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master's thesis
Dječja zarazna žutica na području Cetinske krajine
2015. urn:nbn:hr:171:256004
Sikirica, Maja
University of Split
School of Medicine

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Sikirica, M. (2015). Dječja zarazna žutica na području Cetinske krajine (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:256004

Sikirica, Maja. "Dječja zarazna žutica na području Cetinske krajine." Master's thesis, University of Split, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:171:256004

Sikirica, Maja. "Dječja zarazna žutica na području Cetinske krajine." Master's thesis, University of Split, School of Medicine, 2015. https://urn.nsk.hr/urn:nbn:hr:171:256004

Sikirica, M. (2015). 'Dječja zarazna žutica na području Cetinske krajine', Master's thesis, University of Split, School of Medicine, accessed 16 April 2024, https://urn.nsk.hr/urn:nbn:hr:171:256004

Sikirica M. Dječja zarazna žutica na području Cetinske krajine [Master's thesis]. Split: University of Split, School of Medicine; 2015 [cited 2024 April 16] Available at: https://urn.nsk.hr/urn:nbn:hr:171:256004

M. Sikirica, "Dječja zarazna žutica na području Cetinske krajine", Master's thesis, University of Split, School of Medicine, Split, 2015. Available at: https://urn.nsk.hr/urn:nbn:hr:171:256004

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Metadata
TitleDječja zarazna žutica na području Cetinske krajine
AuthorMaja Sikirica
MentorMladen Smoljanović (mentor)
GranterUniversity of Split
School of Medicine
Split
Defense date and country2015, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Infectology
Abstract
Dječja žutica, virusni A hepatitis (VAH), predstavnik „velike trojice“ - bolesti prljavih ruku - uz trbušni tifus i bacilarnu dizenteriju, tipična je virusna bolest fekalno-oralnog puta širenja koja je na području Cetinske krajine od visoko endemičnog područja u posljednjih tridesetak godina u potpunosti eliminirana. Povremeno se registriraju samo izuzetno rijetki importirani oblici bolesti, uneseni iz udaljenih područja bez daljnjeg širenja. Koje su to promjene koje su dovele do stanja da je endemično područje Cetinske krajine postalo područje bez crijevnih antroponoza? Poznato je da nikakve medicinske specifične mjere zaštite (imunoprofilaksa, cijepljenje, kemoprofilaksa) nisu sustavno primijenjene. Postignuto povoljno stanje rezultat je opće higijenske mjere kada se 1988. godine uvelo neprekidno kloriranje vodovodne vode za piće ugradnjom automatskih plinskih klorinatora te ispravna dispozicija ljudskih izlučevina izgrađenom kanalizacijskom mrežom. Općom higijenskom mjerom dezinfekcijom vode za piće sustava javne vodoopskrbe Cetinske krajine prekinut je dominantni put prijenosa crijevnih zaraznih bolesti, pogotovo antroponoza, čiji su uzročnici veoma osjetljivi na dezinficijens natrijum hipoklorit. „Velika trojica“: dječja zarazna žutica, bacilarna dizenterija i trbušni tifus više nisu stalni stanovnici Cetinske krajine! Strategija sprječavanja mogućih epidemijskih pojavnosti HAV, bacilarne dizenterije i trbušnog tifusa u budućnosti, kod sada izuzetno osjetljive, neprokužene populacije stanovnika Cetinske krajine mlađih od trideset godina, mora se zasnivati na općim higijenskim mjerama, a specifične mjere zaštite primijeniti samo izuzetno kod osoba u povećanom riziku od infekcije.
Abstract (english)
Child jaundice, known as Viral hepatitis A, represents one of „big three“ acute intestinal diseases, which are known as „dirty hands diseases“ (thyphus abdominalis, disenterya bacillaris and viral hepatitis A). It is typical viral disease with fecal-oral transmission. District of Cetina was known as endemic region for VAH, but during last decade we have achieved elimination of VAH. Today we are reporting only imported form of disease, without further secundary disease spreading. What are those important changes that have led to a situation in once endemic area of the Cetina region to become an area without intestinal antroponoza? It is well known that any medical specific protection measures (immunoprophylaxis, vaccinations , chemoprophylaxis ) are not systematically applied. Achieved desirable situation is the result of that 1988. was installed automatic gas chlorinator with chlorination of drinking water, and new sewage system with proper sanitary disposition of human fecal excreta. This method of disinfection interrupted the dominant route of transmission of intestinal infectious diseases, especially antroponoza whose causes are very sensitive to sodium hypochlorite disinfectant. „Big three“: child jaundice, disenterya bacillaris and thyphus abdominalis are no longer permanent residents of Cetina Region! In the future, strategy of prevention of possible epidemic incidence of HAV, bacillary dysentery and typhoid among extremely sensitive population under the age of thirty, should be based on the general measures. However, specific measures should be applied only in exceptional cases in people at increased risk of direct infection.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:256004
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2016-02-19 09:13:54