Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmayla toplumda geli\u015fen pn\u00f6moni (TGP)\u2019lerin tan\u0131s\u0131nda konvansiyonel y\u00f6ntemlerin yan\u0131 s\u0131ra multipleks polimeraz zincir reaksiyonu (PZR)\u2019nu da kullanarak erken tan\u0131 konulabilmesi, etyolojik tan\u0131 oran\u0131n\u0131n art\u0131r\u0131lmas\u0131, bakteriyel etkenlerin viral etkenlerden ay\u0131rt edilmesi ve\u00a0\u00a0 klinik ve laboratuvar bulgular \u0131\u015f\u0131\u011f\u0131nda olgular\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ama\u00e7land\u0131.<\/p>\n \u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmayla toplumda geli\u015fen pn\u00f6moni (TGP)\u2019lerin tan\u0131s\u0131nda konvansiyonel y\u00f6ntemlerin yan\u0131 s\u0131ra multipleks polimeraz zincir reaksiyonu (PZR)\u2019nu da kullanarak erken tan\u0131 konulabilmesi, etyolojik tan\u0131 oran\u0131n\u0131n art\u0131r\u0131lmas\u0131, bakteriyel etkenlerin viral etkenlerden ay\u0131rt edilmesi ve\u00a0\u00a0 klinik ve laboratuvar bulgular \u0131\u015f\u0131\u011f\u0131nda olgular\u0131n kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ama\u00e7land\u0131. Y\u00f6ntemler: \u00c7al\u0131\u015fmaya Ocak-Kas\u0131m 2013 aras\u0131nda hastanemizde yatarak izlenen 92 TGP olgusu dahil edildi. […]<\/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":[4748,3436,4750,4296,4752],"class_list":["post-14717","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bakteriyel-pnomoni","tag-etyoloji","tag-polimeraz-zincir-reaksiyonu","tag-toplumda-gelisen-pnomoni","tag-viral-pnomoni"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14717","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=14717"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14717\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14717"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14717"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
<\/br> Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmaya Ocak-Kas\u0131m 2013 aras\u0131nda hastanemizde yatarak izlenen 92 TGP olgusu dahil edildi. Hastalar\u0131n solunum yolu \u00f6rneklerindeki etken mikroorganizman\u0131n tan\u0131mlanmas\u0131nda konvansiyonel k\u00fclt\u00fcr ve multipleks PZR kullan\u0131ld\u0131. Olgular\u0131n demografik verileri, risk fakt\u00f6rleri, klinik, radyolojik ve laboratuvar bulgular\u0131, tedavi ve izlem sonu\u00e7lar\u0131 kaydedildi. Verilerin analizinde Statistical Package for the Social Sciences (SPSS) for Windows. Version 15.0 (SPSS Inc., Chicago, IL, ABD) program\u0131 kullan\u0131ld\u0131.<\/p>\n
<\/br> Bulgular<\/strong>: Olgular\u0131n %80.4’\u00fcnde CURB-65 skoru \u22652 idi; %14.1’i yo\u011fun bak\u0131m \u00fcnitesinde izlendi. Hastalar\u0131n 42 (%45.7)’sinde bakteriyel, 20 (%21.7)’sinde viral etken saptan\u0131rken, 30 (%32.6) hastada etken saptanamad\u0131. Olgular\u0131n 15 (%16.3)’inde konvansiyonel k\u00fclt\u00fcr y\u00f6ntemleriyle, 42 (%45.6)’sinde ise multipleks PZR ile bakteriyel etken saptand\u0131, aradaki fark istatistiksel olarak anlaml\u0131 bulundu (p<0.001). \u00d6zellikle sonbahar ve k\u0131\u015f aylar\u0131nda g\u00f6r\u00fclen TGP olgular\u0131ndan en \u00e7ok bakteriyel etkenlerin sorumlu oldu\u011fu, ilkbahar ve yaz aylar\u0131nda g\u00f6r\u00fclen olgularda genellikle etyolojinin belirlenemedi\u011fi g\u00f6zlendi (p<0.05). Bakteriyel, viral ve etken saptanamayan pn\u00f6moni gruplar\u0131 aras\u0131nda balgam \u00e7\u0131karma, bo\u011faz a\u011fr\u0131s\u0131, osk\u00fcltasyon bulgusu ve kortikosteroid kullan\u0131m\u0131 gibi de\u011fi\u015fkenler a\u00e7\u0131s\u0131ndan istatistiksel olarak anlaml\u0131l\u0131k saptand\u0131.<\/p>\n
<\/br> Sonu\u00e7lar<\/strong>: TGP tan\u0131s\u0131nda molek\u00fcler y\u00f6ntemlerin erken tan\u0131da yararl\u0131 oldu\u011fu g\u00f6sterildi. Viral etkenlerin erken d\u00f6nemde saptanmas\u0131n\u0131n, gereksiz antibiyotik kullan\u0131m\u0131n\u0131 \u00f6nleyebilece\u011fi gibi hasta y\u00f6netimine de katk\u0131s\u0131 olaca\u011f\u0131 \u00f6ng\u00f6r\u00fcld\u00fc.<\/p>\n
<\/br> Cite this article as<\/strong>: \u00d6zer-T\u00fcrk D, T\u00fcnger \u00d6, \u015eakar-Co\u015fkun A, et al. [Community-acquired pneumonia: Importance of molecular methods for etiological diagnosis and clinical features]. Klimik Derg. 2018; 31(2): 125-31. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"