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2017, vol. 46, br. 2, str. 53-59
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Epidemiološke karakteristike sepse na teritoriji Beograda u periodu od 2006. do 2015. godine
Epidemiological characteristics of sepsis in Belgrade for the period 2006-2015 year
aWestern University of Ontario, Medical Science, Ontario, Canada bUniverzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet cGradski zavod za javno zdravlje, Beograd
e-adresa: slavica.maris@zdravlje.org.rs
Sažetak
U radu su prikazane epidemiološke karakteristike sepse na području Beograda u periodu od 2006. do 2015 godine. U istraživanju je primenjena deskriptivna epidemiološka studija. Za analizu podataka korišćene su deskriptivne metode (relativni brojevi i mere centralne tendencije) i analitičke (za analizu razvojnih tendencija pojava korišćen je linearni trend) statistike. Prema podacima iz godišnjih izvešaja o radu na sprečavanju, suzbijanju i eliminaciji zaraznih bolesti, u protekloj deceniji registrovano je 682 slučaja sepse, od kojih je 136 sa smrtnim ishodom. U istom periodu zabeležena je standardizovana prosečna stopa incidencije od 3,58/100.000. Oboljenje je češće dijagnostikovano kod osoba muškog pola (56,3%) i kod osoba starosti iznad 70 godina (15,36/100.000). Pik javljanja bio je u oktobru (11,3%), a pad u decembru (5,6%). Stope incidencije za opštine na području Beograda pokazuju da su se sepse najčešće javljale na opštini Savski venac (112,147/100.000), a najređe u Surčinu (11,41), dok je za umrle najviša stopa bila na Vračaru (24,85%), a najniža (2,28%) u Surčinu. Najveći broj obolelih i umrlih od sepse je bio sa dijagnozom Sepsis alia spec. (649 obolelih i 130 umrlih), zatim Sepsis streptococica (20 obolelih i 5 umrlih), a najmanje registrovanih je sa dijagnozom Sepsis meningococica (13 obolelih i jedan umrli). Procenjuje se da je stvarni broj obolelih od sepse na području Beograda veći i da epidemiološka situacija obolevanja od sepse na području Beograda nepoznata. Da bi se sprovela efikasna prevencija sepse, potrebno je sprovoditi bolji epide miološki nadzor sa utvrđivanjem faktora rizika, koji dovode do nastanka sepse.
Abstract
This article contains epidemic characteristics of sepsis in Belgrade municipalities in a period between 2006 and 2015. A descriptive epidemiologic study method was used for research. Data analysis was done using methods of descriptive (relative numbers of central tendency) and analytical (linear trend for developing tendencies) statistics. Based on data from annual report on prevention, containment and elimination of contagious diseases, in the last decade 682 cases of sepsis were registered out of which 136 ended in death. In the same period, a standardized average incidence rate of 3.58/100,000 was registered. Elderly people over 70 years of age were mostly affected, also men (56.3%) comparing to women (43.7%). The highest incidence rate was in a month October (11.3%) and lowest in February (7.1%). Incidence rates in city of Belgrade show that sepsis most often occurred in municipality Savski Venac (112.147/100,000), and least often in municipality Surčin (11.41), while the rate of death was highest in municipality Vračar (24.85%) and lowest in municipality Surčin (2.28%). The most common diagnosis was Sepsis alla Spec. (649 with 130 deaths), then Sepsis Streptococci (20 with 15 deaths) and then Sepsis Meningococci (13 with 1 death). There is an estimate that a real number of people who contracted sepsis in Belgrade municipalities is higher than registered and that epidemiological situation of sepsis incidence is widely unknown. To implement an efficiently prevention of sepsis incidence, a better epidemiological supervision is needed with proper analysis of risks that lead to sepsis.
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