{"id":14339,"date":"2021-01-05T01:22:23","date_gmt":"2021-01-04T22:22:23","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/saglik-bakimiyla-iliskili-infeksiyonlarin-kontrolunde-cok-yonlu-calismalarin-onemi\/"},"modified":"2021-01-05T01:22:23","modified_gmt":"2021-01-04T22:22:23","slug":"saglik-bakimiyla-iliskili-infeksiyonlarin-kontrolunde-cok-yonlu-calismalarin-onemi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/saglik-bakimiyla-iliskili-infeksiyonlarin-kontrolunde-cok-yonlu-calismalarin-onemi\/","title":{"rendered":"Sa\u011fl\u0131k Bak\u0131m\u0131yla \u0130li\u015fkili \u0130nfeksiyonlar\u0131n Kontrol\u00fcnde \u00c7ok Y\u00f6nl\u00fc \u00c7al\u0131\u015fmalar\u0131n \u00d6nemi"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmayla \u00e7ok ilaca diren\u00e7li patojenlerin neden oldu\u011fu sa\u011fl\u0131k bak\u0131m\u0131yla ili\u015fkili (SB\u0130) infeksiyonlar (SB\u0130\u0130)\u2019\u0131n y\u00fcksek oranda g\u00f6r\u00fcld\u00fc\u011f\u00fc T\u00fcrkiye&#39;de, SB\u0130\u0130&#39;nin \u00f6nlenmesi i\u00e7in \u00f6zel bir hastanede yap\u0131lan uygulamalar ve bu uygulamalar\u0131n etkinli\u011finin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fma 1 Ocak 2011 ile 31 Aral\u0131k 2018 aras\u0131nda SB\u0130\u0130 olan t\u00fcm hastalar\u0131 kapsamaktad\u0131r. SB\u0130\u0130 h\u0131zlar\u0131, Centers for Disease Control and Prevention kriterlerine g\u00f6re hesaplanm\u0131\u015ft\u0131r. Al\u0131nan infeksiyon kontrol \u00f6nlemleri y\u0131llara g\u00f6re belirtilmi\u015ftir.<\/p>\n<p><strong>Bulgular<\/strong>: \u00c7al\u0131\u015fma s\u00fcresi boyunca toplam 252 hastada SB\u0130\u0130 saptanm\u0131\u015ft\u0131r. SB\u0130\u0130 i\u00e7inde en \u00e7ok g\u00f6r\u00fclenler s\u0131ras\u0131yla SB\u0130 kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 (KD\u0130) (%33), cerrahi alan infeksiyonlar\u0131 (CA\u0130) (%29), SB\u0130 \u00fcriner sistem infeksiyonlar\u0131 (\u00dcS\u0130) (%24) ve SB\u0130 pn\u00f6moni (%14)\u2019dir. SB\u0130-KD\u0130\u2019nin %84.5 (71\/84)\u2019i santral ven\u00f6z kateterle ili\u015fkili (SVK) KD\u0130 iken %15.5\u2019i primer KD\u0130, SB\u0130-\u00dcS\u0130\u2019nin %96.7\u2019si kateterle ili\u015fkili (K\u0130) \u00dcS\u0130, SB\u0130 pn\u00f6monilerin %69.4\u2019\u00fc ventilat\u00f6rle ili\u015fkili pn\u00f6moni (V\u0130P) ve CA\u0130\u2019nin %34.7\u2019\u00fc y\u00fczeyel insizyonel, %11.1\u2019i derin insizyonel ve %54.2\u2019si organ\/bo\u015fluk infeksiyonu olarak saptanm\u0131\u015ft\u0131r. 2011 y\u0131l\u0131nda V\u0130P h\u0131z\u0131 4.85 iken 2018\u2019de 0.11\u2019e, SVK-KD\u0130 h\u0131z\u0131 2.32 iken 2017\u2019de 0.01\u2019e ve hematolojik hastalarda SVK-KD\u0130 h\u0131z\u0131 2011\u2019de 3.39 iken 2018\u2019de 0.55\u2019e gerilemi\u015ftir. SB\u0130\u0130 etkenlerine bakt\u0131\u011f\u0131m\u0131zda SVK-KD\u0130\u2019de en s\u0131k etkenler stafilokoklar, V\u0130P\u2019te Pseudomonas t\u00fcrleri, K\u0130-\u00dcS\u0130\u2019de ve CA\u0130\u2019de Escherichia coli olarak saptanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: Hastanemizde V\u0130P ve SVK-KD\u0130 h\u0131zlar\u0131 \u00fclkemize ve hastane ko\u015fullar\u0131m\u0131za g\u00f6re al\u0131nan infeksiyon kontrol \u00f6nlemleri sayesinde belirgin olarak d\u00fc\u015f\u00fcr\u00fclm\u00fc\u015ft\u00fcr. \u0130nfeksiyonlar\u0131n yok denecek kadar az d\u00fczeye indirilmesi i\u00e7in \u00e7ok say\u0131da yeni uygulama hayata ge\u00e7irilmi\u015ftir. Klimik Dergisi 2019; 32(2): 190-4.<\/p>\n<p><strong>Cite this article as<\/strong>: Keske \u015e. [Significance of multidirectional studies in control of health care-associated infections]. Klimik Derg. 2019; 32(2): 190-4. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7al\u0131\u015fmayla \u00e7ok ilaca diren\u00e7li patojenlerin neden oldu\u011fu sa\u011fl\u0131k bak\u0131m\u0131yla ili\u015fkili (SB\u0130) infeksiyonlar (SB\u0130\u0130)\u2019\u0131n y\u00fcksek oranda g\u00f6r\u00fcld\u00fc\u011f\u00fc T\u00fcrkiye&#39;de, SB\u0130\u0130&#39;nin \u00f6nlenmesi i\u00e7in \u00f6zel bir hastanede yap\u0131lan uygulamalar ve bu uygulamalar\u0131n etkinli\u011finin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fma 1 Ocak 2011 ile 31 Aral\u0131k 2018 aras\u0131nda SB\u0130\u0130 olan t\u00fcm hastalar\u0131 kapsamaktad\u0131r. SB\u0130\u0130 h\u0131zlar\u0131, Centers for Disease Control and [&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":[4372,4543],"class_list":["post-14339","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-infeksiyon-kontrolu","tag-saglik-bakimiyla-iliskili-infeksiyonlar"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14339","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=14339"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14339\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14339"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}