Buradasınız

Anasayfa » Content

TOPLUMUMUZDAKİ İLKÖĞRETİM PROGRAMINDAKİ KIZ ÇOCUKLARINDA "TUVALET SONRASI TEMİZLİK YÖNTEMİNİN" SOSYOEKONOMİK YAPI VE ÜRİNER SİSTEM ENFEKSİYONU İLE İLİŞKİSİ NEDİR?

WHAT IS THE RELATIONSHIP BETWEEN "THE HYGIENE METHOD AFTER URINATION" OF SOCIOECONOMIC STRUCTURE AND THE URINARY TRACT INFECTION FOR THE GIRLS AT THE ELEMENTARY SCHOOL AGE IN A DEVELOPING COMMUNITY?

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
It has been described that the colonized micro¬organisms which have been growing and spreading through the urinary tract is an important factor for causing the urinary tract infection at the etiology of perineum colonization. As, it has been, frequently, mentioned here that the word of "hygiene" means cleaning of genital organs after urination or defecation. This study includes analyzing the understanding of "hygiene" by the girls in respect to various socioeconomic structures in our society. The study also includes the research programs of different applications of hygiene methods in respect to socioeconomic structure (different income levels of the families) and their effects on the urinary tract infection. Five hundred eight (508) girls at the elementary school level were included in our research program and the inquiry forms had been filled out. Later, the urine was analyzed as per cases. The socioeconomic levels of the schools zones were classified in accordance with the cities' zoning documents. Although 94.3% of the girls are having the genital hygiene at home, only 57.3% of them are also having the genital hygiene in school. This ratio is increasing in respect to socioeconomic level (p>0.05). The most frequent hygiene method application is the cleaning process from the front toward back (In the school 25.6%, in the home 48.8%). The last amount of hygiene method application is the one using only the toilet paper (In the school 7.5%, in the home 9.4%). It is the fact that the process of using the toilet paper increases in parallel with higher socioeconomic level (p<0.001). It has been found that the ratio of the pyuria and bacteriuria among the girls were 37.4% and 14% in respectively. The ratio of the combination of pyuria and bacteriuria being together is 11.6%. These ratios did not differ in between those who are having the genital hygiene and those who do not have genital hygiene (p>0.05). In conclusion, it has been demonstrated that there is not a relation between the ratio of pyuria and bacteriuria seperately and being together, and the ratio of application of hygiene and its method.
Bookmark/Search this post with
Abstract (Original Language): 
İnsanlarda idrar yolu enfeksiyonunun etyolojisinde perineal kolonizasyonun önemli rol oynadığı; burada kolonize olmuş mikroorganizmaların asendan yolla yayılarak idrar yolu enfeksiyonu meydana getirdiği belirtilmektedir. "Taharet", idrar veya gaita yaptıktan sonra genital bölgenin temizlenmesidir. Bu çalışmada toplumumuzdaki kız çocukları arasında taharet anlayışının analizi ve taharetin uygulanabilirliği, sosyoekonomik yapı farklılığının bunlar üzerine etkisi ve farklı taharet yöntemlerinin idrar yolu enfeksiyonu üzerine olan etkisi araştırılmıştır. Araştırmaya ilköğretim programında eğitim gören 508 kız öğrenci dahil edilmiş ve anket formu doldurulmuştur. Daha sonra olguların idrar analizi yapılmıştır. Okulların bulunduğu bölgenin sosyoekonomik sınıflaması belediye imar planına göre yapılmıştır. Kız çocukların %94.3'ü evde taharet almasına karşın bu toplamın %57.3'lük kısmı okulda da taharet almakta ve bu oran sosyoekonomik düzeye göre değişmemektedir (p>0.05). "En sık uygulanan taharet yöntemi" , "önden arkaya" yapılan temizlenmedir (Okulda %25.6, evde %48.8). "En nadir kullanılan taharet yöntemi" ise "tuvalet kağıdı kullanılarak" yapılan temizlenmedir (okulda %7.5, evde %9.4). Ancak sosyoekonomik düzey yükseldikçe tuvalet kağıdı kullanarak taharetlenme oranı da artmaktadır (p<0.001). Kız çocukları arasında piyüri oranı %37.4, bakteriüri oranı %14 ve "piyüri ve bakteriüri birlikteliği" oranı %11.6 olarak bulunmuş ve bu oranların taharet alan ve almayanlarda değişmediği belirlenmiştir (p>0.05). Sonuç olarak, "Kız çocukları arasında okulda taharet alma oranı ve taharet alma yöntemi" nin piyüri, bakteriüri ve "piyüri ve bakteriüri birlikteliği" görülme oranları üzerine etkisi saptanmamıştır.
FULL TEXT (PDF): 
PDF icon pdf_tndt_243.pdf
  • 2
56-64
  • Turkish

