{"id":15281,"date":"2021-01-05T01:23:32","date_gmt":"2021-01-04T22:23:32","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kocaeli-ilinde-yurtdisi-kaynakli-plasmodium-falciparum-sitmasi-16-olgunun-degerlendirilmesi\/"},"modified":"2021-01-05T01:23:32","modified_gmt":"2021-01-04T22:23:32","slug":"kocaeli-ilinde-yurtdisi-kaynakli-plasmodium-falciparum-sitmasi-16-olgunun-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kocaeli-ilinde-yurtdisi-kaynakli-plasmodium-falciparum-sitmasi-16-olgunun-degerlendirilmesi\/","title":{"rendered":"Kocaeli \u0130linde Yurtd\u0131\u015f\u0131 Kaynakl\u0131 Plasmodium falciparum S\u0131tmas\u0131: 16 Olgunun De\u011ferlendirilmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu yaz\u0131da endemik b\u00f6lgelerde bulunma \u00f6yk\u00fcs\u00fc olan ate\u015fli hastalarda \u00f6n tan\u0131lar aras\u0131nda s\u0131tman\u0131n mutlaka yer almas\u0131n\u0131n ve bu b\u00f6lgelere seyahat edecekler i\u00e7in s\u0131tma profilaksisinin \u00f6neminin vurgulanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmam\u0131za 2009-2015 y\u0131llar\u0131 aras\u0131nda klinikte yat\u0131r\u0131larak takip edilen P. falciparum\u2019a ba\u011fl\u0131 16 s\u0131tma olgusu dahil edildi. Tan\u0131, t\u00fcm olgularda ate\u015fli d\u00f6nemlerinde al\u0131nan periferik kan \u00f6rneklerinden haz\u0131rlanan ve Giemsa y\u00f6ntemiyle boyanan kal\u0131n damla ve ince yayma preparatlar\u0131nda \u0131\u015f\u0131k mikroskobunda Plasmodium\u2019lar\u0131n g\u00f6sterilmesiyle konuldu.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmaya al\u0131nan 16 hastan\u0131n biri kad\u0131n 15\u2019i erkekti. Ya\u015f ortalamas\u0131 32 olan bu hastalar\u0131n 14\u2019\u00fc profilaksi almayan hastalard\u0131. Hastalar\u0131n tamam\u0131n\u0131n ba\u015fvuru \u015fikayeti, \u00fc\u015f\u00fcme, titreme, ate\u015f, halsizlik, i\u015ftahs\u0131zl\u0131kt\u0131. E\u015flik eden di\u011fer \u015fikayetler ba\u015f a\u011fr\u0131s\u0131, bulant\u0131, kar\u0131n a\u011fr\u0131s\u0131, ishal, \u00f6ks\u00fcr\u00fck ve bo\u011faz a\u011fr\u0131s\u0131 olarak saptand\u0131. Fizik muayenede t\u00fcm hastalarda 38\u00b0C\u2019nin \u00fczerinde ate\u015f tespit edildi. Hastalar\u0131n 11&#39;ine artemeter-lumefantrin, 5&#39;ine kinin ve doksisiklin kombinasyonu uyguland\u0131. Hastalardan birinin ate\u015fli d\u00f6neminde al\u0131nan kan k\u00fclt\u00fcr\u00fcnde Serratia marcescens \u00fcremesi nedeniyle tedavisine ertapenem eklendi. Koinfeksiyon olarak akut hepatit A saptanan bir hasta semptomatik tedaviyle takip edildi. Ciddi s\u0131tma tan\u0131s\u0131yla izlenen iki hastada bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, kanama, bilateral plevral ef\u00fczyon ve infiltrasyon alanlar\u0131 izlendi.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: S\u0131tman\u0131n endemik oldu\u011fu b\u00f6lgelere seyahat edecek ki\u015filere kemoprofilaksi uygulanmas\u0131 b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu yaz\u0131da endemik b\u00f6lgelerde bulunma \u00f6yk\u00fcs\u00fc olan ate\u015fli hastalarda \u00f6n tan\u0131lar aras\u0131nda s\u0131tman\u0131n mutlaka yer almas\u0131n\u0131n ve bu b\u00f6lgelere seyahat edecekler i\u00e7in s\u0131tma profilaksisinin \u00f6neminin vurgulanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fmam\u0131za 2009-2015 y\u0131llar\u0131 aras\u0131nda klinikte yat\u0131r\u0131larak takip edilen P. falciparum\u2019a ba\u011fl\u0131 16 s\u0131tma olgusu dahil edildi. Tan\u0131, t\u00fcm olgularda ate\u015fli d\u00f6nemlerinde al\u0131nan periferik kan \u00f6rneklerinden [&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":[5131],"tags":[4539,3409,2971,3716],"class_list":["post-15281","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-kemoprofilaksi","tag-plasmodium-falciparum","tag-sitma","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15281","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=15281"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15281\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15281"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15281"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15281"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}