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Acta medica Medianae
2019, vol. 58, br. 4, str. 32-41
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 24/02/2020
doi: 10.5633/amm.2019.0405_NE_RADI
Creative Commons License 4.0
Opšti i epidemiološki parametri i imunizacija dece obolele od morbila na centralnom Kosovu i Metohiji
aUniverzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet, Kliničko-bolnički centar
bUniverzitet u Prištini sa privremenim sedištem u Kosovskoj Mitrovici, Medicinski fakultet
cKlinički centar Niš
dUniverzitet u Nišu, Medicinski fakultet

e-adresa: vanja.nickovic@gmail.com

Sažetak

Morbili su virusna, veoma kontagiozna kapljična infekcija iz grupe osipnih groznica. Virus u organizam dospeva respiratornim putem. Bolest počinje povišenom telesnom temperaturom, plačnom maskom, kašljem, kataralnim promenama sluzokože gornjih delova respiratornih puteva i pojavom makulopapulozne ospe. Cilj rada bilo je ispitivanje epidemioloških parametara i vakcinalnog statusa obolele dece u enklavama centralnog Kosova i Metohije. Istraživanje je obuhvatalo 91 dete (57,1% dečaka i 42,9% devojčica), u periodu oktobar 2017. - mart 2018. godine, u enklavama u kojima žive Srbi, Romi, Albanci, Goranci i Turci. Dijagnoza je postavljena epidemiološkim i kliničkim parametrima, krvnom slikom i dokazom IgM antitela. Grupisanje je izvršeno po polu, etničkoj pripadnosti, starosti, poreklu infekcije i vakcinalnom statusu. Prikazana su numerička i atributivna obeležja. Za prikaz numeričkih obeležja rađen je Student t-test. Za prikaz i poređenje učestalosti atributivnih obeležja kori-šćeni su Hi2 i Fišerov test. Prosečna starost dece je 9,74 godine ± 4,23 godine. Najviše obolelih bilo je u decembru (34,1%). Najviše je bilo romske dece. Broj obolele nevakcinisane romske dece (49,4%) bio je tri puta veći od broja srpske dece (17,6%), kao što je broj romske dece bio 5 puta veći od broja albanske dece (9,9%), što je statistički značajna razlika (ch 2 : p < 0,05). Veliki broj dece (30,7%) oboleo je u zdravstvenim ustanovama - najviše je srpske dece vakcinisane jednom dozom (16,5%). Broj dece oboleo u zdravstvenim ustanovama (30,7%) bio je 6 puta veći od broja dece obolele na nepoznat način - 5,5% (ch 2 : p < 0,05). U enklavama centralnog Kosova i Metohije, najviše obolele romske dece bilo je zbog nevakcinacije, neadekvatnih uslova života i migracije. Najviše obolele dece u zdravstvenim ustanovama ukazuje na brzo širenje virusa morbila. Morbili se mogu eradikovati zdravstvenom edukacijom i potpunom imunizacijom, pre svega romske dece.
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Ključne reči

morbili; deca; opšti i epidemiološki parametri; vakcinacija

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