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Okužbe z respiratornim sincicijskim virusom pri dojenčkih in malih otrocih : diplomsko delo
ID Kropivšek, Špela (Author), ID Zore, Anamarija (Mentor) More about this mentor... This link opens in a new window, ID Stanek Zidarič, Tita (Reviewer)

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Abstract
Uvod: Respiratorni sincicijski virus je v prvem letu življenja otrok eden najpomembnejših povzročiteljev virusnih okužb in glavni vzrok za njihovo hospitalizacijo. Povzroča vsakoletne epidemije okužb dihal pozno jeseni, pozimi in zgodaj spomladi. Večina primarnih okužb pri otroku poteka simptomatsko. V Sloveniji je bilo jeseni 2006 vzpostavljeno laboratorijsko spremljanje RSV pri vseh starostnih skupinah. Za okužbe z RSV ni učinkovitega zdravila. Poleg preventive, ki se uporablja za omejevanje širjenja virusa, je dandanes pri rizičnih skupinah ljudi na voljo tudi pasivna imunizacija z uporabo palivizumaba. Namen: Namen diplomske naloge je na podlagi dostopnih raziskav in obstoječih podatkov ugotoviti, kakšna je pojavnost okužb RSV v Sloveniji. Poleg tega je naš cilj izobraževati strokovno in laično skupino ljudi o virusu ter opozarjati na možnost imunoprofilaktične zaščite s palivizumabom. Metode dela: V teoretičnem delu smo uporabili deskriptivno metodo dela s pregledom domače in tuje strokovne literature. S tem smo predstavili ključne značilnosti okužbe z RSV ter dali poudarek na preprečevanje okužb. Informacije smo pridobili s pomočjo svetovnega spleta in podatkovnih baz, kot so Cobiss, MedLine, PubMed, ScienceDirect, ter preko digitalne knjižnice Univerze v Ljubljani. Rezultati: V desetletnem obdobju (od 40. tedna 2010 do 15. tedna 2020) je bilo testiranih 120.492 bolnikov za RSV in 12.128 (10 %) od tega jih je bilo pozitivnih. Število testiranih vzorcev v sezoni 2010/2011 se je iz 5.058 povečalo na 18.687 v sezoni 2019/2020. Odstotek pozitivnih na RSV se je v tem obdobju zmanjšal iz 22 % na 6,75 %. V desetletnem obdobju je bilo na seznam prejema palivizumaba za preprečevanje težkih okužb RSV uvrščenih 2.160 otrok. V teh letih je največ otrok zaščito prejelo v sezoni 2011/2012. Razprava in zaključek: Redno in natančno zbiranje epidemioloških podatkov bi pripomoglo k temu, da bi bolje razumeli širjenje bolezni in s tem predlagali ukrepe glede preprečevanja le-te. Če bi imeli dovolj zanesljive podatke, bi lahko natančneje določili začetek aplikacije palivizumaba. Okužbe RSV so se z leti zmanjšale. Morda je k temu pripomogla tudi uvedba palivizumaba pri najbolj rizičnih skupinah. Ker je bila imunoprofilaksa s palivizumabom uvedena nedolgo nazaj, je zelo malo raziskav, ki bi lahko pozitiven vpliv potrdile. Zaželeno bi bilo, da bi strokovnjaki na tem področju izobraževali ljudi, predvsem starše. Izobraževati bi bilo potrebno tudi zdravstvene delavce ter obveščati celotno populacijo o posledicah RSV. Dokler strokovnjaki ne bodo razvili drugih ukrepov za preprečevanje okužb RSV, obstaja imunoprofilaksa s palivizumabom edina razpoložljiva preventiva za RSV.

Language:Slovenian
Keywords:diplomska dela, babištvo, respiratorni sincicijski virus, imunoprofilaksa, palivizumab, dojenčki
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[Š. Kropivšek]
Year:2022
Number of pages:31 str.
PID:20.500.12556/RUL-141822 This link opens in a new window
UDC:618.2/.7
COBISS.SI-ID:124827651 This link opens in a new window
Publication date in RUL:09.10.2022
Views:976
Downloads:133
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Secondary language

Language:English
Title:Infections with respiratory syncytial virus in infants and young children : diploma work
Abstract:
Introduction: Respiratory syncytial virus is one of the most important causes of viral infections in the first year of children's life and the main cause of their hospitalization. It causes annual epidemics of respiratory infections in late autumn, winter and early spring. Most primary infections in children are symptomatic. In the fall of 2006, laboratory monitoring of RSV in all age groups was established in Slovenia. There is no effective treatment for RSV infections. In addition to prevention, which is used to limit the spread of the virus, passive immunization using palivizumab is also available for at-risk groups. Purpose: The purpose of the thesis is to determine the incidence of RSV infections in Slovenia based on available research and existing data. In addition, our goal is to educate a professional and lay group of people about the virus and to draw attention to the possibility of immunoprophylactic protection with palivizumab. Work methods: In the theoretical work, we used a descriptive work method with a review of domestic and foreign professional literature. With this, we presented the key features of RSV infection and emphasized the prevention of infections. We obtained information with the help of the World Wide Web and databases such as Cobiss, MedLine, PubMed, ScienceDirect and through the digital library of the University of Ljubljana. Results: Over a ten-year period (from week 40, 2010 to week 15, 2020), 120,492 patients were tested for RSV and 12,128 (10 %) of these tested positive. The number of tested samples in the 2010/2011 season increased from 5,058 to 18,687 in the 2019/2020 season. The percentage of RSV positives decreased from 22 % to 6.75 % during this period. Over a ten-year period, 2,160 children were placed on the list to receive palivizumab to prevent severe RSV infections. During these years, the most children received protection in the 2011/2012 season. Discussion and conclusion: Regular and accurate collection of epidemiological data would help to better understand the spread of the disease and thus propose measures to prevent it. If we had sufficiently reliable data, we could more precisely determine the start of palivizumab application. RSV infections are expected to decrease over the years. The introduction of palivizumab in the highest risk groups may also have contributed to this. Since immunoprophylaxis with palivizumab was introduced not long ago, there are very few studies that could confirm the positive impact. It would be desirable for experts in this field to educate people, especially parents. It would also be necessary to educate healthcare workers and inform the entire population about the consequences of RSV. Until experts develop other measures to prevent RSV infections, palivizumab immunoprophylaxis is the only available RSV prevention.

Keywords:diploma theses, midwifery, respiratory syncytial virus, immunoprophylaxis, palivizumab, infants

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