{"id":15617,"date":"2021-01-05T01:24:03","date_gmt":"2021-01-04T22:24:03","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/bir-universite-hastanesindeki-antibiyotik-kullaniminin-arastirilmasi\/"},"modified":"2021-01-05T01:24:03","modified_gmt":"2021-01-04T22:24:03","slug":"bir-universite-hastanesindeki-antibiyotik-kullaniminin-arastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/bir-universite-hastanesindeki-antibiyotik-kullaniminin-arastirilmasi\/","title":{"rendered":"Bir \u00dcniversite Hastanesindeki Antibiyotik Kullan\u0131m\u0131n\u0131n Ara\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Uygunsuz antibiyotik kullan\u0131m\u0131, giderek artan antibakteriyel direncin yan\u0131 s\u0131ra yan etki, tedavi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, morbidite, mortalite ve tedavi maliyetinde art\u0131\u015fa neden olmaktad\u0131r. Bu \u00e7al\u0131\u015fmada bir \u00fcniversite hastanesindeki antibiyotik kullan\u0131m \u00f6zelliklerinin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fman\u0131n ger\u00e7ekle\u015ftirildi\u011fi g\u00fcn hastanede yatmakta olan ve antibiyotik kullanan t\u00fcm hastalar \u00e7al\u0131\u015fmaya al\u0131nm\u0131\u015ft\u0131r. Hastalar\u0131n ya\u015f, cinsiyet, izlendi\u011fi servis, infeksiyon hastal\u0131klar\u0131 ve klinik mikrobiyoloji (\u0130HKM) kons\u00fcltasyonu ve kons\u00fcltasyon \u00f6nerilerine uyum, kullan\u0131lan antimikrobiyal ve bu antimikrobiyal i\u00e7in doz, verili\u015f yolu, kullan\u0131m s\u00fcresi ve kullan\u0131m indikasyonlar\u0131 kaydedilmi\u015ftir.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fman\u0131n ger\u00e7ekle\u015ftirildi\u011fi g\u00fcn, 1058 hastan\u0131n 392 (%37)\u2019si toplamda 609 antimikrobiyal kullanmaktayd\u0131. Antimikrobiyal kullanan hastalar\u0131n %57\u2019si cerrahi ve dahili yo\u011fun bak\u0131m \u00fcnitelerinde yatmaktayd\u0131. Hastalar\u0131n 291 (%74.2)\u2019inde kullan\u0131lan antibiyotikler uygunken, 101 (%25.8) hastada en az bir antimikrobiyal uygunsuz olarak kullan\u0131lmaktayd\u0131. Dahiliye kliniklerinde uygun antimikrobiyal kullan\u0131m\u0131 cerrahi kliniklere g\u00f6re istatistiksel anlaml\u0131 olarak daha y\u00fcksek (%85\u2019e kar\u015f\u0131l\u0131k %65) bulunurken (p&lt;0.001); bu farkl\u0131l\u0131\u011f\u0131n \u0130HKM kons\u00fcltasyonu olmayan hastalarda da var oldu\u011fu (%71\u2019e kar\u015f\u0131l\u0131k %48) saptand\u0131 (p&lt;0.001). \u0130HKM kons\u00fcltasyonuna uyulmayan hastalarda en s\u0131k uyumsuzluk antimikrobiyal doz uygulamas\u0131nda g\u00f6r\u00fcld\u00fc. En y\u00fcksek uygun kullan\u0131m oranlar\u0131 (%95) Sa\u011fl\u0131k Uygulama Tebli\u011fi\u2019ne g\u00f6re EHU olarak g\u00f6sterilen \u0130HKM uzman\u0131n\u0131n yazabildi\u011fi antimikrobiyallerde olup en d\u00fc\u015f\u00fck uygun kullan\u0131m oranlar\u0131 (%52) k\u0131s\u0131tlama olmayan antibiyotiklerin kullan\u0131m\u0131nda g\u00f6r\u00fcld\u00fc (p&lt;0.001). Profilaksi amac\u0131yla yap\u0131lan antimikrobiyal uygulamalar\u0131n\u0131n %69\u2019u uygunsuz bulunurken, profilaksi amac\u0131yla verilenlerin %33\u2019\u00fc, profilaksi gerekmedi\u011fi halde uygulanmaktayd\u0131. Etkene y\u00f6nelik antimikrobiyal kullan\u0131m\u0131nda da %6.5 s\u0131kl\u0131kta uygunsuzluk saptand\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Ak\u0131lc\u0131 antibiyotik kullan\u0131m\u0131 diren\u00e7 geli\u015fiminin engellenmesi ve maliyet azalt\u0131lmas\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir. \u00c7al\u0131\u015fmam\u0131z sonucunda da g\u00f6r\u00fcld\u00fc\u011f\u00fc \u00fczere kullan\u0131lan t\u00fcm antimikrobiyaller indikasyon, doz ve yan etki a\u00e7\u0131s\u0131ndan takip edilmelidir ve gerekli iyile\u015ftirmeler buna g\u00f6re planlanmal\u0131d\u0131r.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Uygunsuz antibiyotik kullan\u0131m\u0131, giderek artan antibakteriyel direncin yan\u0131 s\u0131ra yan etki, tedavi ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, morbidite, mortalite ve tedavi maliyetinde art\u0131\u015fa neden olmaktad\u0131r. Bu \u00e7al\u0131\u015fmada bir \u00fcniversite hastanesindeki antibiyotik kullan\u0131m \u00f6zelliklerinin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fman\u0131n ger\u00e7ekle\u015ftirildi\u011fi g\u00fcn hastanede yatmakta olan ve antibiyotik kullanan t\u00fcm hastalar \u00e7al\u0131\u015fmaya al\u0131nm\u0131\u015ft\u0131r. Hastalar\u0131n ya\u015f, cinsiyet, izlendi\u011fi servis, infeksiyon hastal\u0131klar\u0131 ve [&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":[4175,2967,4402],"class_list":["post-15617","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibakteriyel-ajanlar","tag-antibiyotik-direnci","tag-nokta-prevalansi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15617","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=15617"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15617\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15617"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15617"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}