Agustos 2021
Askeri birlikte Covid-19 salgini sirasinda hastalarda gastrointestinal semptomlarin ve karaciger test bozuklugu sikliginin degerlendirilmesi: Tek merkezli pilot çalisma
Frequency evaluation of gastrointestinal symptoms and liver test disorder in patients during the Covid-19 outbreak in the military unit: A single-center pilot study
- Ana Sayfa
- Sayılar
- Agustos 2021
- Askeri birlikte Covid-19 salgini sirasinda hastalarda gastrointestinal semptomlarin ve karaciger test bozuklugu sikliginin degerlendirilmesi: Tek merk...
3Department of Gastroenterology, Osmangazi University School of Medicine, Eskisehir, Turkey
Özet
Giris ve Amaç: Covid-19 çogu zaman solunum yolu semptomlari ile prezente olan bir hastalik olsa da gastrointestinal semptomlar da bir- çok hastada görülebilmektedir. Ayrica hastalik süresince karaciger testlerinde degisik oranlarda bozulmalar da olabilmektedir. Çalismamizda Covid-19 salgini sürecinde ilimizde bulunan askeri birlikte salginin boyutunu ve hasta olanlarda gastrointestinal semptom ve karaciger test bozuklugu sikligini arastirmayi amaçladik. Gereç ve Yöntem: Mart 2020, 30 Mayis 2020 tarihleri arasi dönemde ilimizde bulunan askeri birlikte retrospektif olarak real time polimeraz zincir reaksiyonu pozitif Covid-19 tanili askerlerin demografik, radyolojik, laboratuvar ve klinik açidan analizi yapildi. Bulgular: Askerlik görevini yapmak üzere ülkemizin degisik sehirlerinden gelen 2152 asker adayinin ilk giris muayenesi sonucu 17’sinde (%0.7), birlige alindiktan sonra asker olanlarin takip eden günlerde 9’unda (%0.4) Covid-19 saptandi. Birlikte daimi bulunan 320 rütbeli askerden 1 (%0.3) kisi Covid-19 olurken baska birliklerden ilimizdeki birlige gelen 56 askerden 2’si (%3.6) Covid-19 oldu. Hastalarin yas ortalamasi 21.2 ± 1.8 idi. Toraks bilgisayarli tomografide yalnizca 4 (%13.7) hastada pnömoni vardi. Hastalarin tani aninda %6.8’inde gastrointestinal semptom, %13.7’sinde ise karaciger test bozuklugu vardi. Hiçbir hastada solunum yetmezligi, yogun bakima alinma ve ölüm olmadi ve hastalarin tümü komplikasyonsuz sekilde iyilesti. Sonuç: Çalismamiz literatürde görebildigimiz kadariyla Dünyada askeri ünitede yapilmis Covid-19 salgini ve bu hastalarda gastrointestinal semptom ve karaciger test bozuklugu sikligini arastiran ilk çalisma özelligi tasimaktadir. Çalismamizda genç popülasyonda Covid-19’un daha hafif siddette seyrettigini, gastrointestinal semptom ve karaciger test bozuklugunun daha az siklikta izlendigini bulduk. Askeri birlik gibi çok fazla kisinin birarada yakin sekilde yasayacagi ortamlarda yapilacak hizli ve dogru triaj ve hastalik süphesi olanlara uygun izolasyon ile Covid-19 salgini kontrol altina alinabilecektir. Ayrica gastrointestinal semptomu olanlarda Covid-19 her zaman akilda tutulmalidir ve hastalarin erken izolasyonu ile bu tür ortamlarda salginin yayilmasi engellenebilecektir
Abstract
Background and Aims: Coronavirus disease-2019 is a disease presenting with respiratory as well as gastrointestinal symptoms. In addition, the liver enzyme can be disrupted during the disease. This study aimed to investigate the extent of the military co-epidemic during the Coronavirus disease-2019 epidemic process and the frequency of gastrointestinal symptoms and liver test disorders. Materials and Methods: Demographic, radiological, laboratory, and clinical analysis of soldiers diagnosed with Coronavirus disease-2019 was carried out retrospectively in March, April, and May of 2020, using real-time polymerase chain reaction. Results: Coronavirus disease-2019 was detected in 17 (0.7%) of the 2,152 soldiers coming from different cities to perform their military services and 9 (0.4%) of the soldiers in the following days after recruitment. In addition, 1 (0.3%) of 320 senior militaries and 2 (3.6%) from 56 other soldiers who came to the unit from other units were also diagnosed with Coronavirus disease-2019. The mean age was 21.2 ± 1.8 years. In torax computed tomography, only 4 (13.7%) patients had pneumonia. At the time of diagnosis, 6.8% of the patients had gastrointestinal symptoms and 13.7% had liver enzyme disruption. None of the patients experienced respiratory failure, intensive care, and death; all the patients recovered. Conclusion: In the present literature, our study is the first to investigate the Coronavirus disease-2019 outbreak in the military unit in the world and the frequency of gastrointestinal symptoms and liver enzyme disruptions in these patients. Our study revealed that Coronavirus disease-2019 was milder in young populations and gastrointestinal symptoms and liver test disorder were less frequently observed. Coronavirus disease-2019 outbreak was taken under control by fast and accurate triage and suitable isolation for those with the suspected disease in environments where many people such as military units will live close together. Coronavirus disease-2019 should always be kept in mind, especially in patients with gastrointestinal symptoms, and early patient isolation prevents the spread of the epidemic in such crowded environments.
