{"id":14945,"date":"2021-01-05T01:23:08","date_gmt":"2021-01-04T22:23:08","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/bir-dugun-yemegi-sirasinda-gida-kaynakli-salmonella-typhimurium-salgini\/"},"modified":"2021-01-05T01:23:08","modified_gmt":"2021-01-04T22:23:08","slug":"bir-dugun-yemegi-sirasinda-gida-kaynakli-salmonella-typhimurium-salgini","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/bir-dugun-yemegi-sirasinda-gida-kaynakli-salmonella-typhimurium-salgini\/","title":{"rendered":"Bir D\u00fc\u011f\u00fcn Yeme\u011fi S\u0131ras\u0131nda G\u0131da Kaynakl\u0131 Salmonella typhimurium Salg\u0131n\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Topluca yenilen bir d\u00fc\u011f\u00fcn yeme\u011fi sonras\u0131 meydana gelen Salmonella typhimurium salg\u0131n\u0131nda hastalar\u0131n klinik ve laboratuvar bulgular\u0131n\u0131n ve izole edilen su\u015flar\u0131n molek\u00fcler analizinin sunulmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Bir d\u00fc\u011f\u00fcn yeme\u011fi sonras\u0131 rahats\u0131zlanarak hastaneye ba\u015fvuran 108 hasta \u00e7al\u0131\u015fmaya dahil edildi. Verilen destek tedavisine kar\u015f\u0131n yak\u0131nmalar\u0131 s\u00fcren hastalar yat\u0131r\u0131larak tedavi edildi. Hastaneye yat\u0131r\u0131lan t\u00fcm hastalardan iki\u015fer set kan k\u00fclt\u00fcr\u00fc ve d\u0131\u015fk\u0131 k\u00fclt\u00fcr\u00fc al\u0131n\u0131rken, g\u0131da kayna\u011f\u0131ndan da \u00f6rnekler al\u0131narak de\u011ferlendirildi. Elde edilen izolatlar\u0131n tan\u0131mlanmas\u0131 ve antibiyotik duyarl\u0131l\u0131\u011f\u0131n\u0131n belirlenmesinde konvansiyonel y\u00f6ntemler ve VITEK\u00ae 2 Compact (bioM\u00e9rieux, Marcy l&#8217;Etoile, Fransa) otomatize mikrobiyoloji sistemi kullan\u0131ld\u0131. Serotiplendirme, lam agl\u00fctinasyon y\u00f6ntemi kullan\u0131larak Kauffmann-White \u015femas\u0131na g\u00f6re yap\u0131ld\u0131. \u0130zolatlar\u0131n molek\u00fcler epidemiyolojisi XbaI enzimi kullan\u0131larak \u201cpulsed-field\u201d jel elektroforeziyle saptand\u0131.<\/p>\n<p> <strong>Bulgular<\/strong>: Hastalar\u0131n hepsinde toplu yedikleri yemekten 8-16 saat sonra ba\u015flayan halsizlik, kar\u0131n a\u011fr\u0131s\u0131, ate\u015f, ishal, bulant\u0131 ve kusma gibi ortak yak\u0131nmalar vard\u0131. Hastalar\u0131n 45\u2019i yat\u0131r\u0131larak tedavi edilirken, 63\u2019\u00fc 4-6 saatlik destek tedavisi sonras\u0131 ayaktan izlendi. Hastalar\u0131n hastanede yat\u0131\u015f s\u00fcresi 1-5 g\u00fcn aras\u0131nda de\u011fi\u015fti ve t\u00fcm\u00fc \u015fifayla taburcu edildi. Yat\u0131r\u0131larak tedavi edilen hastalardan 14\u2019\u00fcn\u00fcn d\u0131\u015fk\u0131 k\u00fclt\u00fcrlerinde ve ikisinin ise ayn\u0131 zamanda kan k\u00fclt\u00fcrlerinde S. typhimurium \u00fcredi. Molek\u00fcler analizde t\u00fcm izolatlar\u0131n tek bir klonal k\u00fcmede topland\u0131\u011f\u0131 belirlendi. Elde edilen izolatlar\u0131n hepsinin ampisilin, seftriakson ve siprofloksasine duyarl\u0131 iken, amikasine diren\u00e7li olduklar\u0131 saptand\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: D\u00fcnyada ve \u00fclkemizde g\u0131da sekt\u00f6r\u00fcn\u00fcn giderek geli\u015fmekte olmas\u0131na kar\u015f\u0131n g\u0131da kaynakl\u0131 salg\u0131nlar g\u00f6r\u00fclmeye devam etmektedir. G\u0131da sekt\u00f6r\u00fcnde \u00f6zellikle hijyen kurallar\u0131na dikkat edilmesi, denetimlerin uygun olarak yap\u0131lmas\u0131, g\u0131da kaynakl\u0131 salg\u0131nlar\u0131n olu\u015fmas\u0131n\u0131 engelleyecektir.<\/p>\n<p> Klimik Dergisi 2017; 30(3): 131-5.<\/p>\n<p> <strong>Cite this article as<\/strong>: Karake\u00e7ili F, \u00c7\u0131kman A, Karag\u00f6z A. [A Salmonella typhimurium outbreak associated with food served at a wedding reception]. Klimik Derg. 2017; 30(3): 131-5. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Topluca yenilen bir d\u00fc\u011f\u00fcn yeme\u011fi sonras\u0131 meydana gelen Salmonella typhimurium salg\u0131n\u0131nda hastalar\u0131n klinik ve laboratuvar bulgular\u0131n\u0131n ve izole edilen su\u015flar\u0131n molek\u00fcler analizinin sunulmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Bir d\u00fc\u011f\u00fcn yeme\u011fi sonras\u0131 rahats\u0131zlanarak hastaneye ba\u015fvuran 108 hasta \u00e7al\u0131\u015fmaya dahil edildi. Verilen destek tedavisine kar\u015f\u0131n yak\u0131nmalar\u0131 s\u00fcren hastalar yat\u0131r\u0131larak tedavi edildi. Hastaneye yat\u0131r\u0131lan t\u00fcm hastalardan iki\u015fer set [&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":[4641,3892],"class_list":["post-14945","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hastalik-salginlari","tag-salmonella-typhimurium"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14945","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=14945"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14945\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}