the İzmir State Venereal Diseases Outpatient Clinic or who were diagnosed in the clinic between 1994 and 2004 were reviewed retrospectively. Results: A total of 689 patients were included for evaluation; 378 (54.7%) were males and 311 (45.3%) were females. the ages of these patients ranged between 13-77 years, with a mean of 35.2± 11.2. One hundred and fifty-three of the cases were sex workers. At the time of admission, 12.3% were considered to be in the primary stage, 17.4% in the secondary stage and 70.3% in the latent stage. the most common clinical findings in symptomatic patients were chancre (12%) and rash (9.2%). Human immunodeficiency virus (HIV) serology was screened in only 19.6% of the patients and two were positive. the most preferred treatment regimen was three doses of 2.4 million units benzathine penicillin (at one-week intervals). Conclusions: Our results indicate that syphilis is still present in the Turkish population and standard approaches in the treatment and follow-up of patients are lacking.
Aim: the aim of this study was to evaluate patients attending a sexually transmitted infection (STI) outpatient clinic with a presumptive or definitive diagnosis of syphilis with regard to demographic characteristics, clinical findings, diagnostic criteria, treatment regimens and folow-up data over a 10-year period. Materials and Methods: the records of patients who had a presumptive/definitive diagnosis of syphilis [according to Centers for Disease Control (CDC) criteria] and who were referred to the İzmir State Venereal Diseases Outpatient Clinic or who were diagnosed in the clinic between 1994 and 2004 were reviewed retrospectively. Results: A total of 689 patients were included for evaluation; 378 (54.7%) were males and 311 (45.3%) were females. the ages of these patients ranged between 13-77 years, with a mean of 35.2± 11.2. One hundred and fifty-three of the cases were sex workers. At the time of admission, 12.3% were considered to be in the primary stage, 17.4% in the secondary stage and 70.3% in the latent stage. the most common clinical findings in symptomatic patients were chancre (12%) and rash (9.2%). Human immunodeficiency virus (HIV) serology was screened in only 19.6% of the patients and two were positive. the most preferred treatment regimen was three doses of 2.4 million units benzathine penicillin (at one-week intervals). Conclusions: Our results indicate that syphilis is still present in the Turkish population and standard approaches in the treatment and follow-up of patients are lacking.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Turkish Journal of Medical Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
38
Sayı
2
