{"id":14591,"date":"2021-01-05T01:22:42","date_gmt":"2021-01-04T22:22:42","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/gebelikteki-anti-hiv-pozitifligi-yenidoganda-hiv-profilaksisini-gerektirir-mi\/"},"modified":"2021-01-05T01:22:42","modified_gmt":"2021-01-04T22:22:42","slug":"gebelikteki-anti-hiv-pozitifligi-yenidoganda-hiv-profilaksisini-gerektirir-mi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/gebelikteki-anti-hiv-pozitifligi-yenidoganda-hiv-profilaksisini-gerektirir-mi\/","title":{"rendered":"Gebelikteki Anti-HIV Pozitifli\u011fi Yenido\u011fanda HIV Profilaksisini Gerektirir mi?"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <span lang=\"EN-US\"><strong>Ama\u00e7<\/strong>: Gebelere, do\u011fum \u00f6ncesi anti-HIV tarama testi \u00f6nerilmekte ve gerekiyorsa antiretroviral tedaviye ula\u015fmas\u0131 sa\u011flanmaktad\u0131r. Ancak gebelik, yalanc\u0131 anti-HIV ELISA testi pozitifli\u011finin s\u0131kl\u0131kla saptand\u0131\u011f\u0131 bir durumdur. Bu \u00e7al\u0131\u015fmada, gebelerde 4. ku\u015fak anti-HIV ELISA ile pozitif saptanan test sonu\u00e7lar\u0131n\u0131n do\u011frulanmas\u0131n\u0131 ve yenido\u011fan antiretroviral profilaksinin gereklili\u011fini de\u011ferlendirmeyi ama\u00e7lad\u0131k. <\/p>\n<p> \u00a0<\/p>\n<p> <span lang=\"EN-US\"><strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmaya 2015 y\u0131l\u0131nda, \u0130stanbul\u2019da, \u00f6rnekleri 4. ku\u015fak anti-HIV ELISA testiyle analiz edilmi\u015f 19 783 kad\u0131n dahil edildi. Anti-HIV-pozitif olarak saptanan \u00f6rnekler \u201cWestern blot\u201d test tekni\u011fiyle do\u011frulamaya al\u0131nd\u0131. Kad\u0131nlardan elde edilen \u00f6rnekler, gebe olanlara (n=14 025) ve gebe olmayanlara (n=5758) ait \u00f6rnekler olmak \u00fczere iki gruba ayr\u0131ld\u0131.<\/p>\n<p> \u00a0<\/p>\n<p> <span lang=\"EN-US\"><strong>Bulgular<\/strong>: Gebe grubundaki kad\u0131nlar\u0131n \u00f6rneklerinin 38 (%0.27)\u2019inde anti-HIV pozitifli\u011fi saptand\u0131 ve 36\u2019s\u0131nda anti-HIV testinin sonucu yalanc\u0131 pozitif olarak tan\u0131mland\u0131 (anti-HIV S\/Co de\u011feri ortalamas\u0131 X=2.45). Gebe olmayan kad\u0131nlar\u0131n \u00f6rneklerinin 6 (%0.10)\u2019s\u0131nda anti-HIV pozitifli\u011fi saptand\u0131 ve t\u00fcm sonu\u00e7lar yalanc\u0131 pozitif olarak tan\u0131mland\u0131 (anti-HIV S\/Co de\u011feri ortalamas\u0131 X=2.22). Gebe kad\u0131nlarla gebe olmayan kad\u0131nlar aras\u0131ndaki fark istatistiksel olarak anlaml\u0131 bulundu (p=0.034). <\/p>\n<p> \u00a0<\/p>\n<p> <span lang=\"EN-US\"><strong>Sonu\u00e7lar<\/strong>: \u00c7al\u0131\u015fmam\u0131z, \u00fclkemizde gebeli\u011fin 4. ku\u015fak anti-HIV ELISA tekni\u011fine ra\u011fmen yalanc\u0131 pozitifli\u011fe yol a\u00e7an bir risk fakt\u00f6r\u00fc oldu\u011funu g\u00f6stermektedir. Ayr\u0131ca gebelikte do\u011frulanamayan anti-HIV-pozitif sonu\u00e7lara ra\u011fmen ilgili her yenido\u011fanda antiretroviral ila\u00e7 profilaksisinin gerekli olmayabilece\u011fini g\u00f6stermektedir. Do\u011fum eylemi \u00f6ncesinde gebede 4. ku\u015fak ELISA ile elde edilmi\u015f anti-HIV pozitifli\u011finin h\u0131zla \u201creal-time\u201d PCR ile do\u011frulamaya al\u0131nmas\u0131 ve yenido\u011fanda gereksiz antiretroviral kullan\u0131m\u0131n\u0131n \u00f6n\u00fcne ge\u00e7ilmesi tart\u0131\u015f\u0131lmal\u0131d\u0131r. Klimik Dergisi 2018; 31(3): 210-3.<\/p>\n<p> \u00a0<\/p>\n<p> <span lang=\"EN-US\"><strong>Cite this article as<\/strong>: Sayan M, \u0130nci A, \u015eanl\u0131 K. [Does anti-HIV positivity in pregnancy suggest the requirement of HIV prophylaxis for newborn?]. Klimik Derg. 2018; 31(3): 210-3. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Gebelere, do\u011fum \u00f6ncesi anti-HIV tarama testi \u00f6nerilmekte ve gerekiyorsa antiretroviral tedaviye ula\u015fmas\u0131 sa\u011flanmaktad\u0131r. Ancak gebelik, yalanc\u0131 anti-HIV ELISA testi pozitifli\u011finin s\u0131kl\u0131kla saptand\u0131\u011f\u0131 bir durumdur. Bu \u00e7al\u0131\u015fmada, gebelerde 4. ku\u015fak anti-HIV ELISA ile pozitif saptanan test sonu\u00e7lar\u0131n\u0131n do\u011frulanmas\u0131n\u0131 ve yenido\u011fan antiretroviral profilaksinin gereklili\u011fini de\u011ferlendirmeyi ama\u00e7lad\u0131k. \u00a0 Y\u00f6ntemler: \u00c7al\u0131\u015fmaya 2015 y\u0131l\u0131nda, \u0130stanbul\u2019da, \u00f6rnekleri 4. ku\u015fak [&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":[2810,3875,3228,4796,3177,4797],"class_list":["post-14591","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-elisa","tag-gebelik","tag-hiv","tag-western-blotting","tag-yenidogan","tag-zidovudin"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14591","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=14591"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14591\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14591"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}