{"id":13901,"date":"2021-01-05T01:21:42","date_gmt":"2021-01-04T22:21:42","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/anti-hiv-testi-sonucu-reaktif-olan-hastalarda-dogrulama-testi-sonuclari-dort-yillik-verilerimiz\/"},"modified":"2021-01-05T01:21:42","modified_gmt":"2021-01-04T22:21:42","slug":"anti-hiv-testi-sonucu-reaktif-olan-hastalarda-dogrulama-testi-sonuclari-dort-yillik-verilerimiz","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/anti-hiv-testi-sonucu-reaktif-olan-hastalarda-dogrulama-testi-sonuclari-dort-yillik-verilerimiz\/","title":{"rendered":"Anti-HIV Testi Sonucu Reaktif Olan Hastalarda Do\u011frulama Testi Sonu\u00e7lar\u0131: D\u00f6rt Y\u0131ll\u0131k Verilerimiz"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, anti-HIV-1\/2 test sonucu tekrarlayan reaktif olarak bulunan kan don\u00f6rlerinin, HIV infeksiyonundan \u015f\u00fcphelenilen veya ameliyat ve do\u011fum \u00f6ncesi tarama yap\u0131lan hastalar\u0131n, \u201cline immunoassay\u201d (LIA) ile yap\u0131lan do\u011frulama testi sonu\u00e7lar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Ocak 2014-Aral\u0131k 2017 tarihleri aras\u0131nda mikrobiyoloji laboratuvar\u0131na g\u00f6nderilen serum \u00f6rnekleri, anti-HIV-1\/2 antikorlar\u0131 ve p24 antijenini birlikte tayin eden d\u00f6rd\u00fcnc\u00fc ku\u015fak \u201cenzyme-linked immunosorbent assay (ELISA)\u201d testiyle ara\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r. Tekrarlayan reaktif \u00f6rnekler, do\u011frulama testi olarak LIA y\u00f6ntemiyle incelenmi\u015ftir.<\/p>\n<p><strong>Bulgular<\/strong>: Toplam 106 786 hastan\u0131n serumu ELISA y\u00f6ntemiyle taranm\u0131\u015ft\u0131r. Bu hastalar\u0131n 47 723 (%45)\u2019\u00fc erkek, 59 063 (%55)\u2019\u00fc kad\u0131nd\u0131. Hastalar\u0131n 37 375 (%35)\u2019i servis ve yo\u011fun bak\u0131m \u00fcnitesi hastas\u0131, 2040 (%2)\u2019\u0131 kan don\u00f6r\u00fc, 1023 (%1)\u2019\u00fc diyaliz hastas\u0131, 4271 (%4)\u2019i gebe, 2135 (%2)\u2019i infeksiyon hastal\u0131klar\u0131 poliklini\u011fine ba\u015fvuran ve 59 942 (%56)\u2019si di\u011fer polikliniklere ba\u015fvuran hastalardan olu\u015fmaktayd\u0131. Ya\u015f aral\u0131\u011f\u0131 15-93 aras\u0131nda olan 90 (%0.08) hastan\u0131n serumunda ELISA y\u00f6ntemiyle HIV 1-2 antikoru reaktif olarak bulunmu\u015ftur. Bu \u00f6rneklerin 88\u2019i LIA y\u00f6ntemiyle ara\u015ft\u0131r\u0131lm\u0131\u015f ve 14 (%15.9)\u2019\u00fc pozitif, 4 (%4.5)\u2019\u00fc indetermine ve 70 (%79.5)\u2019i negatif bulunmu\u015ftur. \u0130kisinde ise ELISA ile tekrarlayan reaktif olarak saptanmad\u0131\u011f\u0131 i\u00e7in do\u011frulama testi yap\u0131lmam\u0131\u015ft\u0131r. Do\u011frulanan HIV-pozitif olgular, 2014\u2019te 3 (%21), 2015\u2019te 2 (%14), 2016\u2019da 4 (%29) ve 2017 y\u0131l\u0131nda 5 (%36) olgu olarak saptanm\u0131\u015f ve olgular\u0131n y\u0131llara g\u00f6re art\u0131\u015f\u0131 istatistiksel olarak anlaml\u0131 bulunmu\u015ftur (p&lt;0.001).<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: \u00c7al\u0131\u015fmam\u0131zda hastalarda anti-HIV saptanma oranlar\u0131 bu konuda yap\u0131lm\u0131\u015f di\u011fer \u00e7al\u0131\u015fmalarla uyumlu bulunmu\u015ftur. ELISA ile anti-HIV 1-2 testlerinde reaktif olarak bulunan hastalar\u0131n %79.5\u2019i yalanc\u0131 pozitif olarak kabul edilmi\u015ftir. Bu hastalar\u0131n otoimm\u00fcn hastal\u0131klar, malignite, gebelik ve endokrinolojik bozukluklara sahip oldu\u011fu tespit edilmi\u015ftir. Sonu\u00e7ta do\u011frulanan hastalarda HIV pozitifli\u011finin son y\u0131llarda giderek artt\u0131\u011f\u0131 g\u00f6zlenmi\u015ftir.<\/p>\n<p>Klimik Dergisi 2020; 33(1): 24-8.<\/p>\n<p><strong>Cite this article as<\/strong>: Var\u0131\u015fl\u0131 AN, Demir T, Tekin S. [Confirmatory test results in patients with a reactive anti-HIV test result: Four-year data]. Klimik Derg. 2020; 33(1): 24-8. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7al\u0131\u015fmada, anti-HIV-1\/2 test sonucu tekrarlayan reaktif olarak bulunan kan don\u00f6rlerinin, HIV infeksiyonundan \u015f\u00fcphelenilen veya ameliyat ve do\u011fum \u00f6ncesi tarama yap\u0131lan hastalar\u0131n, \u201cline immunoassay\u201d (LIA) ile yap\u0131lan do\u011frulama testi sonu\u00e7lar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Ocak 2014-Aral\u0131k 2017 tarihleri aras\u0131nda mikrobiyoloji laboratuvar\u0131na g\u00f6nderilen serum \u00f6rnekleri, anti-HIV-1\/2 antikorlar\u0131 ve p24 antijenini birlikte tayin eden d\u00f6rd\u00fcnc\u00fc ku\u015fak \u201cenzyme-linked [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[5012,5014],"class_list":["post-13901","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antihiv-reaktifligi","tag-dogrulama-testi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13901","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=13901"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13901\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=13901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=13901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=13901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}