REFERENCES

References: 

1. Roberts JA. Factors predisposing to urinary tract infections in children. Invited review. Pediatr Nephrol 1996; 10:517-522.
2. Rushton H.G. Genitourinary infections, In: Kelalis PP, King LR, Belman AB. (Eds), Clinical Pediatric Urology (3rd edition), WB. Saunders Company, Philedelphia,
1992 ; 286-364.
3. Rushton HG. Urinary tract infections in children, In: Rushton HG, Greenfield SP.(Eds), The Pediatric Clinics of North America, Pediatric Urology, WB.
Saunders Company, Philedelphia, 1997;44:1133-1169.
4.
Taharet
. Meydan Larousse. Yayınlayanlar: Safa Kılıçlıoğlu, Nezihe Araz, Hakkı Devrim, Meydan Gazetecilik ve Neşriyat Limited Şirketi, Cağaloğlu-İstanbul, 1981;11. Cilt:834.
5. Perkash I, Giroux J. Prevention, treatment and management of urinary tract infections in neuropathic bladders. J Am Paraplegia Soc 1985;8( 1): 15-17.
6. Yücesoy M, Yuluğ N. Tuvalet kağıdı kullanımının el hijyenine etkisi. XXVIII. Türk Mikrobiyoloji Kongresi,
4-9 Ekim 1998 Belek, Antalya. Bildiri no: 14-287.
7. Kunin CM. Role of the host defence, In: Kunin CM (Ed), Detection, prevention and management of urinary tract infections (4th edition), Lea and Febiger,
Philedelphia, 1987;299-323.
8. Linshaw MA, Gruskin AB. The routine urinalysis: To keep or not to keep; that is the question. Pediatrics
1997;100: 1031-1032.
9. Craver RD, Abermanis ,IG. Dipstick only urinalysis screen for the pediatric emergency room. Original
article. Pediatr Nephrol 1997;11:331-333.
10. Lohr JA, Portilla MG, Geuder TG, Dunn ML, Dudley
SM. Making a presumptive diagnosis of urinary tract infection by using a urinalysis performed in an on-site
laboratory. J Pediatr 1993;122:22-25.
11. Shaw KN, Mcgowan KL. Evaluation of a rapid screening filter test for urinary tract infection in
children. Pediatr Infect Dis J 1997; 16:283-287.
12. Shortliffe LMD. Urinary tract infections in infants and
children, In: Walsh PC, Retik AB, Vaughan ED, Wein AJ. (Eds), Campbell's Urology (7th Edition), WB. Saunders Company, Philedelphia, 1998; 1681-1707.
63
13. Shorliffe LMD. The management of urinary tract infections in children without urinary tract abnormalities, In:Kaplan GW (Ed), The Urologic Clinics of North America, Common Problems in Pediatric Urology, WB. Saunders Company, Philedelphia, 1995;22:67-73.
14. Winberg J. What the hygiene measures are advisable to
prevent recurrent urinary tract infection and what evidence is there to support this advice? Pediatr Nephrol 1994;8(6):652.
15. Azubike CN, Nwamadu O.I, Oji RU, Uzoije N. Prevalance of urinary tract infection among school children in a Nigerian Rural Community. West Afr J
Med 1994;13:48-52.
64

Thank you for copying data from http://www.arastirmax.com