Ticks biting humans in the urban area of Istanbul

Vatansever, Zati; Gargılı, Ayşen; Aysul, Nuran; Şengöz, Gönül; Estrada-Peña, Agustı́n

doi:10.1007/s00436-007-0809-z

Cited by 66 publications

(59 citation statements)

References 6 publications

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“…Örneğin virüsler 5-6 saat sonra verilebildiği halde, Ricketsia türleri 10, Borrelia türleri ise 48 saat sonra verilebilmektedir (7,22). Kene konağından kan emmeye başla-dıktan sonra kene ile bulaşan hastalıklarda kene tutunduktan sonra enfeksiyon etkenlerini geçirebilmesi için yaklaşık 24-48 saat gerekli olduğunun bilinmesi nedeni ile kişilerin keneyi fark eder etmez en kısa sürede keneyi çıkartması gerekir.…”

Section: Discussionunclassified

“…Türkiye'de insana saldıran kene türleri incelendiğinde ülkemizde insanları en sık tutan kenelerin Hyalomma soyuna ait nimfler olduğu bildirilmektedir (7,11,12,17,19). Biz de çalışmamızda literatür bulguları ile uyumlu olarak en sık Hyalomma soyuna ait nimf evresindeki kenelerin insana saldırdığını saptadık.…”

Section: Discussionunclassified

“…Ancak kene dağılımını etkileyen faktörlere bağlı olarak kene dağılımında sık olarak değişiklikler meydana geldiği için bilgilerin araştırma programları ile düzenli olarak güncellenmesi gereklidir. Kenelerin coğrafi dağılımlarını değiştirebilecek faktörler arasında iklim değişiklikleri, bitki örtüsündeki değişiklikler, toprağın kullanımındaki farklılıklar, nüfus yoğunluğundaki değişiklikler ve kenenin konak olarak ulaşabileceği türlerdeki değişiklikler sayılabilir (3,7).…”

Section: Introductionunclassified

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Investigation of the Cases Presenting to Dokuz Eylül University Hospital with Tick Bites

Över¹,

İnceboz²,

Yapar³

et al. 2012

Turkiye Parazitol Derg

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ÖZETAmaç: Birçok önemli hastalığa vektörlük yapan kenelerin ve kene ile ısırılan olguların özelliklerinin ortaya konulması, bu hastalıkların önlenmesi açısından son derece önemlidir. Buradan yola çıkarak, bu çalışmada Dokuz Eylül Üniversitesi Hastanesi'ne kene ısırması ile başvuran kişilerin ve çıkarılan kenelerin önemli özelliklerinin belirlenmesi amaçlandı. ABSTRACT Objective: Determination of the properties of ticks, which are the vectors of many infectious diseases and the patients with tick bites are important for the prevention of these diseases. For tist reason, the purpose of this study is to determine the important properties of the cases presenting with tick bites to Dokuz Eylul University Hospital and of the removed ticks from the cases. Methods: Two hundred seventy three of 294 patients, who presented with tick bites to Dokuz Eylül University Hospital, Izmir, were included in the study. Demographic parameters, symptoms related to tick borne diseases of the patients and the species and other characteristics of ticks removed from humans, also the tick population in the related habitat were investigated. Results: Removed ticks were classified into five genera. The overwhelmingly dominant genera were Hyalomma and it comprised 52.4% of the collection. The majority of these ticks were nymphs. The majority (11.4%) of removed adult ticks were Rhipicephalus sanguineus (R. sanguineus).In most cases (60.7%) the ticks were removed from the patients by medical staff. Conclusion: There was no significant difference in removing ticks without damage between the health personnel and the patient or relatives (p=0.133). (Turkiye Parazitol Derg 2012; 36: 75-81)

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Section: Discussionunclassified

Section: Introductionunclassified

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Investigation of the Cases Presenting to Dokuz Eylül University Hospital with Tick Bites

Över¹,

İnceboz²,

Yapar³

et al. 2012

Turkiye Parazitol Derg

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“…Turkiye Klinikleri J Med Sci 2013;33 (5) of the study population. Regarding the age distribution, the most common age range in patients presenting with a tick attachment was 30-39 years (28%) (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…CCHF threatens public health and can lead to epidemics and carries a risk of high fatality (10-50%). 5 In Africa, Asia, Western Europe and the Middle East, CCHF is known as a fatal viral infection. In our country, after a medical staff member died in 2002, research was initiated to help recognize this disease for the first time.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Cases with Tick Attachment at the Emergency Department

