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Izhodišča: Pik ose, čebele in ostalih žuželk so najpogostejši vzrok za pojav alergije in anafilaksije. Ob piku žuželke se lahko pojavi lokalna reakcija na mestu pika, medtem ko se pri občutljivih ljudeh razvije alergijska reakcija, ki lahko vodi v anafilaktični šok in smrt. Veliko ljudi z različnimi alergijskimi reakcijami obišče urgentno ambulanto, zato smo z raziskavo želeli predstaviti zdravstveno obravnavo pacienta po piku žuželk v urgentni ambulanti. Raziskovalne metode: Uporabili smo deskriptivno metodo dela. Raziskava je zajemala neslučajnostni kvotni vzorec posameznikov starejših od 18 let, katerih ambulantni karton je arhiviran v zadnjih petih letih in so kot vodilni vzrok obiska urgentne ambulante navajali pik žuželke. Rezultati: Od januarja 2013 do decembra 2017 je bilo zabeleženih 2725 pacientov, ki so pomoč poiskali zaradi pika žuželk od tega 1525 oseb ženskega spola in 1200 moškega spola. Več kot polovici oz. v 313 primerih od 421 pacientov, ki so imeli zabeleženo triažno kategorijo, je bila dodeljena triažna kategorija zelene barve. Glavni vzrok prihoda je bila oteklina na mestu pika, ki je v večini primerih bila lokalna reakcija na pik. Pacientom so pri lajšanju težav pomagali zdravstveni delavci s predpisano terapijo s strani zdravnika, različnimi preiskavami ter intervencijami. Diskusija in zaključek: Raziskava nam je prikazala obravnavo pacienta v urgentni ambulanti po piku žuželk, ki je zdravstvenim delavcem lahko v pomoč, da paciente s pikom podučimo o pravilnem ravnanju, saj je pacientov s preobčutljivostjo na pik žuželke veliko. Introduction: Bites or stings of wasp, bee or other insects are the most common cause for allergies and anaphylaxis. When bitten by an insect, a local reaction may occur at the spot of the bite, whereas sensitive people can develop an allergic reaction that can lead to anaphylactic shock and death. Many people with various allergic reactions visit the emergency department. With this research, we wanted to present medical treatment of patients in the emergency department, after being bitten by insects. Method: We used a descriptive method of work. The survey covered an uncoincidental quota sample of individuals over 18 age old, whose hospital chart has been archived in the past five years, and pointed out the insect bite as the leading cause of the visit of the emergency department. Results: From January 2013 to December 2017, there were 2725 patients recorded, who seek help because of insect bites, of which there were 1525 females and 1200 males. More than half or in 313 cases out of 421 patients, who had a triage category recorded, there was assigned in a green triage category. The main cause of the visit was a swelling at the spot of the bite, which in most cases was a local reaction to the bite. To relieve the problem, medical workers assisted the patients with prescribed therapy from the doctor, various interventions and examinations. Discussion and conclusion: The research showed us the treatment of a patient in the emergency department after an insect bite, which can help a health care workers to inform patients with bites, how to correctly treat the problem, because there is a lot of patients with induced hypersensitivity to insect bites. |
