{"id":14297,"date":"2021-01-05T01:22:20","date_gmt":"2021-01-04T22:22:20","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/doksan-alti-bruselloz-olgusu-retrospektif-bir-degerlendirme\/"},"modified":"2021-01-05T01:22:20","modified_gmt":"2021-01-04T22:22:20","slug":"doksan-alti-bruselloz-olgusu-retrospektif-bir-degerlendirme","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/doksan-alti-bruselloz-olgusu-retrospektif-bir-degerlendirme\/","title":{"rendered":"Doksan Alt\u0131 Bruselloz Olgusu: Retrospektif Bir De\u011ferlendirme"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada Do\u011fu Anadolu B\u00f6lgesi\u2019nde bir devlet hastanesinde izlenen brusellozlu hastalar\u0131n epidemiyolojik, klinik, laboratuvar ve tedavi \u00f6zelliklerinin ve tedaviye cevaplar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7land\u0131.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Bruselloz tan\u0131s\u0131 konulup tedavi uygulanan 96 hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirildi.<\/p>\n<p><strong>Bulgular<\/strong>: Hastalar\u0131n ortalama ya\u015f\u0131 53\u00b133.9 (ya\u015f aral\u0131\u011f\u0131 15-84) olup, 55 (%57)\u2019i kad\u0131nd\u0131. Meslek da\u011f\u0131l\u0131m\u0131 a\u00e7\u0131s\u0131ndan, hastalar\u0131n 36 (%38)\u2019s\u0131 ev han\u0131m\u0131yd\u0131. 17 (%18)\u2019si hayvanc\u0131l\u0131kla u\u011fra\u015fmaktayd\u0131 ve 25 (%26)\u2019i k\u0131rsal kesimde ya\u015famaktayd\u0131. Klinik olarak olgular\u0131n 75 (%78)\u2019i akut g\u00f6r\u00fcn\u00fcmdeydi. Past\u00f6rize edilmemi\u015f s\u00fct ve s\u00fct \u00fcr\u00fcnlerinin t\u00fcketimi en s\u0131k saptanan bula\u015fma yoluydu. Ba\u015fl\u0131ca semptomlar, ate\u015f, halsizlik, eklem ve kas a\u011fr\u0131s\u0131 ve terleme \u015feklindeydi. En s\u0131k saptanan bulgular, ate\u015f, hepatomegali ve splenomegaliydi. C-reaktif protein ve eritrosit sedimantasyon h\u0131z\u0131 art\u0131\u015f\u0131 s\u0131ras\u0131yla %46 ve %41 olarak bulundu. Hepatit %38, hematolojik tutulum %33, gastrointestinal tutulum %22, osteoartik\u00fcler tutulum %5, deri tutulumu %2 ve maj\u00f6r depresyon %1 oranlar\u0131nda g\u00f6r\u00fcld\u00fc. En s\u0131k uygulanan tedavi rejimi, doksisiklin ve streptomisin kombinasyonuydu. Olgularda tedavi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131 veya tedavi bitiminden bir y\u0131l sonra relaps g\u00f6zlenmedi.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Bruselloz, \u00e7ok farkl\u0131 klinik tablolar\u0131 olan bir infeksiyon hastal\u0131\u011f\u0131d\u0131r. \u00d6zellikle T\u00fcrkiye gibi hastal\u0131\u011f\u0131n endemik oldu\u011fu \u00fclkelerde, prognozla erken \u015f\u00fcphe, tan\u0131 ve uygun tedavi aras\u0131nda g\u00fc\u00e7l\u00fc bir ili\u015fki oldu\u011fu unutulmamal\u0131d\u0131r. Klimik Dergisi 2019; 32(2): 168-73.<\/p>\n<p><strong>Cite this article as<\/strong>: G\u00fcler M, Avc\u0131 M, G\u00f6kg\u00f6z A. [Ninety-six cases of brucellosis: a retrospective evaluation]. Klimik Derg. 2019; 32(2): 168-73. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7al\u0131\u015fmada Do\u011fu Anadolu B\u00f6lgesi\u2019nde bir devlet hastanesinde izlenen brusellozlu hastalar\u0131n epidemiyolojik, klinik, laboratuvar ve tedavi \u00f6zelliklerinin ve tedaviye cevaplar\u0131n\u0131n de\u011ferlendirilmesi ama\u00e7land\u0131. Y\u00f6ntemler: Bruselloz tan\u0131s\u0131 konulup tedavi uygulanan 96 hasta geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Bulgular: Hastalar\u0131n ortalama ya\u015f\u0131 53\u00b133.9 (ya\u015f aral\u0131\u011f\u0131 15-84) olup, 55 (%57)\u2019i kad\u0131nd\u0131. Meslek da\u011f\u0131l\u0131m\u0131 a\u00e7\u0131s\u0131ndan, hastalar\u0131n 36 (%38)\u2019s\u0131 ev han\u0131m\u0131yd\u0131. [&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":[2821,2660,3716,3717],"class_list":["post-14297","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bruselloz","tag-epidemiyoloji","tag-tani","tag-tedavi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14297","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=14297"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14297\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}