{"id":15731,"date":"2021-01-05T01:24:10","date_gmt":"2021-01-04T22:24:10","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kuzey-hindistanda-calilik-tifusunun-yeniden-ortaya-cikisi-bir-ucuncu-basamak-hastanesi-deneyimi\/"},"modified":"2021-01-05T01:24:10","modified_gmt":"2021-01-04T22:24:10","slug":"kuzey-hindistanda-calilik-tifusunun-yeniden-ortaya-cikisi-bir-ucuncu-basamak-hastanesi-deneyimi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kuzey-hindistanda-calilik-tifusunun-yeniden-ortaya-cikisi-bir-ucuncu-basamak-hastanesi-deneyimi\/","title":{"rendered":"Kuzey Hindistan&#8217;da \u00c7al\u0131l\u0131k Tif\u00fcs\u00fcn\u00fcn Yeniden Ortaya \u00c7\u0131k\u0131\u015f\u0131: Bir \u00dc\u00e7\u00fcnc\u00fc Basamak Hastanesi Deneyimi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, Hindistan&#39;\u0131n kuzeyinde Haryana Eyaletinde aniden ba\u015flayan, trombositopeni ve \u00e7o\u011ful organ yetmezli\u011finin e\u015flik etti\u011fi akut bir ate\u015fli hastal\u0131k salg\u0131n\u0131n\u0131n etyolojik etkeninin belirlenmesidir.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Temmuz-Kas\u0131m 2012 aras\u0131nda akut ate\u015fli bir hastal\u0131k nedeniyle poliklinik ve acil servise ba\u015fvuran eri\u015fkin hastalar incelendi. Ku\u015fkulu olgular Orientia tsutsugamushi\u2019ye kar\u015f\u0131 \u00f6zg\u00fcl IgM antikorlar\u0131 y\u00f6n\u00fcnden test edildi. \u00a0<\/p>\n<p> <strong>Bulgular<\/strong>: Bu \u00e7al\u0131\u015fmada seropozitif olarak bulunan 25 olgudan 22 (%88)\u2019si Temmuz ve Eyl\u00fcl aylar\u0131 aras\u0131nda, \u00fc\u00e7\u00fc (%12) ise Ekim ve Kas\u0131m aylar\u0131nda ortaya \u00e7\u0131km\u0131\u015ft\u0131. Hastalardaki en s\u0131k belirti ve bulgular, ate\u015f (%88), hipotansiyon (%40), daha \u00e7ok y\u00fcz ve g\u00f6vdede olan mak\u00fclopap\u00fcler d\u00f6k\u00fcnt\u00fc (%28), daha \u00e7ok alt ekstremiteler \u00fczerinde olan eskar (%12) ve plevral epan\u015fmand\u0131 (%12). Karaci\u011fer fonksiyon testlerindeki bozukluklar, transaminaz (%84) ve serum alkalen fosfataz y\u00fckselmeleri (%72) bi\u00e7imindeydi. Ayr\u0131ca anemi (%36), l\u00f6kositoz (%32) ve trombositopeni (%72) de saptand\u0131. Ba\u015fvurduklar\u0131nda hastalar\u0131n %64\u2019\u00fcnde protein\u00fcri bulunurken kan \u00fcresi y\u00fckselmesi %40\u2019\u0131nda vard\u0131. En s\u0131k komplikasyonlar olarak hastalar\u0131n %32\u2019sinde \u015fok ve %20\u2019sinde ventilat\u00f6r deste\u011fi gerektiren akut solunum s\u0131k\u0131nt\u0131s\u0131 sendromu (ARDS) g\u00f6zlendi. Hastalar 12-14 g\u00fcn s\u00fcreyle 2&#215;100 mg doksisiklinle tedavi edildi. Doksisiklinin yan\u0131 s\u0131ra azitromisin ve parenteral kloramfenikol eklenmesine kar\u015f\u0131n \u00f6len \u00fc\u00e7 hastayla mortalite h\u0131z\u0131 %12 oldu.\u00a0<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Trombositopeni, \u015fok, karaci\u011fer fonksiyon testlerinde bozuklukluklar, b\u00f6brek fonksiyon bozuklu\u011fu, ARDS ve \u00e7o\u011ful organ yetmezli\u011fiyle kendini g\u00f6steren akut ate\u015fli hastal\u0131klar\u0131n \u00e7ok say\u0131daki ay\u0131r\u0131c\u0131 tan\u0131 olas\u0131l\u0131klar\u0131ndan birini de \u00e7al\u0131l\u0131k tif\u00fcs\u00fc olu\u015fturmaktad\u0131r. \u00d6l\u00fcmc\u00fcl komplikasyonlar\u0131n geli\u015fmesinden korunmak i\u00e7in infekte akarlarla do\u011frudan temastan ka\u00e7\u0131n\u0131lmas\u0131na ve akarlar\u0131n v\u00fccuda temas etme s\u00fcresinin k\u0131salt\u0131lmas\u0131na y\u00f6nelik \u00f6nlemlerle birlikte erken tan\u0131 ve tedavi d\u00fc\u015f\u00fcn\u00fclmelidir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, Hindistan&#39;\u0131n kuzeyinde Haryana Eyaletinde aniden ba\u015flayan, trombositopeni ve \u00e7o\u011ful organ yetmezli\u011finin e\u015flik etti\u011fi akut bir ate\u015fli hastal\u0131k salg\u0131n\u0131n\u0131n etyolojik etkeninin belirlenmesidir. Y\u00f6ntemler: Temmuz-Kas\u0131m 2012 aras\u0131nda akut ate\u015fli bir hastal\u0131k nedeniyle poliklinik ve acil servise ba\u015fvuran eri\u015fkin hastalar incelendi. Ku\u015fkulu olgular Orientia tsutsugamushi\u2019ye kar\u015f\u0131 \u00f6zg\u00fcl IgM antikorlar\u0131 y\u00f6n\u00fcnden test edildi. \u00a0 [&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":[4370,4364,4366,4368],"class_list":["post-15731","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-akut-solunum-sikintisi-sendromu","tag-calilik-tifusu","tag-eskar","tag-trombositopeni"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15731","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=15731"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15731\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15731"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15731"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15731"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}