{"id":14453,"date":"2021-01-05T01:22:31","date_gmt":"2021-01-04T22:22:31","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/saglik-personelinde-kizamik-kizamikcik-kabakulak-ve-sucicegi-seroprevalansinin-degerlendirilmesi\/"},"modified":"2021-01-05T01:22:31","modified_gmt":"2021-01-04T22:22:31","slug":"saglik-personelinde-kizamik-kizamikcik-kabakulak-ve-sucicegi-seroprevalansinin-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/saglik-personelinde-kizamik-kizamikcik-kabakulak-ve-sucicegi-seroprevalansinin-degerlendirilmesi\/","title":{"rendered":"Sa\u011fl\u0131k Personelinde K\u0131zam\u0131k, K\u0131zam\u0131k\u00e7\u0131k, Kabakulak ve Su\u00e7i\u00e7e\u011fi Seroprevalans\u0131n\u0131n De\u011ferlendirilmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Sa\u011fl\u0131k personeli, infeksiyon hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan toplum geneline g\u00f6re artm\u0131\u015f bir\u00a0 risk alt\u0131ndad\u0131r. Sa\u011fl\u0131k personelinin ba\u011f\u0131\u015f\u0131klanmas\u0131, hem personelin korunmas\u0131n\u0131 sa\u011flayacak hem de sa\u011fl\u0131k hizmeti verilen ortamlarda ve toplumda hastal\u0131klar\u0131n yay\u0131l\u0131m\u0131n\u0131 \u00f6nleyecektir. Bu \u00e7al\u0131\u015fmada, hastanemizin sa\u011fl\u0131k personelinde a\u015f\u0131yla \u00f6nlenebilir hastal\u0131klardan olan k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak (KKK) ve su\u00e7i\u00e7e\u011fi antikorlar\u0131n\u0131n belirlenerek etkin bir ba\u011f\u0131\u015f\u0131klama program\u0131 olu\u015fturulmas\u0131 ve serolojik taraman\u0131n maliyet etkinli\u011finin de\u011ferlendirilmesi ama\u00e7land\u0131.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Bu \u00e7al\u0131\u015fma 10 Mart \u00a02014-10 Ocak 2015 tarihleri aras\u0131nda B\u00fclent Ecevit \u00dcniversitesi Sa\u011fl\u0131k Uygulama ve Ara\u015ft\u0131rma Merkezi\u2019nde yap\u0131ld\u0131. Kat\u0131l\u0131mc\u0131lar\u0131n ya\u015f, cinsiyet, meslek, b\u00f6l\u00fcm, \u00e7al\u0131\u015fma s\u00fcreleri, \u00e7ocukluklar\u0131n\u0131n ge\u00e7ti\u011fi yerle\u015fim birimleri, hastal\u0131k ge\u00e7irme \u00f6yk\u00fcleri ve a\u015f\u0131lanma durumlar\u0131 bir anket formuyla sorguland\u0131. Spesifik IgG antikorlar\u0131 \u201cenzyme-linked immunosorbent assay\u201d y\u00f6ntemiyle ara\u015ft\u0131r\u0131ld\u0131.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmaya toplam 384 g\u00f6n\u00fcll\u00fc sa\u011fl\u0131k personeli dahil edilmi\u015f olup kat\u0131lanlar\u0131n %61.2\u2019si kad\u0131n, %38.8\u2019i erkek, ya\u015f ortalamas\u0131 32.43\u00b16.4 idi. Serolojik test sonu\u00e7lar\u0131 de\u011ferlendirildi\u011finde seropozitiflik d\u00fczeylerinin k\u0131zam\u0131k i\u00e7in %92.2, k\u0131zam\u0131k\u00e7\u0131k i\u00e7in %98.2, kabakulak i\u00e7in %94 ve su\u00e7i\u00e7e\u011fi i\u00e7in %94.3 oldu\u011fu belirlendi. Sa\u011fl\u0131k personelinde hastal\u0131k ge\u00e7irme \u00f6yk\u00fcs\u00fcn\u00fcn duyarl\u0131l\u0131\u011f\u0131 kabakulak ve k\u0131zam\u0131k i\u00e7in y\u00fcksek de\u011ferlerde bulunurken (s\u0131ras\u0131yla %81.6 ve %80.5), k\u0131zam\u0131k\u00e7\u0131k i\u00e7in %43.4 oldu\u011fu bulundu. Hastal\u0131\u011f\u0131 ge\u00e7irme \u00f6yk\u00fcs\u00fc i\u00e7in pozitif prediktif de\u011ferler, k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak ve su\u00e7i\u00e7e\u011fi i\u00e7in s\u0131ras\u0131yla %95.6, %98.9, %97.5 ve %96.9 olarak saptand\u0131. Maliyet etkinlik \u00e7al\u0131\u015fmas\u0131 sonucunda, gerek KKK gerekse su\u00e7i\u00e7e\u011fi i\u00e7in serolojik tarama yap\u0131larak a\u015f\u0131lama uygulanmas\u0131 lehine s\u0131ras\u0131yla 1432 TL ve 18 253 TL gibi bir maliyet fark\u0131 saptand\u0131. \u00d6zellikle su\u00e7i\u00e7e\u011fi i\u00e7in a\u015f\u0131lama \u00f6ncesi \u00f6yk\u00fc negatifli\u011finin veya seronegatifli\u011fin g\u00f6sterilmesinin maliyet etkin oldu\u011fu belirlendi.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: \u00d6zellikle riskli b\u00f6l\u00fcmlerde \u00e7al\u0131\u015fan sa\u011fl\u0131k personelinin ba\u011f\u0131\u015f\u0131kl\u0131k durumunun serolojik testlerle taranmas\u0131 ve duyarl\u0131 sa\u011fl\u0131k personelinin a\u015f\u0131lanmas\u0131 gerekti\u011fi sonucuna var\u0131lm\u0131\u015ft\u0131r.\u00a0Klimik Dergisi 2019; 32(1): 46-51.<\/p>\n<p> <strong>Cite this article as<\/strong>: \u015eeng\u00f6z M, Pi\u015fkin N, Aydemir H, et al. [Seroprevalence of measles, rubella, mumps and varicella in health care workers]. Klimik Derg. 2019; 32(1): 46-51. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Sa\u011fl\u0131k personeli, infeksiyon hastal\u0131klar\u0131 a\u00e7\u0131s\u0131ndan toplum geneline g\u00f6re artm\u0131\u015f bir\u00a0 risk alt\u0131ndad\u0131r. Sa\u011fl\u0131k personelinin ba\u011f\u0131\u015f\u0131klanmas\u0131, hem personelin korunmas\u0131n\u0131 sa\u011flayacak hem de sa\u011fl\u0131k hizmeti verilen ortamlarda ve toplumda hastal\u0131klar\u0131n yay\u0131l\u0131m\u0131n\u0131 \u00f6nleyecektir. Bu \u00e7al\u0131\u015fmada, hastanemizin sa\u011fl\u0131k personelinde a\u015f\u0131yla \u00f6nlenebilir hastal\u0131klardan olan k\u0131zam\u0131k, k\u0131zam\u0131k\u00e7\u0131k, kabakulak (KKK) ve su\u00e7i\u00e7e\u011fi antikorlar\u0131n\u0131n belirlenerek etkin bir ba\u011f\u0131\u015f\u0131klama program\u0131 olu\u015fturulmas\u0131 ve [&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":[4851,4262,2952],"class_list":["post-14453","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-asi","tag-saglik-personeli","tag-seroprevalans"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14453","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=14453"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14453\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}