Pojavnost meningitisa u Primorsko-goranskoj županiji izazvanog ugrizom krpelja

master's thesis

• Title (english): Incidence of meningitis caused by tick bite in the Primorje-Gorski kotar county
• Author: Daniela Krišković
• Mentor: Jagoda Doko Jelinić (mentor)
• Committee member: Milan Milošević (predsjednik povjerenstva)
• Committee member: Jadranka Mustajbegović (član povjerenstva)
• Committee member: Jagoda Doko Jelinić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Health Ecology

Abstract

Uvod: Krpelji su nametnici, člankonošci iz porodice grinja. Značajni su kao prenosioci nekih zaraznih bolesti. U Hrvatskoj se najčešće pojavljuju krpeljni meningitis (KME) i Lajmska borelioza (LB), a iznimno tularemija, Q groznica erlihioza, babezioza i neke rikecioze. Bolesti se pojavljuju na određenim područjima naše zemlje pa govorimo o „prirodnim žarištima“. Krpelje zaražene virusom meningitisa najčešće nalazimo u sjevernom i sjeverozapadnom području Hrvatske između Save i Drave, a krpelje zaražene bakterijom koja uzrokuje Lajmsku boreliozu nalazimo na čitavom području Gorskog kotara.
Cilj: Cilj rada je prikazati i utvrditi rasprostranjenost krpeljnog meningitisa i Lajmska borelioza u Primorsko-goranskoj županiji, posebno na području Gorskog kotara i priobalja te usporediti sa ostatkom Hrvatske, Europe i svijeta.
Ispitanici i metode: Podatci prikupljeni za diplomski rad dobiveni su na Zavodu za javno zdravstvo Primorsko-goranske županije u Rijeci i Domu zdravlja Delnice u razdoblju od 2008-2015. godine. Po uvidu u medicinsku dokumentaciju pristupljeno je prospektivnom istraživanju te su iz istih dobiveni rezultati.
Rezultati: Analizirana je distribucija bolesnika po dobi, spolu, zanimanju, vremenu obolijevanja, mjestu obolijevanja, zanimanju oboljelih a statistička obrada dobivenih podataka prikazana je grafički i numerički. U radu su obrađeni podatci prijava oboljenja, smrti od zaraznih bolesti za period 2008.–2015. godine. Najveći broj oboljelih je starije životne dobi, umirovljenici na području Delnica i Kupjaka. Letalitet ne prelazi 1% te je posljednjih godina tek 0,2%.
Zaključak: Iz rezultata se zaključuje da je morbiditet i mortalitet od krpeljnog meningitisa i Lajmske borelioze zbog ugriza krpelja u Primorsko-goranskoj županiji nizak i bez većeg značenja, ali u prirodnim žarištima može biti značajan.

Abstract (english)

Introduction: Ticks are parasites, arthropods from the family of mites. They are important as vectors of some infectious diseases. In Croatia, most often occur Tick encephalitis and Lyme boreliosis, a highly tularemia, Q fever ehrlichiosis, babesiosis and some Rickettsial. The diseases occur in certain areas of country so we are talking about "natural foci". Infected Ticks with encephalitis are usually in northern and northwestern Croatian territory, between the Sava and Drava river. Infected ticks with the bacteria that cause Lyme boreliosis are in the whole area of Gorski Kotar.
Goals: The aim of this research is to show and to determine the distribution of tick-borne meningitis (TBE) and Lyme boreliosis (LB) in the Primorje-Gorski Kotar County, particularly in the area of Gorski Kotar and the coast, and then compare with the rest of Croatia, Europe and rest of the world.
Subject and Methods: Collected data were obtained at the Department of Public Health Kvarner County in Rijeka and the Health Center in Delnice for period between 2008 and 2015. After examination of the medical records, it is accessed the prospective study and the results are obtained from them.
Results: We analyzed the distribution of patients by age, sex, occupation, time of illness, site of disease and the interest of patients. Statistical analyses of the resulting data are presented graphically and numerically. In this work are researched number of applications disease, deaths from infectious diseases for the period between 2008 and 2015. The largest number of patients were old, retired people in the area of Delnica and Kupjak. The lethality does not exceed 1%. In recent years it was 0,2%.
Conclusion: From the results it is concluded that the morbidity and mortality of tick-borne encephalitis and Lyme boreliosis after being bitten by a tick in the Primorje-goranska are low and without greater meaning, but in the “natural foci” may be significant.

• Keywords: krpelj; Primorsko-goranska županija; KME; LB
• Keywords (english): tick; Primorje-Gorski Kotar County; KME; LB
• Language: croatian
• URN:NBN: urn:nbn:hr:105:343860
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-03-02 10:56:55