Abstract
Çin'de COVID-19 enfeksiyonunun Aralık 2019 tarihinde patlak vermesi ile virüs tüm dünyada hızla yayılan bir pandemi başlatarak, ciddi sağlık sorunları ve ölümlere neden olmuştur. Mart 2020 başı itibariyle Dünya genelinde yüzün üzerinde ülkede görüldüğü bildirilmiştir. Ülkemizde ilk vaka Mart başında saptanmış, günümüze kadar binin üzerinde ölüm bildirilmiştir. Bu süreçte adli tıp çalışanları olası bir COVID-19 ölümünde ciddi bulaş riski ile karşı karşıya kalmaktadır. Bu çalışma COVID-19 hastalığına neden olan virusün tanımı ve epidemiyolojisi, ölüm sonrası COVID-19 tanısının nasıl konacağı, ölü muayenesi ve otopsi odasında olası riskler ve bu risklerin nasıl azaltılacağı konusunda bir derleme niteliğindedir. Ayrıca COVID-19 enfeksiyonu şüphesinde ölü defin işlemleri ve ölüm belgesi düzenleme ile ilgili ülkemizde yaşanan sıkıntılar tartışılmış ve öneriler sunulmuştur.
Highlights
With the outbreak of COVID-19 infection caused by SARSCov-2 virus in China in December 2019, the virus started a pandemic that spread rapidly all over the world, causing serious health problems and deaths
Whether the autopsy will be performed or not in those who have died due to COVID 19 infection or suspicion, how to have autopsy procedures in this case, how to protect forensic medicine workers, how to diagnose and what algorithm of burial procedures has been discussed
The agent was identified on January 7, 2020 as a new Coronavirus (2019-nCoV) that has not been detected in humans previously, World Health Organization (WHO) published the name of the disease as COVID-19 disease, and the virus was named SARSCoV-2
Summary
With the outbreak of COVID-19 infection caused by SARSCov-2 virus in China in December 2019, the virus started a pandemic that spread rapidly all over the world, causing serious health problems and deaths. Whether the autopsy will be performed or not in those who have died due to COVID 19 infection or suspicion, how to have autopsy procedures in this case, how to protect forensic medicine workers, how to diagnose and what algorithm of burial procedures has been discussed. The Ministry of Health (https://covid19bilgi.saglik.gov.tr/tr/) and many medical specialty associations published guidelines [5,6], the Forensic Medicine Institute (ATK) prepared “COVID-19 Postmortem Examinations Checklist” and “COVID- 19 Autopsy Instructions’ [7], Forensic Medicine Specialist Association (ATUD) published ‘the COVID-19 Information Guidelines for Postmortem Practices” [8]. The problems encountered in our country regarding the burial procedures and death certificate in case of suspicion of COVID-19 infection has been discussed and suggestions have been presented
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