{"id":14039,"date":"2021-01-05T01:21:51","date_gmt":"2021-01-04T22:21:51","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/ailesinde-kronik-hepatit-b-virusu-infeksiyonu-bulunan-kisilerde-okult-hepatit-b-varliginin-arastirilmasi\/"},"modified":"2021-01-05T01:21:51","modified_gmt":"2021-01-04T22:21:51","slug":"ailesinde-kronik-hepatit-b-virusu-infeksiyonu-bulunan-kisilerde-okult-hepatit-b-varliginin-arastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/ailesinde-kronik-hepatit-b-virusu-infeksiyonu-bulunan-kisilerde-okult-hepatit-b-varliginin-arastirilmasi\/","title":{"rendered":"Ailesinde Kronik Hepatit B Virusu \u0130nfeksiyonu Bulunan Ki\u015filerde Ok\u00fclt Hepatit B Varl\u0131\u011f\u0131n\u0131n Ara\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Ok\u00fclt hepatit B (OHB), HBsAg-negatif ki\u015filerde hepatit B virusu (HBV) genomunun karaci\u011fer ve\/veya serumda tespit edilmesi olarak tan\u0131mlanm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131, ailesinde kronik HBV infeksiyonu bulunanlarda OHB\u2019nin durumunu tespit etmektir.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Poliklini\u011fi\u2019ne 2015-2016 y\u0131llar\u0131 aras\u0131nda ba\u015fvurarak yap\u0131lan tetkiklerine g\u00f6re HBsAg-negatif olan ancak ailesinde (anne, baba, e\u015f, karde\u015f ve \u00e7ocuk) kronik HBV infeksiyonu bulunan 327 ki\u015fi (18 ve \u00fcst\u00fc ya\u015fta) \u00e7al\u0131\u015fmaya dahil edildi. Bu ki\u015filerin serumlar\u0131nda, ELISA y\u00f6ntemiyle HBsAg, anti-HBs, anti-HBc IgG; ger\u00e7ek zamanl\u0131 (\u201creal time\u201d) polimeraz zincir reaksiyonu (PCR) y\u00f6ntemiyle, serum HBV DNA d\u00fczeyleri ara\u015ft\u0131r\u0131ld\u0131.<\/p>\n<p><strong>Bulgular<\/strong>: Ara\u015ft\u0131rmaya al\u0131nan 327 olgunun 168 (%51.4)\u2019i kad\u0131n, 159 (%48.6)\u2019u erkekti. Olgular\u0131n sadece 6 (%1.8)\u2019s\u0131nda HBV DNA pozitifli\u011fi saptand\u0131. Anti-HBc IgG 110 (%33.6) ve anti-HBs 193 (%59) olguda pozitifti. \u00c7al\u0131\u015fmaya al\u0131nan olgular\u0131n aile bireylerindeki kronik HBV infeksiyonu varl\u0131\u011f\u0131 de\u011ferlendirildi\u011finde; 53 (%16.2)\u2019\u00fcn\u00fcn annesinde, 60 (%18.3)\u2019\u0131n\u0131n babas\u0131nda, 84 (%25.7)\u2019\u00fcn\u00fcn karde\u015finde, 103 (%31.5)\u2019\u00fcn\u00fcn e\u015finde, 14 (%4.3)\u2019\u00fcn\u00fcn \u00e7ocu\u011funda ve 13 (%4.0)\u2019\u00fcn\u00fcn ailesinde birden \u00e7ok ki\u015fide kronik HBV infeksiyonu saptand\u0131. HBV DNA pozitifli\u011fi saptanan 6 olgunun 3\u2019\u00fcn\u00fcn e\u015finde ve 1\u2019er olgunun da babas\u0131, karde\u015fi ve \u00e7ocu\u011funda hepatit B \u00f6yk\u00fcs\u00fc vard\u0131.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Aile bireylerinde OHB s\u0131kl\u0131\u011f\u0131n\u0131n d\u00fc\u015f\u00fck olmas\u0131 ve HBV DNA tetkik maliyetinin y\u00fcksek olmas\u0131 nedeniyle aile i\u00e7i OHB taramas\u0131n\u0131n gerekli olmad\u0131\u011f\u0131 g\u00f6r\u00fc\u015f\u00fcne var\u0131lm\u0131\u015ft\u0131r. Bunun yerine hem toplum sa\u011fl\u0131\u011f\u0131 hem de maliyet d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde, yeni olgular\u0131n ortaya \u00e7\u0131kmas\u0131n\u0131n \u00f6nlenmesi amac\u0131yla aile bireylerine HBV bula\u015fma yollar\u0131, klinik \u00f6nemi ve al\u0131nabilecek \u00f6nlemlere y\u00f6nelik e\u011fitimlerin verilmesi daha uygun g\u00f6z\u00fckmektedir.\u00a0<\/p>\n<p>Klimik Dergisi 2019; 32(3): 245-9.<\/p>\n<p><strong>Cite this article as<\/strong>: Ers\u00f6z-Acar B, S\u00fcnnet\u00e7io\u011flu M, Parlak M. [Investigating occult hepatitis B in individuals with family history of chronic hepatitis B virus infection]. Klimik Derg. 2019; 32(3): 245-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Ok\u00fclt hepatit B (OHB), HBsAg-negatif ki\u015filerde hepatit B virusu (HBV) genomunun karaci\u011fer ve\/veya serumda tespit edilmesi olarak tan\u0131mlanm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131, ailesinde kronik HBV infeksiyonu bulunanlarda OHB\u2019nin durumunu tespit etmektir. Y\u00f6ntemler: \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Poliklini\u011fi\u2019ne 2015-2016 y\u0131llar\u0131 aras\u0131nda ba\u015fvurarak yap\u0131lan tetkiklerine g\u00f6re HBsAg-negatif olan ancak ailesinde (anne, baba, e\u015f, karde\u015f ve \u00e7ocuk) kronik [&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":[4968,3525,4894],"class_list":["post-14039","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hbv-dna","tag-hepatit-b","tag-okult-hepatit-b"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14039","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=14039"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14039\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}