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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?

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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.
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.
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