{"id":15533,"date":"2021-01-05T01:23:52","date_gmt":"2021-01-04T22:23:52","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/hiv-infeksiyonlu-hastalarda-firsatci-hastaliklarin-viral-yuk-ve-cd4-t-hucre-sayilariyla-iliskisi\/"},"modified":"2021-01-05T01:23:52","modified_gmt":"2021-01-04T22:23:52","slug":"hiv-infeksiyonlu-hastalarda-firsatci-hastaliklarin-viral-yuk-ve-cd4-t-hucre-sayilariyla-iliskisi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/hiv-infeksiyonlu-hastalarda-firsatci-hastaliklarin-viral-yuk-ve-cd4-t-hucre-sayilariyla-iliskisi\/","title":{"rendered":"HIV \u0130nfeksiyonlu Hastalarda F\u0131rsat\u00e7\u0131 Hastal\u0131klar\u0131n Viral Y\u00fck ve CD4+ T H\u00fccre Say\u0131lar\u0131yla \u0130li\u015fkisi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu ara\u015ft\u0131rma, \u00fclkemizdeki f\u0131rsat\u00e7\u0131 hastal\u0131k (FH) saptanan \u201chuman immunodeficiency virus\u201d (HIV) infeksiyonlu hastalar\u0131n CD4+ T h\u00fccre ve HIV RNA viral y\u00fck \u00f6zelliklerinin de\u011ferlendirilmesi amac\u0131yla planlanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Ocak 2002-Nisan 2012 tarihleri aras\u0131nda \u0130stanbul E\u011fitim ve Ara\u015ft\u0131rma Hastanesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011fi taraf\u0131ndan izlenmi\u015f HIV infeksiyonu olan ki\u015filerden FH geli\u015fenlerin demografik \u00f6zellikleri, FH geli\u015fti\u011fi zamandaki CD4+ T h\u00fccre say\u0131s\u0131, HIV RNA d\u00fczeyi ve tedavi durumlar\u0131 retrospektif olarak incelenmi\u015ftir.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmaya dahil edilen 212 hastan\u0131n 61 (%28.8)\u2019inde 89 FH geli\u015fmi\u015ftir. FH&#39;ler saptand\u0131\u011f\u0131 zamanki CD4+ T h\u00fccre ortalamas\u0131n\u0131n (\u00b1standard sapma) 169.6 (\u00b123.0) h\u00fccre\/mm3, logHIV RNA d\u00fczeyinin 5.1 (\u00b11.4) oldu\u011fu kaydedilmi\u015ftir. En s\u0131k saptanan FH&#39;lerin oral kandidiyaz, t\u00fcberk\u00fcloz ve herpes zoster oldu\u011fu g\u00f6r\u00fclm\u00fc\u015f; FH&#39;lerin say\u0131s\u0131yla CD4+ T h\u00fccre ve HIV RNA d\u00fczeyleri aras\u0131nda istatistiksel a\u00e7\u0131dan anlaml\u0131 bir ili\u015fki saptanm\u0131\u015ft\u0131r. Toxoplasma ensefaliti, HIV ensefalopatisi ve sitomegalovirus infeksiyonu gibi hayat\u0131 tehdit edebilen hastal\u0131klar\u0131n, CD4+ say\u0131s\u0131n\u0131n 50 h\u00fccre\/mm3\u2019\u00fcn alt\u0131na indi\u011fi durumlarda ve y\u00fcksek viral y\u00fck (&gt;5 log) varl\u0131\u011f\u0131nda geli\u015fti\u011fi izlenmi\u015ftir. CD4+ T h\u00fccre say\u0131s\u0131 200 h\u00fccre\/mm3\u2019\u00fcn alt\u0131ndayken, FH&#39;lerin say\u0131s\u0131n\u0131n y\u00fckselen HIV RNA d\u00fczeyiyle birlikte artt\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Viral y\u00fck 5 log\u2019un \u00fczerindeyken CD4+ T h\u00fccre say\u0131s\u0131 azald\u0131k\u00e7a FH&#39;lerin say\u0131s\u0131n\u0131n artt\u0131\u011f\u0131 belirlenmi\u015ftir.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: T\u00fcrkiye\u2019de HIV ile infekte bireylerde en s\u0131k g\u00f6zlenen FH&#39;ler oral kandidiyaz, t\u00fcberk\u00fcloz ve herpes zoster\u2019dir. FH&#39;ler CD4+ T h\u00fccre say\u0131s\u0131 d\u00fc\u015f\u00fck hastalarda viral y\u00fck artt\u0131k\u00e7a daha s\u0131k g\u00f6r\u00fclmektedir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu ara\u015ft\u0131rma, \u00fclkemizdeki f\u0131rsat\u00e7\u0131 hastal\u0131k (FH) saptanan \u201chuman immunodeficiency virus\u201d (HIV) infeksiyonlu hastalar\u0131n CD4+ T h\u00fccre ve HIV RNA viral y\u00fck \u00f6zelliklerinin de\u011ferlendirilmesi amac\u0131yla planlanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Ocak 2002-Nisan 2012 tarihleri aras\u0131nda \u0130stanbul E\u011fitim ve Ara\u015ft\u0131rma Hastanesi \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011fi taraf\u0131ndan izlenmi\u015f HIV infeksiyonu olan ki\u015filerden FH geli\u015fenlerin demografik \u00f6zellikleri, FH [&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":[4440,4442,4231,3228],"class_list":["post-15533","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bagisiklik-sistemi","tag-cd4-t-hucre-sayisi","tag-firsatci-infeksiyonlar","tag-hiv"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15533","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=15533"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15533\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}