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Evde beslenen kedi ve köpek gibi hayvanlardan bulaşabilir?


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Abstract (2. Language): 
Which parasttes can be transmttted by househodd cats and dogs? This difficult question is frequently asked to family physicians. Certainly a variety of potentially dangerous helminths and protozoa can be transmitted to humans from pets but, for the most part, very special conditions must be present before this occurs. Small children, pregnant women and immunocompromised persons are three groups at greater potential risk than the general population. Pregnant women are at special risk for toxoplasmosis. Immunocompromised persons (including those with acquired immunodeficiency syndrome) are susceptible to multiple infections, especially to cryptosporidiosis, an underdiagnosed zoonosis present in contaminated water supplies. The risk of disease transmission from pets can be minimized by taking a few simple precautions such as avoiding fecal-oral contact, pregnant women not emptying the pet's litterbox, washing hands carefully after handling pets, wormnng pets regularly and supervising toddler-pet interactions. In most cases, the psychologic benefits of pet ownership appear to outweigh the reducible risks of disease transmission2. Zoonotic infections, which are those transmissible from animals to people include innumerable vrruses,bacteria,fungi andparasites(Table I).
Abstract (Original Language): 
Evde beslenen kedi ve köpeklerden hangi parazitler insanlara bulaşabilir? Sık sık aile hekim/erine bu zor soru sorulmaktadır. Potansiyel olarak çok çeşitli tehlikeli helmint ve protozoonlar evcil hayvanlardan insanlara bulaşabllir ancak çogun/ufka bu durum öncesinde çok özel koşullar bulunmalıdır. Küçük çocuklar, gebe kadınlar ve bağışıklık yetmezliği olan kişiler genel popülasyona göre daha çok risk altındaki üç grubu olşturur. Gebe kadınlar toksoplazmosisi açsından büyük risk attındadrrlar'. Bağışıklık yetmezliği olan kişller (edinllmiş bağışıklık yetmezliği sendromu olanlar da dahil olmak üzere), kontamnne su kaynaklarında yer alan teşhis edilmemşş bir zoonoz olan krpptosporidiozis gibi çok sayıda enfeksiyona eğiiimlidir. Evcil hayvanlardan hastalkk bulaşma risk fekal oral ilişkdden kaçınarak, gebe kadınların evcil hayvanların dışkı kaplarını boşaltmasınnn engellenmesiyle, evcll hayvanları sevdikten sonra elleri dikkatlcce yıkanmasyla, evcil hayvanlarnn düzenii veteriner kontrol/eri ile ve küçük çocukların evcil hayvanlarla ilişkileri denetlenerek en aza indirgenebilir. Brr çok durumda evcil hayvan sahibi olmanın psikolojik yararlar,, hastalık bulaşmasnnnn azaltılabiiir risklerinden ağır basmaktadır.



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