Ama\u00e7<\/strong>: Kan k\u00fclt\u00fcr\u00fcn\u00fcn pozitifle\u015fmesi olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131ran hastaya ait fakt\u00f6rlerle birlikte, \u00fcreyen mikroorganizmalar\u0131n da\u011f\u0131l\u0131mlar\u0131n\u0131n de\u011ferlendirilmesi ve kan\u0131n al\u0131nd\u0131\u011f\u0131 s\u0131rada \u00e7e\u015fitli fakt\u00f6rlerin kan k\u00fclt\u00fcr\u00fcn\u00fcn pozitifle\u015fmesi \u00fczerine etkilerinin ortaya konmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n \u00d6zet Ama\u00e7: Kan k\u00fclt\u00fcr\u00fcn\u00fcn pozitifle\u015fmesi olas\u0131l\u0131\u011f\u0131n\u0131 art\u0131ran hastaya ait fakt\u00f6rlerle birlikte, \u00fcreyen mikroorganizmalar\u0131n da\u011f\u0131l\u0131mlar\u0131n\u0131n de\u011ferlendirilmesi ve kan\u0131n al\u0131nd\u0131\u011f\u0131 s\u0131rada \u00e7e\u015fitli fakt\u00f6rlerin kan k\u00fclt\u00fcr\u00fcn\u00fcn pozitifle\u015fmesi \u00fczerine etkilerinin ortaya konmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: V\u00fccut s\u0131cakl\u0131\u011f\u0131 \u226538\u00b0C olan ve Centers for Disease Control and Prevention\u2019\u0131n klinik sepsis tan\u0131m\u0131na uyan yatan hastalardan, kan k\u00fclt\u00fcrleri klinik mikrobiyoloji laboratuvara g\u00f6nderilenler de\u011ferlendirildi. Bu […]<\/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":[3368,2691],"class_list":["post-14711","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-kan-kulturu","tag-sepsis"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14711","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=14711"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14711\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14711"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/br> Y\u00f6ntemler<\/strong>: V\u00fccut s\u0131cakl\u0131\u011f\u0131 \u226538\u00b0C olan ve Centers for Disease Control and Prevention\u2019\u0131n klinik sepsis tan\u0131m\u0131na uyan yatan hastalardan, kan k\u00fclt\u00fcrleri klinik mikrobiyoloji laboratuvara g\u00f6nderilenler de\u011ferlendirildi. Bu prospektif olgu-kontrol \u00e7al\u0131\u015fmas\u0131nda kan k\u00fclt\u00fcr\u00fc pozitifli\u011fi olan hastalar olgu grubunu, k\u00fclt\u00fcr-negatif olanlar ise kontrol grubunu olu\u015fturdu. Her iki gruptaki, cinsiyet, ya\u015f\u0131n \u226565 olmas\u0131, kronik hastal\u0131k varl\u0131\u011f\u0131, idrar sondas\u0131 ve santral ven\u00f6z kateter (SVK) varl\u0131\u011f\u0131, imm\u00fcnos\u00fcpresyon, antimikrobik tedavi, hastanede yat\u0131\u015f ve s\u00fcresi gibi fakt\u00f6rlerle kan k\u00fclt\u00fcr\u00fc\u0308 pozitifli\u011fi aras\u0131ndaki ili\u015fki de\u011ferlendirildi. Ayr\u0131ca kan\u0131n al\u0131nd\u0131\u011f\u0131 s\u0131rada antibiyotik kullan\u0131m\u0131, kan\u0131n nereden al\u0131nd\u0131\u011f\u0131, kan k\u00fclt\u00fcr\u00fc setindeki \u015fi\u015felere inok\u00fcle edilen kan miktar\u0131 ve k\u00fclt\u00fcr \u015fi\u015fesine inok\u00fcle edilmesinden ne kadar sonra \u00fcreme oldu\u011fu kaydedildi.<\/p>\n
<\/br> Bulgular<\/strong>: Klinik sepsis tan\u0131s\u0131 konulan toplam 251 hasta \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Olgu grubunda 122 hasta, kontrol grubunda 129 hasta yer ald\u0131. Olgu grubunda kan k\u00fclt\u00fcr\u00fc setindeki \u015fi\u015felere inok\u00fcle edilen kan miktar\u0131 ortalamas\u0131 11.45\u00b1 4.4 ml iken, kontrol grubunda inok\u00fclum hacminin ortalamas\u0131 12.3\u00b1 3.8 ml idi (p=0.122). \u00c7ok de\u011fi\u015fkenli analizlerde SVK bulundu\u011funda 2.5 kat, kronik hastal\u0131k varl\u0131\u011f\u0131nda 2.4 kat, farkl\u0131 periferik venlerden ayn\u0131 anda veya 5-10 dakika arayla kan k\u00fclt\u00fcr\u00fc al\u0131nd\u0131\u011f\u0131nda 6.8 kat daha fazla kan k\u00fclt\u00fcr\u00fc pozitifli\u011fi olabilece\u011fi saptand\u0131.<\/p>\n
<\/br> Sonu\u00e7lar<\/strong>: Ate\u015fli hastalardan, \u00f6zellikle kronik hastal\u0131k ve SVK varl\u0131\u011f\u0131nda al\u0131nan kan k\u00fclt\u00fcrleri, etkenin belirlenmesi ve rasyonel antibiyotik tedavisinin d\u00fczenlenmesi a\u00e7\u0131s\u0131ndan son derece \u00f6nemlidir. Yine farkl\u0131 periferik venlerden ayn\u0131 anda veya 5-10 dakika arayla kan k\u00fclt\u00fcr\u00fc al\u0131nmas\u0131 da empirik antibiyotik ba\u015flama s\u00fcresini k\u0131saltmas\u0131 a\u00e7\u0131s\u0131ndan dikkate de\u011ferdir. Ayr\u0131ca kan k\u00fclt\u00fcrlerinin ink\u00fcbasyon s\u00fcresinin, m\u00fc\u015fk\u00fclpesent etkenlerden ku\u015fkulan\u0131lmad\u0131k\u00e7a ve \u00f6zel hasta gruplar\u0131 d\u0131\u015f\u0131nda, 10 g\u00fcnden sekiz g\u00fcne k\u0131salt\u0131lmas\u0131 d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n
<\/br> Cite this article as<\/strong>: Boluk\u00e7u S, Ba\u015faran S, \u00c7a\u011fatay A, \u00d6zs\u00fct H, Eraksoy H. [Prospective assessment of blood cultures which were sent to the clinical microbiology laboratory]. Klimik Derg. 2018; 31(2): 120-4. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"