{"id":15185,"date":"2021-01-05T01:23:25","date_gmt":"2021-01-04T22:23:25","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/bakteri-kolonizasyonu-acisindan-beyaz-onlukte-uzun-kol-tercih-edilmemeli-mi\/"},"modified":"2021-01-05T01:23:25","modified_gmt":"2021-01-04T22:23:25","slug":"bakteri-kolonizasyonu-acisindan-beyaz-onlukte-uzun-kol-tercih-edilmemeli-mi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/bakteri-kolonizasyonu-acisindan-beyaz-onlukte-uzun-kol-tercih-edilmemeli-mi\/","title":{"rendered":"Bakteri Kolonizasyonu A\u00e7\u0131s\u0131ndan Beyaz \u00d6nl\u00fckte Uzun Kol Tercih Edilmemeli mi?"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Giysi kollar\u0131 ve bilezik, y\u00fcz\u00fck gibi tak\u0131lar, klinikte ve laboratuvarlarda \u00e7al\u0131\u015f\u0131rken ve hastayla temas esnas\u0131nda, \u00e7ok kirlenen ve bakteri kontaminasyonu a\u00e7\u0131s\u0131ndan uygun zemin olu\u015fturan alanlard\u0131r. Beyaz \u00f6nl\u00fcklerin uzun kollar\u0131nda da benzer \u015fekilde kontaminasyon olaca\u011f\u0131ndan yola \u00e7\u0131k\u0131larak, \u00f6nl\u00fck kollar\u0131ndan al\u0131nan k\u00fclt\u00fcrlerin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Steril serum fizyolojikle nemlendirilen ek\u00fcvyonla \u00f6nl\u00fck kollar\u0131n\u0131n (sa\u011f ve sol el kullan\u0131m\u0131na g\u00f6re), y\u00fczeylerle temas eden alt k\u0131s\u0131mlar\u0131na s\u00fcr\u00fclerek \u00f6rnek al\u0131nm\u0131\u015ft\u0131r. Al\u0131nan \u00f6rnekler eozin-metilen mavisi agar\u0131na ve kanl\u0131 agara ekilerek 37\u00b0C\u2019de 24 saat ink\u00fcbe edilmi\u015ftir. K\u00fclt\u00fcr plaklar\u0131nda \u00fcreyen koloniler Gram boyamas\u0131yla de\u011ferlendirilmi\u015ftir. Gram-pozitif koklara katalaz, koag\u00fclaz (t\u00fcp ve lam koag\u00fclaz) testleri yap\u0131lm\u0131\u015ft\u0131r. Stafilokok olarak de\u011ferlendirilen koloniler, bulan\u0131kl\u0131\u011f\u0131 0.5 McFarland standard\u0131na ayarlanarak s\u00fcspansiyon haline getirildikten sonra Mueller-Hinton besiyerine ekilmi\u015ftir. Metisilin direnci sefoksitin diskiyle ara\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r. Antibiyotik duyarl\u0131l\u0131k testi Clinical and Laboratory Standards Institute \u00f6nerilerine g\u00f6re disk dif\u00fczyon y\u00f6ntemiyle yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Bulgular<\/strong>: De\u011ferlendirilen toplam 80 \u00f6rne\u011fin 2\u2019sinde farkl\u0131 4 tip, 9\u2019unda farkl\u0131 3 tip, 13\u2019\u00fcnde farkl\u0131 2 tip \u00fcreme, 43 \u00f6rnekte ise tek tip \u00fcreme olmu\u015ftur. Y\u0131kama sonras\u0131 1-3. g\u00fcnlerde al\u0131nan 13 \u00f6rnekte \u00fcreme olmam\u0131\u015ft\u0131r. \u00dcremelerin 42\u2019si metisiline duyarl\u0131 koag\u00fclaz-negatif stafilokoklar, 8\u2019i metisiline duyarl\u0131 Staphylococcus aureus, 16\u2019s\u0131 metisiline diren\u00e7li koag\u00fclaz-negatif stafilokoklar, 7\u2019si mikrokoklar, 10\u2019u difteroidler, 7\u2019si Bacillus spp., 1\u2019i \u03b1-hemolitik streptokoklar, 2\u2019si Gram-negatif basiller ve 5\u2019i maya olarak tespit edilmi\u015ftir.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: \u00d6nl\u00fck kollar\u0131n\u0131n \u00e7al\u0131\u015fma alanlar\u0131yla temas halinde olmas\u0131 mikroorganizma kolonizasyonu i\u00e7in uygun ortam haz\u0131rlamaktad\u0131r. \u00d6rneklerin %84\u2019\u00fcnde \u00fcreme olmas\u0131 ve %30\u2019unda birden fazla mikroorganizma saptanmas\u0131 bunu desteklemektedir. K\u0131sa kollu \u00f6nl\u00fck tercih edilmesi, el y\u0131kaman\u0131n bilekleri de kapsayacak \u015fekilde yap\u0131lmas\u0131n\u0131 ve hastane infeksiyonlar\u0131n\u0131n daha etkin bir bi\u00e7imde \u00f6nlenmesini sa\u011flayabilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Giysi kollar\u0131 ve bilezik, y\u00fcz\u00fck gibi tak\u0131lar, klinikte ve laboratuvarlarda \u00e7al\u0131\u015f\u0131rken ve hastayla temas esnas\u0131nda, \u00e7ok kirlenen ve bakteri kontaminasyonu a\u00e7\u0131s\u0131ndan uygun zemin olu\u015fturan alanlard\u0131r. Beyaz \u00f6nl\u00fcklerin uzun kollar\u0131nda da benzer \u015fekilde kontaminasyon olaca\u011f\u0131ndan yola \u00e7\u0131k\u0131larak, \u00f6nl\u00fck kollar\u0131ndan al\u0131nan k\u00fclt\u00fcrlerin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Steril serum fizyolojikle nemlendirilen ek\u00fcvyonla \u00f6nl\u00fck kollar\u0131n\u0131n (sa\u011f ve sol [&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":[4573,4571],"class_list":["post-15185","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bakteriyel-kolonizasyon","tag-uzun-kollu-beyaz-onluk"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15185","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=15185"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15185\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15185"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15185"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}