{"id":14813,"date":"2021-01-05T01:22:59","date_gmt":"2021-01-04T22:22:59","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/turkiyede-hiv-infeksiyonu-hedefe-ne-kadar-yakiniz\/"},"modified":"2021-01-05T01:22:59","modified_gmt":"2021-01-04T22:22:59","slug":"turkiyede-hiv-infeksiyonu-hedefe-ne-kadar-yakiniz","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/turkiyede-hiv-infeksiyonu-hedefe-ne-kadar-yakiniz\/","title":{"rendered":"T\u00fcrkiye&#8217;de HIV \u0130nfeksiyonu: Hedefe Ne Kadar Yak\u0131n\u0131z?"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> The Joint United Nations Program on HIV\/AIDS (UNAIDS) taraf\u0131ndan 2020 y\u0131l\u0131 i\u00e7in belirlenen \u201c90-90-90\u201d hedefi 2030 y\u0131l\u0131nda yeni infekte olanlar\u0131n ve AIDS ile ili\u015fkili \u00f6l\u00fcmlerin say\u0131s\u0131n\u0131n 200 000\u2019den a\u015fa\u011f\u0131 \u00e7ekilmesini kapsamaktad\u0131r. Bu makalenin amac\u0131, \u00fclkemizdeki HIV epidemisini ve epidemiye verilen yan\u0131t\u0131, UNAIDS\u2019in hedefi ba\u011flam\u0131nda ele almak ve bu hedefe ula\u015fmaya \u00fclke olarak ne kadar yak\u0131n oldu\u011fumuzu irdelemektir. \u00dclkemizde 2012-2016 aras\u0131nda yeni olgu say\u0131s\u0131n\u0131n 2.5 kat artm\u0131\u015f oldu\u011fu dikkati \u00e7ekmekte; bu say\u0131n\u0131n, ger\u00e7ek olgu say\u0131s\u0131n\u0131n \u00e7ok alt\u0131nda oldu\u011fu tahmin edilmektedir. Y\u0131llar i\u00e7inde heteroseks\u00fcel ge\u00e7i\u015fte dikkati \u00e7ekecek d\u00fczeyde bir azalma ve erkekler aras\u0131nda seksle bula\u015fmada \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131\u015f g\u00f6r\u00fclmektedir. Di\u011fer taraftan, resmi rakamlar, ger\u00e7ek ya\u015famdan edinilen verilerle \u00f6rt\u00fc\u015fmemektedir. Yeni tan\u0131larda en y\u00fcksek oran 25-34 ya\u015f grubunda g\u00f6r\u00fclmekle birlikte, 35-44 ya\u015f grubunun giderek azald\u0131\u011f\u0131, buna kar\u015f\u0131l\u0131k 20-24 ya\u015f grubunun artt\u0131\u011f\u0131 dikkati \u00e7ekmektedir. HIV-pozitif olgular\u0131n %48-52.4\u2019\u00fc ge\u00e7, %24-30.6\u2019s\u0131 ileri evrede tan\u0131 almaktad\u0131r. Bunun ba\u015fl\u0131ca nedeni, T\u00fcrkiye&#8217;de kilit toplumlar i\u00e7in HIV tarama stratejilerinin bulunmamas\u0131 ve hastalar\u0131n \u00f6nemli bir b\u00f6l\u00fcm\u00fcn\u00fcn (%35-48.8) hastal\u0131k ay\u0131r\u0131c\u0131 tan\u0131s\u0131 s\u0131ras\u0131nda tan\u0131 almalar\u0131d\u0131r. \u00dclkemiz antiretroviral ila\u00e7lara eri\u015fim a\u00e7\u0131s\u0131ndan Orta ve Do\u011fu Avrupa \u00fclkelerine g\u00f6re iyi konumdad\u0131r. HIV Tan\u0131 ve Tedavi K\u0131lavuzu\u2019nun yay\u0131mland\u0131\u011f\u0131 2013&#8217;ten bu yana antiretroviral tedaviye ba\u015flamak i\u00e7in CD4 T lenfositi \u00f6l\u00e7\u00fct\u00fc aranmamaktad\u0131r. Tedavi ba\u015flanan olgularda virolojik ba\u015far\u0131 oranlar\u0131 (%76.6-90) y\u00fcksektir. T\u00fcrkiye, HIV tedavisi ve izleminde kom\u015fu \u00fclkelerin \u00e7o\u011fundan daha iyi durumdad\u0131r. Kararl\u0131l\u0131k ve uzla\u015f\u0131yla birlikte hareket edilirse, \u00fclkemizde HIV infeksiyonunun kontrol alt\u0131na al\u0131nmas\u0131 m\u00fcmk\u00fcnd\u00fcr.<\/p>\n<p> <strong>Cite this article as:<\/strong> G\u00f6kengin D. [HIV infection in Turkey: How close are we to the target?]. Klimik Derg. 2018; 31(1): 4-10. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet The Joint United Nations Program on HIV\/AIDS (UNAIDS) taraf\u0131ndan 2020 y\u0131l\u0131 i\u00e7in belirlenen \u201c90-90-90\u201d hedefi 2030 y\u0131l\u0131nda yeni infekte olanlar\u0131n ve AIDS ile ili\u015fkili \u00f6l\u00fcmlerin say\u0131s\u0131n\u0131n 200 000\u2019den a\u015fa\u011f\u0131 \u00e7ekilmesini kapsamaktad\u0131r. Bu makalenin amac\u0131, \u00fclkemizdeki HIV epidemisini ve epidemiye verilen yan\u0131t\u0131, UNAIDS\u2019in hedefi ba\u011flam\u0131nda ele almak ve bu hedefe ula\u015fmaya \u00fclke olarak ne kadar [&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":[5127],"tags":[4692,4015,4694],"class_list":["post-14813","post","type-post","status-publish","format-standard","hentry","category-derleme","tag-hiv-infeksiyonlari","tag-turkiye","tag-unaids-909090-hedefi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14813","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=14813"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14813\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14813"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14813"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}