{"id":14705,"date":"2021-01-05T01:22:50","date_gmt":"2021-01-04T22:22:50","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/pyodermisi-olan-hastalarda-toplum-kokenli-metisiline-direncli-staphylococcus-aureus-sikliginin-ve-burun-tasiyiciliginin-belirlenmesi\/"},"modified":"2021-01-05T01:22:50","modified_gmt":"2021-01-04T22:22:50","slug":"pyodermisi-olan-hastalarda-toplum-kokenli-metisiline-direncli-staphylococcus-aureus-sikliginin-ve-burun-tasiyiciliginin-belirlenmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/pyodermisi-olan-hastalarda-toplum-kokenli-metisiline-direncli-staphylococcus-aureus-sikliginin-ve-burun-tasiyiciliginin-belirlenmesi\/","title":{"rendered":"Pyodermisi Olan Hastalarda Toplum K\u00f6kenli Metisiline Diren\u00e7li Staphylococcus aureus S\u0131kl\u0131\u011f\u0131n\u0131n ve Burun Ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131n\u0131n Belirlenmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Son y\u0131llarda, toplumdan kazan\u0131lm\u0131\u015f metisiline diren\u00e7li Staphylococcus aureus (TK-MRSA) infeksiyonlar\u0131n\u0131n giderek yayg\u0131nla\u015ft\u0131\u011f\u0131 ve bu bakterilerin en s\u0131k olarak deri ve deriyle ili\u015fkili yap\u0131lar\u0131n infeksiyonlar\u0131na neden oldu\u011fu bildirilmektedir. \u00c7al\u0131\u015fmam\u0131zda pyodermili hastalarda TK-MRSA s\u0131kl\u0131\u011f\u0131n\u0131n ve burun ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong><br \/><\/br> Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmam\u0131zda, Kas\u0131m 2011-A\u011fustos 2013 tarihleri aras\u0131nda, Centers for Disease Control and Prevention\u2019\u0131n \u201ctoplumdan kazan\u0131lm\u0131\u015f infeksiyon\u201d kriterlerine uyan 38 hastadan al\u0131nan deri lezyonu ve burun s\u00fcr\u00fcnt\u00fcs\u00fc \u00f6rnekleri de\u011ferlendirilmi\u015ftir. Ayr\u0131ca hastalar, ya\u015f, cinsiyet, evde ya\u015fayan ki\u015fi say\u0131s\u0131, evde s\u0131k hastaneye yat\u0131\u015f \u00f6yk\u00fcs\u00fc olan birey olmas\u0131, kronik hastal\u0131klar, son alt\u0131 ayd\u0131r antibiyotik kullan\u0131m\u0131 ve poliklinik ba\u015fvurusu gibi demografik \u00f6zelliklerle di\u011fer sa\u011fl\u0131k bak\u0131m\u0131yla ili\u015fkili risk fakt\u00f6rleri a\u00e7\u0131s\u0131ndan da incelenmi\u015ftir. Kontrol grubu yukar\u0131daki kriterlere uyan ve pyodermi d\u0131\u015f\u0131 deri hastal\u0131klar\u0131 olan 103 hastadan olu\u015fturularak burun s\u00fcr\u00fcnt\u00fc \u00f6rnekleri de\u011ferlendirilmi\u015ftir.<\/p>\n<p> <strong><br \/><\/br> Bulgular<\/strong>: Hasta grubunda folik\u00fclit (n=18), furonk\u00fcl (n=7), sel\u00fclit (n=4), apse (n=2), hidradenitis suppurativa (n=2), karbonk\u00fcl (n=1) ve impetigo (n=4) olmak \u00fczere toplam 38 hastadan al\u0131nan s\u00fcr\u00fcnt\u00fc \u00f6rnekleri de\u011ferlendirilmi\u015f ve 2 (%5.3) TK-MRSA izole edilmi\u015ftir. Bunlardan biri folik\u00fclitli hastan\u0131n lezyonundan izole edilmi\u015f, di\u011feri ise farkl\u0131 bir folik\u00fclitli hastan\u0131n lezyonunda saptanmamas\u0131na kar\u015f\u0131n ayn\u0131 hastan\u0131n burun s\u00fcr\u00fcnt\u00fcs\u00fcnden izole edilmi\u015ftir. Kontrol grubundan al\u0131nan burun s\u00fcr\u00fcnt\u00fc \u00f6rneklerinden 1 (%1) TK-MRSA izole edilmi\u015ftir. \u0130zole edilen \u00fc\u00e7 TK-MRSA\u2019da mecA geni tespit edilmi\u015f, mecC ve Panton-Valentine l\u00f6kosidin geni tespit edilmemi\u015ftir. TK-MRSA varl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan iki grup aras\u0131nda anlaml\u0131 bir fark bulunamam\u0131\u015ft\u0131r (Fisher\u2019in kesin testi p=0.177). TK-MRSA izole etti\u011fimiz hastalarda evde ya\u015fayan ki\u015fi say\u0131s\u0131n\u0131n be\u015f ve \u00fczeri olmas\u0131 ortak risk fakt\u00f6r\u00fc olarak g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/p>\n<p> <strong><br \/><\/br> Sonu\u00e7lar<\/strong>: Sonu\u00e7lar\u0131m\u0131z pyodermili hastalarda TK-MRSA s\u0131kl\u0131\u011f\u0131n\u0131n d\u00fc\u015f\u00fck seyretmekte oldu\u011funu g\u00f6stermektedir. TK-MRSA ile ilgili \u00e7al\u0131\u015fmalarda olgu tan\u0131m\u0131 yap\u0131larak hastalar\u0131n incelenmesinin sonu\u00e7lar\u0131n de\u011ferlendirilmesini kolayla\u015ft\u0131raca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnmekteyiz.<\/p>\n<p> <strong><br \/><\/br> Cite this article as<\/strong>: Akg\u00fcn-Karap\u0131nar B, Y\u0131lmaz M, \u00d6mero\u011flu M, Erbudak E, Akda\u011f-K\u00f6se A, Ayd\u0131n D. [Determination of frequency and nasal carriage of community-acquired methicillin-resistant Staphylococcus aureus in patients with pyoderma]. Klimik Derg. 2018; 31(2): 115-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Son y\u0131llarda, toplumdan kazan\u0131lm\u0131\u015f metisiline diren\u00e7li Staphylococcus aureus (TK-MRSA) infeksiyonlar\u0131n\u0131n giderek yayg\u0131nla\u015ft\u0131\u011f\u0131 ve bu bakterilerin en s\u0131k olarak deri ve deriyle ili\u015fkili yap\u0131lar\u0131n infeksiyonlar\u0131na neden oldu\u011fu bildirilmektedir. \u00c7al\u0131\u015fmam\u0131zda pyodermili hastalarda TK-MRSA s\u0131kl\u0131\u011f\u0131n\u0131n ve burun ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fmam\u0131zda, Kas\u0131m 2011-A\u011fustos 2013 tarihleri aras\u0131nda, Centers for Disease Control and Prevention\u2019\u0131n \u201ctoplumdan kazan\u0131lm\u0131\u015f infeksiyon\u201d [&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":[2981,3539,3132,4754,2894],"class_list":["post-14705","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-metisilin-direnci","tag-nazal-tasiyicilik","tag-prevalans","tag-pyodermi","tag-staphylococcus-aureus"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14705","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=14705"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14705\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14705"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14705"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14705"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}