Stating that the most and frequently used disinfectant for hygiene in pools is chlorine, Infectious Diseases and Clinical Microbiology Specialist Assoc. Dr. Nafiz Koçak said, “There should be 1-2 ppm of free chlorine in the pool water and the water circulation should be sufficient. One of the most important reasons for the emergence of pool infections is insufficient pool movement and/or excessive use of chlorine for disinfection. Chlorine is a disinfectant that disrupts the vaginal flora. It causes the death of beneficial bacteria in the natural structure of the vagina, causing other organisms such as fungi to reproduce in the environment. Urinary tract infections called “cystitis” are seen in women because the urinary tract is short and the infectious agents reach the bladder quickly.


Stating that the cause should be determined first in the treatment, Assoc. Dr. Koçak said that the most important point is to start the treatment in the early period and continued his words as follows:

“If the treatment of such infections is delayed, it can cause more serious infections. In addition to genital infections, respiratory tract symptoms such as nasal irritation, itching and dryness of the skin, redness of the eyes and cough and shortness of breath may occur in those who stay in the pool for a long time; Asthma attacks of asthma patients can be triggered. The most common infectious agents transmitted through the pool are viral agents such as rotavirus, norovirus, enterovirus and hepatitis A. Salmonella, shigella, and E.coli bacteria can be counted among the bacterial agents. In addition to these, unicellular agents such as cyriptosporidium, amoeba and giardia and intestinal parasites such as pinworms can be counted.


Stating that another common infection is water-borne outer ear infection, Assoc. Dr. Koçak said, “As a result of long-term contact, the barrier system in the outer ear canal skin is disrupted. As a result of the deterioration or removal of the feature of the ‘cerumen’, which is the natural defense system that protects the ear canal from infections and prevents irritation of the ear, non-infectious microorganisms that are naturally found in the flora of the outer ear canal skin or are found in the water and settle in the outer ear. multiplies here; then it penetrates into the skin and creates an infection in this area. The disease, which manifests itself with ear pain, swelling in the external ear canal, ear discharge and hearing loss, is more common especially in children. To prevent ear infections after the pool, the ears should be dried after leaving the pool. Earplugs can be used while in the pool. However, it is not correct to insert any object into the ear to clean the water that has escaped into the ear.


Infectious Diseases and Clinical Microbiology Specialist, Assoc. Dr. Nafiz Koçak gave the following information about the precautions that can be taken against possible pool infections:

“You must take a shower before entering the pool. After getting out of the pool, it is necessary to take a shower again to purify the body from chlorinated water. After the pool, moist areas of the body, especially the vagina, should be thoroughly dried, and swimsuits or bikinis should be changed. Tight clothes should be avoided and cotton underwear should be preferred. Children and adults with hepatitis carrier or disease should not be allowed to enter the pool. Do not enter the pool while having a febrile illness or diarrhea. No eating or smoking by the pool. Do not enter the pool area with shoes or slippers worn outside. Feet must be disinfected. Care should be taken not to swallow water in the pool. Underwater goggles or mask should be used to prevent eye infection. A cap must be worn to protect the hair from the damage of chlorine and to prevent it from spilling into the pool.”


Pointing out that in addition to the infections that can be taken from the pool, the rate of gastrointestinal tract infections increases in the summer months, Assoc. Dr. Nafiz Koçak said, “Gastro-intestinal infections, which are transmitted from pools that have not been properly disinfected, usually start with nausea, vomiting and mild fever, and continue with diarrhea and abdominal pain. At this stage, most diseases can be controlled with symptomatic treatment, symptomatic treatment and diet. Loss of fluid and electrolytes through vomiting and diarrhea in gastrointestinal infections is the most important health-threatening condition. Antidiarrheal drugs and antibiotics will not be helpful at this stage and may have side effects. For this reason, dietary practices to provide fluid and electrolyte balance are much more important. Patients whose diarrhea does not improve with diet should definitely apply to the hospital. In addition, if the fever is above 38.3 degrees, if it continues for more than 2 days, if the stool is bloody and mucous, if the diarrhea lasts longer than 5 days, if the amount of urine decreases, dry mouth, collapse of the eyeballs (depression of the fontanel in infants), decreased skin tension, change in consciousness A specialist should be consulted as soon as possible in cases such as sluggishness, drowsiness, and accelerated breathing.


Koçak stated that although those who want to take a vacation prefer detached summer houses, tents, places such as plateaus with open air accommodation, alternative places such as boats and caravans, due to Covid-19, the epidemic is not over and the measures should definitely not be stretched. Since SARS-COV-2 mutants (for example, Delta, India), which will develop stronger infectivity in the process, have been detected in a shorter time, it is necessary to avoid crowds, to maintain social distance, and to apply hygiene practices in personal hygiene and common use areas with much more precision. underlined.

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