{"id":14093,"date":"2021-01-05T01:21:58","date_gmt":"2021-01-04T22:21:58","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/eriskinlerde-gelisen-rekuran-uriner-sistem-infeksiyonlarinda-risk-faktorlerinin-degerlendirilmesi\/"},"modified":"2021-01-05T01:21:58","modified_gmt":"2021-01-04T22:21:58","slug":"eriskinlerde-gelisen-rekuran-uriner-sistem-infeksiyonlarinda-risk-faktorlerinin-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/eriskinlerde-gelisen-rekuran-uriner-sistem-infeksiyonlarinda-risk-faktorlerinin-degerlendirilmesi\/","title":{"rendered":"Eri\u015fkinlerde Geli\u015fen Rek\u00fcran \u00dcriner Sistem \u0130nfeksiyonlar\u0131nda Risk Fakt\u00f6rlerinin De\u011ferlendirilmesi"},"content":{"rendered":"

Ama\u00e7<\/strong>: \u00dcriner sistem infeksiyonu (\u00dcS\u0130) \u00e7o\u011fu kez tedavi gerektirmeyen asemptomatik bakteri\u00fcriden yo\u011fun bak\u0131m \u00fcnitesinde yat\u0131\u015f gerektiren \u00fcrosepsise kadar farkl\u0131 klinik tablolara neden olur. Komplike edici risk fakt\u00f6rleri varl\u0131\u011f\u0131nda, \u00dcS\u0130\u2019lerde tedavi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, rek\u00fcrans ya da morbidite ve mortalite art\u0131\u015f\u0131 g\u00f6r\u00fclmektedir. Bu \u00e7al\u0131\u015fmada, \u00dcS\u0130 tan\u0131s\u0131yla yatarak tedavi g\u00f6ren eri\u015fkinlerde tedavi sonras\u0131 rek\u00fcran \u00dcS\u0130 (R\u00dcS\u0130) geli\u015fimindeki risk fakt\u00f6rlerinin de\u011ferlendirilmesi ama\u00e7land\u0131.<\/p>\n

Y\u00f6ntemler<\/strong>: Ocak 2016-Aral\u0131k 2017 tarihleri aras\u0131nda \u00dcS\u0130 tan\u0131s\u0131yla hastaneye yat\u0131r\u0131lan 136 hastan\u0131n kay\u0131tlar\u0131 retrospektif olarak incelendi ve tedavi sonras\u0131 rek\u00fcrans geli\u015fenler \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Kay\u0131tlardan ilk ba\u015fvuru ve tedavi sonras\u0131 ba\u015fvuru tan\u0131lar\u0131, iki ba\u015fvuru aras\u0131ndaki zaman, risk fakt\u00f6rleri, k\u00fclt\u00fcrlerde \u00fcreyen mikroorganizmalar ve tedavi s\u00fcreleri incelendi.<\/p>\n

Bulgular<\/strong>: 136 hastan\u0131n 23 (%16.9)'\u00fcnde R\u00dcS\u0130 varl\u0131\u011f\u0131 ve R\u00dcS\u0130\u2019lerin 12 (%52.1)'sinde \u00e7o\u011ful diren\u00e7li bir patojenin neden oldu\u011fu saptand\u0131. R\u00dcS\u0130 geli\u015fen 23 hastadan al\u0131nan idrar k\u00fclt\u00fcrleri incelendi\u011finde, en s\u0131k 18 (%78.3) hastada Escherichia coli ve 3 (%13) hastada Pseudomonas aeruginosa \u00fcremesi oldu\u011fu saptand\u0131. Erkek cinsiyet, >65 ya\u015f olmak, evde bak\u0131m hastas\u0131 olmak, temiz aral\u0131kl\u0131 kateterizasyon (TAK) kullan\u0131m\u0131, rezid\u00fcel idrar varl\u0131\u011f\u0131 (>100 ml), spinal kord hasar\u0131 varl\u0131\u011f\u0131, s\u00fcrekli Foley sondas\u0131 varl\u0131\u011f\u0131 (>4 hafta), alt \u00fcriner sistemin n\u00f6rojenik disfonksiyonu ve v\u00fccut d\u0131\u015f\u0131ndan \u015fok dalgalar\u0131yla ta\u015f k\u0131rma (ESWL) \u00f6yk\u00fcs\u00fc istatistiksel olarak anlaml\u0131 risk fakt\u00f6rleri olarak belirlendi.<\/p>\n

Sonu\u00e7lar<\/strong>: R\u00dcS\u0130\u2019lere neden olabilecek risk fakt\u00f6rlerinden olan gereksiz Foley sondas\u0131 uygulanmalar\u0131ndan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r. Ayr\u0131ca, spinal kord hasar\u0131 ve rezid\u00fcel idrar varl\u0131\u011f\u0131 gibi idrar ak\u0131m\u0131n\u0131 azaltan patolojilerin varl\u0131\u011f\u0131nda ve TAK ve ESWL gibi uygulamalara ba\u011fl\u0131 olarak geli\u015febilecek \u00dcS\u0130\u2019leri \u00f6nlemek i\u00e7in yap\u0131labilecekler konusunda ileri \u00e7al\u0131\u015fmalara ihtiya\u00e7 oldu\u011fu kanaatindeyiz.\u00a0<\/p>\n

Klimik Dergisi 2019; 32(3): 303-9.<\/p>\n

Cite this article as<\/strong>: Alkan-\u00c7eviker S, G\u00fcnal \u00d6, K\u0131l\u0131\u00e7 SS. [Investigation of risk factors in recurrent urinary tract infections in adults]. Klimik Derg. 2019; 32(3): 303-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ama\u00e7: \u00dcriner sistem infeksiyonu (\u00dcS\u0130) \u00e7o\u011fu kez tedavi gerektirmeyen asemptomatik bakteri\u00fcriden yo\u011fun bak\u0131m \u00fcnitesinde yat\u0131\u015f gerektiren \u00fcrosepsise kadar farkl\u0131 klinik tablolara neden olur. Komplike edici risk fakt\u00f6rleri varl\u0131\u011f\u0131nda, \u00dcS\u0130\u2019lerde tedavi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, rek\u00fcrans ya da morbidite ve mortalite art\u0131\u015f\u0131 g\u00f6r\u00fclmektedir. Bu \u00e7al\u0131\u015fmada, \u00dcS\u0130 tan\u0131s\u0131yla yatarak tedavi g\u00f6ren eri\u015fkinlerde tedavi sonras\u0131 rek\u00fcran \u00dcS\u0130 (R\u00dcS\u0130) geli\u015fimindeki risk fakt\u00f6rlerinin […]<\/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":[4160,3474,3465],"class_list":["post-14093","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-nuks","tag-risk-faktorleri","tag-uriner-sistem-infeksiyonlari"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14093","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=14093"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14093\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14093"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14093"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14093"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}