{"id":14927,"date":"2021-01-05T01:23:06","date_gmt":"2021-01-04T22:23:06","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/agir-akut-solunum-yolu-infeksiyonuyla-izlenen-hastalarin-degerlendirilmesi-2015-2016-influenza-sezonu\/"},"modified":"2021-01-05T01:23:06","modified_gmt":"2021-01-04T22:23:06","slug":"agir-akut-solunum-yolu-infeksiyonuyla-izlenen-hastalarin-degerlendirilmesi-2015-2016-influenza-sezonu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/agir-akut-solunum-yolu-infeksiyonuyla-izlenen-hastalarin-degerlendirilmesi-2015-2016-influenza-sezonu\/","title":{"rendered":"A\u011f\u0131r Akut Solunum Yolu \u0130nfeksiyonuyla \u0130zlenen Hastalar\u0131n De\u011ferlendirilmesi: 2015-2016 \u0130nfluenza Sezonu"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada 2015-2016 influenza sezonunda hastanemizde a\u011f\u0131r akut solunum yolu hastal\u0131\u011f\u0131 (SARI) tan\u0131s\u0131yla takip edilen hastalar\u0131n demografik ve klinik \u00f6zelliklerinin ve b\u00f6lgemizde bask\u0131n virus su\u015flar\u0131n\u0131n belirlenmesi ama\u00e7land\u0131.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Hastanemizde 15 Aral\u0131k 2015-22 May\u0131s 2016 tarihleri aras\u0131nda SARI tan\u0131s\u0131yla izlenen hastalar \u00e7al\u0131\u015fmaya dahil edildi. Hastalar\u0131n demografik ve klinik \u00f6zellikleri de\u011ferlendirmeye al\u0131nd\u0131. T\u00fcm hastalar\u0131n nazofaringeal s\u00fcr\u00fcnt\u00fc \u00f6rnekleri, solunum yolu multipleks polimeraz zincir reaksiyonu (PCR) testiyle incelendi.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmaya 107 hasta dahil edildi. Hastalar\u0131n 69 (%64.5)\u2019u erkek, ortanca ya\u015f 68 (20-95 aras\u0131nda) idi. Ba\u015fvuru \u00f6ncesi \u015fikayet s\u00fcresi ortalama 3.8 g\u00fcn olarak bulundu. Ortalama yat\u0131\u015f s\u00fcresi 11.7 g\u00fcn olan hasta grubumuzda, hastalar\u0131n %23.4\u2019\u00fc yo\u011fun bak\u0131m \u00fcnitesinde takip edildi. En s\u0131k ba\u015fvuru 2016 y\u0131l\u0131n\u0131n ikinci ve yedinci haftalar\u0131 aras\u0131nda oldu. Solunum yolu multipleks polimeraz zincir reaksiyonu (PCR) testinde 41 (%38.3) hastada viral etken saptand\u0131. Etkenlerin %80.5\u2019i influenza A virusu (%63.4 H1N1, %7.3 H3N2, %9.7 influenza A), %14.6\u2019s\u0131 influenza B virusu, %2.4\u2019\u00fc koronavirus OC43 ve %2.4\u2019\u00fc insan metapn\u00f6movirus idi. Kaba mortalite %15.9, SARI\u2019ye ba\u011fl\u0131 mortalite %8.4, influenza A (H1N1)\u2019ya ba\u011fl\u0131 mortalite %11.5 olarak bulundu. PCR-pozitif ve PCR-negatif hasta gruplar\u0131 aras\u0131nda altta yatan hastal\u0131klar a\u00e7\u0131s\u0131ndan kronik obstr\u00fcktif akci\u011fer hastal\u0131\u011f\u0131 varl\u0131\u011f\u0131; laboratuvar bulgular\u0131 a\u00e7\u0131s\u0131ndan alanin ve aspartat aminotransferaz y\u00fcksekli\u011finin PCR-pozitif grupta daha fazla olmas\u0131 d\u0131\u015f\u0131nda fark saptanmad\u0131. \u0130ki grup aras\u0131nda yo\u011fun bak\u0131m \u00fcnitesinde yat\u0131\u015f gereklili\u011fi ve mortalite y\u00f6n\u00fcnden istatistiksel olarak anlaml\u0131 bir fark bulunmad\u0131. Hastalar ba\u015fvuru \u00f6ncesi \u015fikayet s\u00fcrelerine g\u00f6re de\u011ferlendirildiklerinde ba\u015fvuru \u00f6ncesi \u015fikayet s\u00fcresinin \u22644 g\u00fcn ya da &gt;4 g\u00fcn olma durumuna g\u00f6re PCR pozitifli\u011fi, yo\u011fun bak\u0131m \u00fcnitesinde yat\u0131\u015f gereklili\u011fi ve mortalite a\u00e7\u0131s\u0131ndan farkl\u0131l\u0131k saptanmad\u0131. Mortaliteyle seyreden hastalar\u0131n \u015fifayla taburcu olan hastalara g\u00f6re daha \u00e7ok yo\u011fun bak\u0131m ihtiyac\u0131 oldu.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: 2015-2016 influenza sezonu i\u00e7in SARI s\u00fcrveyans\u0131 b\u00f6lgesel sonu\u00e7lar\u0131m\u0131z T\u00fcrkiye ve Avrupa verileriyle benzer \u00f6zelliklerde bulunmu\u015ftur.<\/p>\n<p> Klimik Dergisi 2017; 30(3): 114-9.<\/p>\n<p> <strong>Cite this article as<\/strong>: Civelek-Eser F, T\u00fct\u00fcnc\u00fc EE, Hayk\u0131r-Solay A, et al. [Evaluation of patients diagnosed with severe acute respiratory tract infection: 2015-2016 influenza season]. Klimik Derg. 2017; 30(3): 114-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada 2015-2016 influenza sezonunda hastanemizde a\u011f\u0131r akut solunum yolu hastal\u0131\u011f\u0131 (SARI) tan\u0131s\u0131yla takip edilen hastalar\u0131n demografik ve klinik \u00f6zelliklerinin ve b\u00f6lgemizde bask\u0131n virus su\u015flar\u0131n\u0131n belirlenmesi ama\u00e7land\u0131. Y\u00f6ntemler: Hastanemizde 15 Aral\u0131k 2015-22 May\u0131s 2016 tarihleri aras\u0131nda SARI tan\u0131s\u0131yla izlenen hastalar \u00e7al\u0131\u015fmaya dahil edildi. Hastalar\u0131n demografik ve klinik \u00f6zellikleri de\u011ferlendirmeye al\u0131nd\u0131. T\u00fcm hastalar\u0131n nazofaringeal [&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":[4648,4646,4644],"class_list":["post-14927","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-agir-akut-solunum-yolu-hastaligi","tag-h1n1-subtipi","tag-influenza-a-virusu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14927","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=14927"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14927\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}