{"id":14081,"date":"2021-01-05T01:21:57","date_gmt":"2021-01-04T22:21:57","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kirim-kongo-kanamali-atesi-olgulari-gocmen-kuslarin-rolu\/"},"modified":"2021-01-05T01:21:57","modified_gmt":"2021-01-04T22:21:57","slug":"kirim-kongo-kanamali-atesi-olgulari-gocmen-kuslarin-rolu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kirim-kongo-kanamali-atesi-olgulari-gocmen-kuslarin-rolu\/","title":{"rendered":"K\u0131r\u0131m-Kongo Kanamal\u0131 Ate\u015fi Olgular\u0131: G\u00f6\u00e7men Ku\u015flar\u0131n Rol\u00fc"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada klini\u011fimizde K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA) tan\u0131s\u0131yla izlenen hastalar\u0131n incelenmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: 2009-2018 aras\u0131nda KKKA tan\u0131s\u0131yla izlenen 12 hastan\u0131n klinik \u00f6zellikleri, laboratuvar bulgular\u0131 ve tedavileri retrospektif olarak incelenmi\u015ftir.<\/p>\n<p><strong>Bulgular<\/strong>: Hastalar\u0131n ya\u015f ortalamas\u0131 37.6\u00b113.7 (17-59 aras\u0131), 5 (%42)\u2019si kad\u0131n, 7 (%58)\u2019i erkekti. Hastalar\u0131n t\u00fcm\u00fcnde k\u0131rsal b\u00f6lge ziyareti vard\u0131. En s\u0131k ba\u015fvuru \u015fikayetleri olarak 10 (%83) hastada ate\u015f ve 6 (%50) hastada halsizlik saptand\u0131. Hastalar\u0131n 11 (%92)\u2019i Konya ve \u00e7evresinden, 1 (%8)\u2019i KKKA\u2019n\u0131n endemik oldu\u011fu G\u00fcm\u00fc\u015fhane\u2019den gelmi\u015fti. 10 (%83) hastada kene temas\u0131 saptand\u0131. On hastan\u0131n tan\u0131s\u0131, polimeraz zincir reaksiyonu (PCR) y\u00f6ntemiyle KKKA virusu (CCHFV) RNA pozitifli\u011fi g\u00f6sterilerek; PCR-negatif olan 2 hastada ise ELISA y\u00f6ntemiyle anti-CCHFV IgM antikorlar\u0131 pozitif bulunarak konuldu. D\u00f6rt hastaya kanama nedeniyle kan ve kan \u00fcr\u00fcnleri replasman\u0131 yap\u0131ld\u0131; 5 hastaya oral ribavirin verildi. On bir olguda \u015fifa sa\u011flan\u0131rken bir hasta kaybedildi. Hastanemizde herhangi bir nozokomiyal bula\u015fma g\u00f6r\u00fclmedi.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: KKKA\u2019n\u0131n \u00f6nlenmesinde, ki\u015fisel korunma \u00f6nlemlerine \u00f6zen g\u00f6sterilmesi ve kene say\u0131s\u0131n\u0131n azalt\u0131lmas\u0131 sa\u011flanmal\u0131d\u0131r. \u00d6zellikle k\u0131rsal kesimde ya\u015fayan vatanda\u015flara ve sa\u011fl\u0131k personeline KKKA bula\u015fma yollar\u0131, korunma y\u00f6ntemleri ve kenelerle ilgili e\u011fitim verilmelidir. Konya\u2019n\u0131n Bey\u015fehir il\u00e7esinde yer alan Bey\u015fehir g\u00f6l\u00fc, g\u00f6\u00e7men ku\u015flar\u0131n g\u00f6\u00e7 yollar\u0131 \u00fczerinde oldu\u011fundan, b\u00f6lge insan\u0131n\u0131n KKKA a\u00e7\u0131s\u0131ndan risk alt\u0131nda oldu\u011fu dikkate al\u0131nmal\u0131d\u0131r. Ate\u015f ve halsizli\u011fi olan, trombositopeni ve karaci\u011fer enzimlerinde y\u00fckselme tespit edilen hastalar\u0131n ay\u0131r\u0131c\u0131 tan\u0131s\u0131nda mutlaka KKKA da d\u00fc\u015f\u00fcn\u00fclmelidir.\u00a0<\/p>\n<p>Klimik Dergisi 2019; 32(3): 292-7.<\/p>\n<p><strong>Cite this article as<\/strong>: Kepenek-Kurt E, Kandemir B, Erayman \u0130, Bulut R, Bitirgen M. [Crimean-Congo haemorrhagic fever and the role of the migrating birds]. Klimik Derg. 2019; 32(3): 292-7. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7al\u0131\u015fmada klini\u011fimizde K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA) tan\u0131s\u0131yla izlenen hastalar\u0131n incelenmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: 2009-2018 aras\u0131nda KKKA tan\u0131s\u0131yla izlenen 12 hastan\u0131n klinik \u00f6zellikleri, laboratuvar bulgular\u0131 ve tedavileri retrospektif olarak incelenmi\u015ftir. Bulgular: Hastalar\u0131n ya\u015f ortalamas\u0131 37.6\u00b113.7 (17-59 aras\u0131), 5 (%42)\u2019si kad\u0131n, 7 (%58)\u2019i erkekti. Hastalar\u0131n t\u00fcm\u00fcnde k\u0131rsal b\u00f6lge ziyareti vard\u0131. En s\u0131k ba\u015fvuru \u015fikayetleri olarak 10 [&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":[2660,4955],"class_list":["post-14081","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-epidemiyoloji","tag-kirimkongo-kanamali-ates-virusu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14081","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=14081"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14081\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14081"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14081"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}