DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?
Yıl: 2020 Cilt: 22 Sayı: 2 Sayfa Aralığı: 159 - 162 Metin Dili: İngilizce DOI: 10.24938/kutfd.593717 İndeks Tarihi: 07-06-2021
DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?
Öz: Objective: Although many complications may occurafter splenectomy, post-splenectomy infection is one ofthe most frightening complications. Many prophylaxismethods have been used for this condition with very highrates of mortality and morbidity. In this study, we aimedto examine post-splenectomy infectious complications,in the cases in which all the measures were taken.Material and Methods: Thirty-two patients whounderwent emergency splenectomy were included in thestudy. Patients were given a sick leave of 20 days onisolated spleen trauma and at least 20 days formultitrauma patients. It was observed that some of thepatients had started to physically heavy work due tosocioeconomic reasons despite the sick leave report. Acomparison was performed between the patients whocompleted 20 days of rest (19 cases) (Group-1) and thepatients who started to work after resting time of lessthan 20 days (Group-2), in terms of the frequency ofpostoperative infection.Results: In Group-1, only 1 case had a simple infectionthat could be taken under control with a simpleantibiotic, while in Group 2, in 3 patients incision siteinfection, in 2 patients severe atypical pneumoniarequiring hospitalization and in 1 patient severe viralgastroenteritis requiring daily hospitalization wereobserved. Although there is an insufficient number ofpatients in the groups, there is a statistically significantdifference in terms of the frequency of infection betweenthe groups (p<0.05).Conclusion: Especially in the regions with low socioeconomicstatus, sick leaves could not be used properly.This study, showed that dehydration and malnutrition,which may be secondary to heavy work, contribute to thedevelopment of infection by suppressing the immunesystem, in addition to the defect caused by major surgicalintervention and splenectomy in the immune system,resulting in the high frequency of infection.
Anahtar Kelime: Post-Splenektomi Enfeksiyon Gelişiminde İstirahat Süresinin Önemi Var Mı?
Öz: Amaç: Travmaya sekonder gerçekleştirilen splenektomiler sonrası birçok komplikasyon gelişebilmekle beraber en korkulan komplikasyonlardan biri erken enfeksiyonlardır. Morbidite ve mortalitesi son derece yüksek olan bu komplikasyondan korunmak için aşılama dahil birçok profilaksi metodu kullanılmaktadır. Bu çalışmada tüm önlemler alınmış bulunan olgularda, bedenen aktif-ağır çalışmaya başlamanın postsplenektomi enfeksiyöz komplikasyonlara etkisini incelemeyi hedefledik. Gereç ve Yöntemler: Acil splenektomi yapılan 32 hasta çalışmaya dahil edildi, izole dalak travması sonucu opere edilen hastalara 20 gün, multitravma ile birlikteliği bulunan dalak yaralanması sonucu opere edilen hastalara ise hastanın genel durumuna göre en az 20 gün istirahat raporu verildi. Taburculuk sonrası postoperatif 10, 15 ve 30 uncu günlerde kontrole çağırılan hastaların bazılarının rapora rağmen sosyoekonomik sebeplerden ağır fiziksel çalışmaya başladığı gözlendi. Yirmi gün istirahatini tamamlamış olgularla (19 olgu) (Grup-1), 20 günden daha az istirahat süresi ile çalışmaya başlayan hastalar arasında (13 olgu) (Grup-2) postoperatif enfeksiyon sıklığı açısından karşılaştırma yapıldı. Bulgular: Grup-1 de yalnız 1 olguda insizyon hattında, basit antibiyotikle kontrol altına alınabilen basit enfeksiyon gözlenirken, Grup 2 de 3 olguda kesi yeri enfeksiyonu, 2 olguda hastaneye yatış gerektiren ciddi atipik pneumoni, 1 olguda ise günübirlik yatış gerektiren ciddi viral gastroenterit gözlendi. Gruplarda bulunan hasta sayısı yetersiz olmakla birlikte gruplar arasında enfeksiyon sıklığı açısından istetistiksel olarak anlamlı fark bulunmaktadır (p<0.05). Sonuç: Ülkemizin özellikle sosyo-ekonomik olarak geride kalmış bölgelerinde major cerrahi girişimler sonucu istirahat süreleri yeterli derecede kullanılamamaktadır. Bu çalışmada gelişen yüksek enfeksiyon sıklığı gözönüne alındığında, major cerrahi girişim ve splenektominin immün sistemde yarattığı defekte ilaveten, ağır çalışmaya sekonder oluşmuş olabilecek dehidratasyon ve malnutrisyonun da immün sistemi baskılamak suretiyle enfeksiyon gelişimine katkıda bulunduğunu düşünmekteyiz.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Yildiz A, YILDIZ A (2020). DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. , 159 - 162. 10.24938/kutfd.593717 |
| Chicago | Yildiz Aybala,YILDIZ Alp DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. (2020): 159 - 162. 10.24938/kutfd.593717 |
| MLA | Yildiz Aybala,YILDIZ Alp DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. , 2020, ss.159 - 162. 10.24938/kutfd.593717 |
| AMA | Yildiz A,YILDIZ A DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. . 2020; 159 - 162. 10.24938/kutfd.593717 |
| Vancouver | Yildiz A,YILDIZ A DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. . 2020; 159 - 162. 10.24938/kutfd.593717 |
| IEEE | Yildiz A,YILDIZ A "DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?." , ss.159 - 162, 2020. 10.24938/kutfd.593717 |
| ISNAD | Yildiz, Aybala - YILDIZ, Alp. "DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?". (2020), 159-162. https://doi.org/10.24938/kutfd.593717 |
| APA | Yildiz A, YILDIZ A (2020). DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 22(2), 159 - 162. 10.24938/kutfd.593717 |
| Chicago | Yildiz Aybala,YILDIZ Alp DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 22, no.2 (2020): 159 - 162. 10.24938/kutfd.593717 |
| MLA | Yildiz Aybala,YILDIZ Alp DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol.22, no.2, 2020, ss.159 - 162. 10.24938/kutfd.593717 |
| AMA | Yildiz A,YILDIZ A DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020; 22(2): 159 - 162. 10.24938/kutfd.593717 |
| Vancouver | Yildiz A,YILDIZ A DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2020; 22(2): 159 - 162. 10.24938/kutfd.593717 |
| IEEE | Yildiz A,YILDIZ A "DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?." Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 22, ss.159 - 162, 2020. 10.24938/kutfd.593717 |
| ISNAD | Yildiz, Aybala - YILDIZ, Alp. "DOES THE RESTING TIME AFTER EMERGENCY SPLENECTOMY AFFECT THE FREQUENCY OF POST-SPLENECTOMY INFECTIONS?". Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 22/2 (2020), 159-162. https://doi.org/10.24938/kutfd.593717 |
