Baş biti enfestasyonlarının etkin kontrolü için uluslararası tavsiyeler

Baş biti enfestasyonları, en gelişmiş olanlar da dâhil olmak üzere çoğu ülkede halk sağlığını ilgilendiren bir sorun olmaya devam etmektedir. Makalede sunulan tavsiyeler, bu parazitin prevalansını azaltmak amacıyla baş biti kontrolünde farklı otoritelerin, kurumların, endüstrinin ve kamunun rollerini ve etkilerini vurgulamayı ve bilgilendirmeyi amaçlamaktadır. Sağlık yetkililerini, bu tür enfestasyonların doğru şekilde tespit edilmesi; mevcut ve yeni pedikülositler, tıbbi cihazlar, repellentler, bit ve yumurta giderici ürünlerin değerlendirilmesi amacıyla daha etkili yöntemler iz açıklamalara sahip olmalı ayrıca aktif bileşenlere ve formüle ürünlere karşı bitlerin direnç seviyelerinin mevcut durumunu belgelemek için periyodik olarak test edilmelidir. Bit yaygınlığının salgın düzeyine ulaştığı iddiaları ortaya atıldığında, gerçek yaygınlık düzeyinin kanıtlanması amacıyla çocuklar periyodik aralıklarla objektif olarak değerlendirilmelidir. Sağlık hizmeti sunanlar ve toplum geneli için düzenlenen sürekli eğitimlerle bitlerin biyolojisi, önlenmesi ve kontrolü konusundaki yanlış bilgilerin düzeltilmesi sağlanabilir. Ebeveynler, çocuklarını baş biti açısından düzenli olarak kontrol etmeli ve gerektiğinde tedavi etmelidir. Sağlık yetkilileri, vakaları ve yaygınlığı azaltmada bir araç olarak kullanılan ancak bilimsel gerekçesi olmadığı gibi çocukların sağlığı ve huzuruna da ters etki yapan “sirkeye geçit yok- no-nit politikası” tarzında çocukları okuldan uzaklaştırmaya dayalı politika ve uygulamaların ortadan kaldırılması için mücadele etmelidir.lemeye teşvik etmeyi umuyoruz. Pedikülositler ve tıbbi cihazlar, kullanım talimatlarında doğrulanabilirHead louse infestations continue to be a concern of public health in most countries, including the most developed ones. The present recommendations are intended to inform and stress the role and impact of the different authorities, institutions, industry, and the public in the control of head lice in order to reduce the prevalence of this parasite. We encourage health authorities to pursue more effective methods to correctly identify such infestations, and evaluate existing and new pediculicides, medical devices, louse repellents, and louse and nit-removal remedies. Pediculicides and medical devices must have verifiable claims in the instructions for use and should be tested periodically to document current levels of resistance by lice to the active ingredients and to the formulated products. Where the prevalence of lice is claimed to be epidemic, children should be periodically evaluated objectively to document the actual level of prevalence. Continuing education for health providers and the general population promises to correct misinformation regarding the biology, prevention, and management of lice. Parents should regularly inspect their children for head lice and treat as necessary. Health authorities are encouraged to eliminate policies and practices that rely upon school exclusion as a means to reduce incidence and prevalence, e.g., the ‘no-nit’ policy which lacks scientific justification, and are countFil: Mumcuoğlu, Kosta Y.. The Hebrew University; IsraelFil: Pollack, Richard J.. Harvard University. Harvard School of Public Health; Estados UnidosFil: Reed, David. University Of Florida. Florida Museum Of History. Departamento Of Biology; Estados UnidosFil: Barker, Stephen. The University of Queensland; AustraliaFil: Gordon, Shirley. Florida Atlantic University (fau);Fil: Toloza, Ariel Ceferino. Consejo Nacional de Investigaciones Científicas y Técnicas. Unidad de Investigación y Desarrollo Estratégico para la Defensa. Ministerio de Defensa. Unidad de Investigación y Desarrollo Estratégico para la Defensa; ArgentinaFil: Picollo, Maria Ines. Consejo Nacional de Investigaciones Científicas y Técnicas. Unidad de Investigación y Desarrollo Estratégico para la Defensa. Ministerio de Defensa. Unidad de Investigación y Desarrollo Estratégico para la Defensa; ArgentinaFil: Taylan Özkan, Ayşegül. Tobb University Of Economics And Technology; TurquíaFil: Chosidow, Olivier. Hopital Henri Mondor; FranciaFil: Habedank, Birgit. German Environment Agency; AlemaniaFil: Ibarra, Joanna. Community Hygiene Concern; Reino UnidoFil: Meinking, Terri L.. Global Health Association Of Miami; Estados UnidosFil: Stichele, Robert Vander. University of Ghent; Bélgic

Interdiginal Myiasis Caused By Lucilia sericata in a Diabetic Patient

Cases of myiasis in humans are usually seen in agricultural areas and during the warm months of the year. The most common myiasis cases are caused by the members of the Calliphoridae family, especially by Lucilia and Phormia spp. We present the case of a 66-yearold male farmer from Çankırı suffering from diabetes. During the examination of his wound in the interdigital area between the fourth and fifth toe of his right food, a large number of the third larval stage of Lucilia sericata could be seen. The larva were treated with 2% prilocain and removed with the help of a forceps. In addition, cryotherapy was applied, and the patient was treated with antibiotics in order to prevent any secondary infections

Molecular Survey of Babesia microti (Aconoidasida: Piroplasmida) in Wild Rodents in Turkey

Babesia microti (Aconoidasida: Piroplasmida) (Franca, 1910) is an important tick-borne zoonotic parasite with rodents serving as reservoir hosts. In the present study, 536 rodents were captured from Burdur, Bartin, Giresun, and Yozgat provinces of Turkey between the years 2010 and 2012, and blood samples were examined for the presence of Babesia spp. using conventional PCR which targeted the 18S rRNA gene. The sequence analysis of PCR amplicons was tested for B. microti as well as for Hepatozoon spp., and Sarcocystis spp. Overall, 5.8% of the rodents were positive for B. microti: 41% in Myodes glareolus, 7.7% in Chionomys roberti, and 2% in Apodemus spp., whereas no Babesia DNA was detected in Mus macedonicus and Microtus spp. Six rodents were positive for Hepatozoon spp. and one rodent was positive for Sarcocystis spp. Overall, 14.9 and 4.5% of rodents captured from Bartin and Giresun provinces, respectively, were PCR positive for B. microti, whereas none of rodents captured in Burdur and Yozgat were positive for Babesia spp. The sequence data of B. microti from rodents revealed that all sequences belonged to the zoonotic genotype. Sequences of B. microti obtained from rodents of the Bartin province were genotypically closer to European isolates, whereas those obtained from rodents of the Giresun province were closer to Russian and Mongolian isolates. © 2019 Crown copyright 2019