{"id":14333,"date":"2021-01-05T01:22:23","date_gmt":"2021-01-04T22:22:23","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kardiyotorasik-cerrahi-sonrasi-cerrahi-alan-infeksiyonlari-insidansi-ve-risk-faktorlerinin-arastirilmasi\/"},"modified":"2021-01-05T01:22:23","modified_gmt":"2021-01-04T22:22:23","slug":"kardiyotorasik-cerrahi-sonrasi-cerrahi-alan-infeksiyonlari-insidansi-ve-risk-faktorlerinin-arastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kardiyotorasik-cerrahi-sonrasi-cerrahi-alan-infeksiyonlari-insidansi-ve-risk-faktorlerinin-arastirilmasi\/","title":{"rendered":"Kardiyotorasik Cerrahi Sonras\u0131 Cerrahi Alan \u0130nfeksiyonlar\u0131 \u0130nsidans\u0131 ve Risk Fakt\u00f6rlerinin Ara\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 kalp-damar ve g\u00f6\u011f\u00fcs cerrahisi sonras\u0131 geli\u015fen cerrahi alan infeksiyonu (CA\u0130) insidans\u0131 ve risk fakt\u00f6rlerinin ara\u015ft\u0131r\u0131lmas\u0131d\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmaya Haziran 2011-May\u0131s 2012 tarihleri aras\u0131nda, Gazi \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi, Kardiyovask\u00fcler Cerrahi ve G\u00f6\u011f\u00fcs Cerrahisi \u00dcnitelerinde cerrahi operasyon ge\u00e7irmi\u015f olan hastalar al\u0131nm\u0131\u015ft\u0131r. S\u00fcrveyans, hasta ve laboratuvar temelli, aktif, prospektif olarak yap\u0131lm\u0131\u015ft\u0131r. CA\u0130 tan\u0131s\u0131, Centers for Disease Control and Prevention ve Ulusal Hastane Enfeksiyonlar\u0131 S\u00fcrveyans ve Kontrol Birimi taraf\u0131ndan yay\u0131mlanan tan\u0131mlama kriterlerine g\u00f6re konmu\u015ftur. CA\u0130 h\u0131z\u0131 hesaplan\u0131rken CA\u0130 say\u0131s\u0131\/toplam operasyon say\u0131s\u0131\u00d7100 form\u00fcl\u00fc, CA\u0130 insidans dansitesi hesaplan\u0131rken CA\u0130 say\u0131s\u0131\/toplam hasta yat\u0131\u015f g\u00fcn\u00fc\u00d71000 form\u00fcl\u00fc kullan\u0131lm\u0131\u015ft\u0131r. Her operasyon i\u00e7in risk kategorileri belirlenmi\u015f; bu kategoriler, National Nosocomial Infection Surveillance (NNIS) risk indeksi do\u011frultusunda hesaplanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Bulgular<\/strong>: 238 hastada toplam 22 CA\u0130 saptand\u0131; insidans dansitesi 7.04\/1000 yat\u0131\u015f g\u00fcn\u00fc olarak hesapland\u0131. CA\u0130\u2019lerin 6 (%27)\u2019s\u0131 y\u00fczeyel primer insizyonel, 11 (%50)\u2019i derin primer insizyonel, 5 (%23)\u2019i organ\/bo\u015fluk infeksiyonu olarak bulundu. T\u00fcm CA\u0130\u2019ler incelendi\u011finde CA\u0130 geli\u015fim riski a\u00e7\u0131s\u0131ndan American Society of Anesthesiologists (ASA) skorunun y\u00fcksek olmas\u0131, anlaml\u0131 bulunmu\u015ftur. 65 ya\u015f \u00fcst\u00fc hastalar i\u00e7in hastane yat\u0131\u015f s\u00fcresinin uzamas\u0131n\u0131n CA\u0130 geli\u015fimini art\u0131rd\u0131\u011f\u0131 tespit edilmi\u015ftir. NNIS sistemi risk indeksiyle CA\u0130 geli\u015fimi aras\u0131nda ise pozitif y\u00f6nde zay\u0131f korelasyon bulunmu\u015ftur. Diabetes mellitus varl\u0131\u011f\u0131 y\u00fczeyel CA\u0130, malignite varl\u0131\u011f\u0131 ise organ\/bo\u015fluk infeksiyonlar\u0131 a\u00e7\u0131s\u0131ndan anlaml\u0131 risk fakt\u00f6rleri olarak bulunmu\u015ftur. \u00c7al\u0131\u015fmaya al\u0131nan 238 hastan\u0131n 23 (%9.7)\u2019\u00fcnde mortalite saptanm\u0131\u015ft\u0131r. CA\u0130 geli\u015fimiyle mortalite aras\u0131nda anlaml\u0131 ili\u015fki saptanmam\u0131\u015ft\u0131r.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: \u0130nfeksiyon kontrol\u00fcn\u00fcn bir par\u00e7as\u0131 olarak CA\u0130 s\u00fcrveyans\u0131n\u0131n yap\u0131lmas\u0131 \u00f6ncelik ta\u015f\u0131maktad\u0131r. Risk fakt\u00f6rlerinin de belirlenerek bunlar\u0131n sonucunda geli\u015ftirilen infeksiyon kontrol politikalar\u0131n\u0131n etkinli\u011finin izlenmesi, CA\u0130\u2019lerin y\u00f6netimi i\u00e7in gereklidir. Klimik Dergisi 2019; 32(2): 182-9.<\/p>\n<p><strong>Cite this article as<\/strong>: Telli-Dizman G, Akta\u015f F, S\u00f6k\u00fclmez-Y\u0131ld\u0131r\u0131m S, U\u011fra\u015f-Dikmen A. [Investigation of incidence and risk factors of surgical site infections after cardiothoracic surgery]. Klimik Derg. 2019; 32(2): 182-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 kalp-damar ve g\u00f6\u011f\u00fcs cerrahisi sonras\u0131 geli\u015fen cerrahi alan infeksiyonu (CA\u0130) insidans\u0131 ve risk fakt\u00f6rlerinin ara\u015ft\u0131r\u0131lmas\u0131d\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fmaya Haziran 2011-May\u0131s 2012 tarihleri aras\u0131nda, Gazi \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi, Kardiyovask\u00fcler Cerrahi ve G\u00f6\u011f\u00fcs Cerrahisi \u00dcnitelerinde cerrahi operasyon ge\u00e7irmi\u015f olan hastalar al\u0131nm\u0131\u015ft\u0131r. S\u00fcrveyans, hasta ve laboratuvar temelli, aktif, prospektif olarak yap\u0131lm\u0131\u015ft\u0131r. CA\u0130 tan\u0131s\u0131, Centers [&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":[4453,4872,4372,4870],"class_list":["post-14333","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-cerrahi-alan-infeksiyonlari","tag-gogus-cerrahisi","tag-infeksiyon-kontrolu","tag-kalp-ve-damar-cerrahisi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14333","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=14333"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14333\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}