Ahi Evran Tıp Dergisi

ABSTRACT

Purpose: As the macroscopic and
microscopic examination of stool is 
important for the  the diagnosis
of gastrointestinal diseases and infections, investigating the
relationship  between the clinical signs
and  microscopic and macroscopic findings
of feces was aimed.

Materials and Methods:  The stool examination reports were prepared
for 500 people who applied to the parasitology laboratory with the parasite
infection suspicion in our medical faculty. After complaints of these persons
were assessed by  talking in person   and getting information from the automation
system, they were noted as clinical signs in the stool examination report and
stool specimen features of these persons were noted in the stool examination
report as macroscopic findings. The microscopic findings of the feces from
these individuals were also evaluated using the direct browning method
(native-lugol) and sedimentation method and noted in the stool examination
report. Finally, these data were statistically evaluated using x2 test (chi
square) (p<0.05). 

Results: Of the 500 individuals who
applied to the parasitology laboratory, 166 were younger than 15 years of age
and 62% of these individuals had parasitic infections. The feces specimens of
individuals who came with these complaints were examined macroscopically and
microscopically and the obtained data was compared with clinical and other
findings and was not included as  it was
not statistically significant. The remaining 334 individuals were over 15 years
of age and only 26% of these individuals had parasitic infections. The macroscopic
and microscopic results of the feces of the individuals who came with these
complaints were as follows; 9,6% of the feces were found to be in soft
consistency, 12,3% in watery consistency, 4,2% in solid consistency while
microscopically they were mucus in 12,3% of the excreta. When examined as a
total, the results of examining the feces of 500 individuals were as follows;
macroscopically 48% of the feces were found to be in soft consistency, 30,2% in
watery consistency, 21,8% in solid consistency, 36,2% in abnormal color and
5,8% in bad odor while microscopically mucus in 36.6% and leukocyte in 50.2% of
the excreta.

Conclusion:  This study proved statistically that fecal
macroscopy is as important as fecal microscopy in the diagnosis of
gastrointestinal diseases and infections and that the fecal should be examined
macroscopically in routine laboratories and the findings should be sent to the
clinician.