{"id":15419,"date":"2021-01-05T01:23:44","date_gmt":"2021-01-04T22:23:44","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kandidemi-saptanan-hematolojik-kanserli-hastalarda-etken-dagilimi-ve-risk-faktorlerinin-degerlendirilmesi\/"},"modified":"2021-01-05T01:23:44","modified_gmt":"2021-01-04T22:23:44","slug":"kandidemi-saptanan-hematolojik-kanserli-hastalarda-etken-dagilimi-ve-risk-faktorlerinin-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kandidemi-saptanan-hematolojik-kanserli-hastalarda-etken-dagilimi-ve-risk-faktorlerinin-degerlendirilmesi\/","title":{"rendered":"Kandidemi Saptanan Hematolojik Kanserli Hastalarda Etken Da\u011f\u0131l\u0131m\u0131 ve Risk Fakt\u00f6rlerinin De\u011ferlendirilmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, hematolojik kanseri olan hastalarda kandidemi etkenlerinin ve risk fakt\u00f6rlerinin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Hematoloji Servisi\u2019nde Ocak 2006-Aral\u0131k 2013 aras\u0131nda yatan hastalar\u0131n t\u00fcm pozitif kan k\u00fclt\u00fcrleri laboratuvar bilgi y\u00f6netim sistemi yard\u0131m\u0131yla saptanarak fungal etken \u00fcreyenler de\u011ferlendirilmi\u015ftir. Fungemik hastalara ait demografik \u00f6zellik, altta yatan hastal\u0131k, yap\u0131lan k\u00f6k h\u00fccre nakli tipi, mutlak n\u00f6trofil say\u0131s\u0131, etken olan Candida t\u00fcr\u00fc ve e\u015fzamanl\u0131 \u00fcreyen mantar ya da bakteri t\u00fcr\u00fc, koryoretinit-endoftalmit varl\u0131\u011f\u0131, deri d\u00f6k\u00fcnt\u00fcs\u00fc geli\u015fmesi, kullan\u0131lan antifungal tedaviler, kan d\u0131\u015f\u0131ndaki e\u015fzamanl\u0131 k\u00fclt\u00fcrlerle birlikte, diyabet, diyaliz, total parenteral n\u00fctrisyon, cerrahi, santral ven\u00f6z kateter varl\u0131\u011f\u0131 ve kortikosteroid kullan\u0131m\u0131 gibi risk fakt\u00f6rleri kaydedilmi\u015ftir.<\/p>\n<p> <strong>Bulgular<\/strong>: Sekiz y\u0131ll\u0131k d\u00f6nemde 1379 pozitif kan k\u00fclt\u00fcr\u00fcn\u00fcn 67 (%4.9)\u2019sinde fungal etken saptanm\u0131\u015ft\u0131r. Etkenlerin 57 (%85.1)\u2019si Candida spp., 3 (%4.5)\u2019\u00fc Aspergillus spp., 3 (%4.5)\u2019\u00fc Trichosporon spp., 2 (%3)\u2019si Geotrichum spp. ve 2 (%3)\u2019si de Saccharomyces spp. idi. Kan k\u00fclt\u00fcr\u00fcnde \u00fcreyen 57 Candida t\u00fcr\u00fcn\u00fcn 49 (%86)\u2019u C. albicans d\u0131\u015f\u0131 Candida t\u00fcrleri olup en s\u0131k olarak C. tropicalis (%51) saptanm\u0131\u015ft\u0131r. Be\u015f (%8.7) hastada e\u015fzamanl\u0131 bakteriyel ya da Candida d\u0131\u015f\u0131 fungal etkene ba\u011fl\u0131 kan dola\u015f\u0131m\u0131 infeksiyonu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. E\u015fzamanl\u0131 mikroorganizmalar C. tropicalis ile Enterococcus faecium (n=2), C. kefyr ile Stenotrophomonas maltophilia (n=1), C. kefyr ile Klebsiella sp. (n=1) ve C. kefyr ile C. glabrata (n=1)\u2019d\u0131r. Kandidemi tedavisinde en s\u0131k kullan\u0131lan antifungaller s\u0131ras\u0131yla, 33 (%57.9) olguyla kaspofungin, 15 (%26.3) olguyla amfoterisin B ve 8 (%14) olguyla flukonazold\u00fcr. C. albicans d\u0131\u015f\u0131 Candida t\u00fcrleri ve kandideminin n\u00f6tropeni (&lt;500\/mm3) ile ili\u015fkili oldu\u011fu bulunmu\u015ftur.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Hematolojik kanserli ve n\u00f6tropenik hastalarda ampirik antifungal se\u00e7erken, bu hastalarda C. albicans d\u0131\u015f\u0131 Candida oran\u0131n\u0131n y\u00fcksek oldu\u011funun (%86), dikkate al\u0131nmas\u0131 gerekmektedir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, hematolojik kanseri olan hastalarda kandidemi etkenlerinin ve risk fakt\u00f6rlerinin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Hematoloji Servisi\u2019nde Ocak 2006-Aral\u0131k 2013 aras\u0131nda yatan hastalar\u0131n t\u00fcm pozitif kan k\u00fclt\u00fcrleri laboratuvar bilgi y\u00f6netim sistemi yard\u0131m\u0131yla saptanarak fungal etken \u00fcreyenler de\u011ferlendirilmi\u015ftir. Fungemik hastalara ait demografik \u00f6zellik, altta yatan hastal\u0131k, yap\u0131lan k\u00f6k h\u00fccre nakli tipi, mutlak n\u00f6trofil say\u0131s\u0131, etken [&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":[4484,4464,4480,4482],"class_list":["post-15419","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-fungemi","tag-hematolojik-neoplazmalar","tag-invazif-kandidiyaz","tag-kandidemi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15419","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=15419"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15419\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}