Kufeciler¹,

Armağan²,

Köksal³

et al. 2013

Turkiye Klinikleri J Med Sci

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A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Tick-borne diseases and especially Crimean-Congo Hemorrhagic Fever (CCHF) are serious epidemiological problems in many parts of the world. In this study, we aimed to emphasize the importance of an emergency approach to treat these diseases and to stress the importance of identifying characteristics of patients who are admitted to the hospital for tick attachment. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This study included 336 patients who admitted to Uludag University Medical Faculty Hospital Emergency Department (ED) and presented with tick attachment between April 2009 and May 2010. Patient demographics, clinical and laboratory findings and follow-up data were recorded. Laboratory parameters of hospitalized patients and non-hospitalized patients were statistically compared. R Re es su ul lt ts s: : The mean age of the patients was 43.85±13.88 years. Males comprised %50.9 of the patients. The most common months for hospital admission for tick attachment were July (33.0%) and August (32.4%). Of total, %49.1 of the patients acquired the tick in urban areas while %35.4 of them acquired it in the rural areas such as picnic areas, forest, field or animal shelters. The tick attachments were found in the lower extremities in 27.4% of the patients. In 65.5% of patients, the tick was removed by a physician in the ED using a forceps (54.2%) which was the most commonly used tool for tick removal. Laboratory parameters [aspartate transaminase (AST), alanine transaminase (ALT), lactate dehydrogenase (LDH), creatine phosphokinase (CK), white blood cell, neutrophil and platelet counts, prothrombin time (PT), activated partial thromboplastin time (aPTT) and the international normalized ratio (INR)] of the hospitalized patients who were suspected CCHF were statistically significantly different when compared to the ones who were not hospitalized. C Co on nc cl lu us si io on n: : In tick attachment cases who admitted to the ED, decreased levels of thrombocyte, leukocyte and neutrophil counts and increased levels of AST, ALT, LDH, CK, aPTT, PT and INR are significant for CCHF. An emergency department physician should be alert for these results. Bu ul lg gu ul la ar r: : Çalışmaya alınan hastaların yaş ortalaması 43,85±13,88'idi. Hastaların %50,9'u erkekti. En sık başvuru Temmuz (%33,3) ve Ağustos (%32,7) aylarında oldu. Hastaların %49,1'inde kene tutunması yerleşim yerinde, %35,4'ünde piknik alanları, hayvan barınağı, orman, tarla gibi kırsal alanlarda meydana gelmişti. Olgularının %27,4'ünde kene alt ekstremiteye tutunmuştu. Kenelerin %65,5'i AS'de doktor tarafından çıkarılmıştı ve çıkartma yöntemi olarak en sık %54,2 oranında forseps kullanılmıştı. KKKA şüphesi ile hastaneye yatırılan olguların laboratuar parametreleri [aspartat transaminaz (AST), alanin transaminaz (ALT), laktat dehidrogenaz (LDH), kreatin fosfokinaz (CK), lökosit, nötrofil, trombosit, aktive parsiyel promboplastin zamanı (aPTZ), protrombin zamanı (PT), international normalize ratio (I...

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Seroprevalence and risk factors of Crimean–Congo hemorrhagic fever in selected seven provinces in Turkey

Yağcı-Çağlayık

Korukluoğlu

Uyar

2013

Journal of Medical Virology

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Turkey has been one of the most endemic regions since 2002, when Crimean-Congo hemorrhagic fever emerged worldwide. The aim of the present study was to estimate the seroprevelance of CCHF virus in humans who reside in rural and urban areas of known endemic and nonendemic selected provinces of Turkey by using commercial ELISA kit. CCHFV IgG antibodies were detected in 2.3% of the population. The most important risk factors for CCHF seropositivity, were older age, male gender, illiterate, farmer, animal husbandry, living in rural residence in adobe houses, and a previous tick bite history.

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Ticks biting humans in the urban area of Istanbul

Cited by 66 publications

References 6 publications

Investigation of the Cases Presenting to Dokuz Eylül University Hospital with Tick Bites

Investigation of the Cases Presenting to Dokuz Eylül University Hospital with Tick Bites

Investigation of Cases with Tick Attachment at the Emergency Department

Seroprevalence and risk factors of Crimean–Congo hemorrhagic fever in selected seven provinces in Turkey

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