{"id":15899,"date":"2021-01-05T01:24:23","date_gmt":"2021-01-04T22:24:23","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/tepecik-egitim-ve-arastirma-hastanesinde-bes-yillik-menenjit-olgularinin-degerlendirilmesi\/"},"modified":"2021-01-05T01:24:23","modified_gmt":"2021-01-04T22:24:23","slug":"tepecik-egitim-ve-arastirma-hastanesinde-bes-yillik-menenjit-olgularinin-degerlendirilmesi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/tepecik-egitim-ve-arastirma-hastanesinde-bes-yillik-menenjit-olgularinin-degerlendirilmesi\/","title":{"rendered":"Tepecik E\u011fitim ve Ara\u015ft\u0131rma Hastanesi&#8217;nde Be\u015f Y\u0131ll\u0131k Menenjit Olgular\u0131n\u0131n De\u011ferlendirilmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Hastanemizde takip edilen menenjit olgular\u0131n\u0131n klinik ve laboratuvar \u00f6zelliklerinin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Hastanemizde be\u015f y\u0131ll\u0131k s\u00fcrede menenjit tan\u0131s\u0131yla izlenen 46 olgu, retrospektif olarak incelenmi\u015ftir. Hastalar\u0131n demografik \u00f6zellikleri, ba\u015fvuru yak\u0131nmalar\u0131, menenjite zemin haz\u0131rlayan fakt\u00f6rler, fizik bak\u0131 ve laboratuvar bulgular\u0131, etken mikroorganizmalar ve antibiyotik direnci, antimikrobiyal tedavi, komplikasyonlar ve mortalite oran\u0131 de\u011ferlendirilmi\u015ftir.<\/p>\n<p> <strong>Bulgular<\/strong>: Ya\u015f ortalamas\u0131 45 olan 46 olgunun 21\u2019i kad\u0131nd\u0131. Olgular\u0131n s\u0131ras\u0131yla %47.8, %10.8 ve %2.2\u2019sine akut bakteriyel menenjit, t\u00fcberk\u00fcloz menenjiti ve Brucella menenjiti tan\u0131s\u0131 konulmu\u015ftur. En fazla g\u00f6r\u00fclen semptom olarak ate\u015f y\u00fcksekli\u011fi (%80) saptanm\u0131\u015ft\u0131r. Hastalar\u0131n beyin-omurilik s\u0131v\u0131s\u0131 (BOS) k\u00fclt\u00fcrlerinde, 7 olguda Streptococcus pneumoniae, 2 olguda Acinetobacter spp. ve 1 olguda Listeria monocytogenes izole edilmi\u015ftir. T\u00fcberk\u00fcloz menenjiti tan\u0131l\u0131 hastalar\u0131n %60\u2019\u0131nda asidorezistan bakteri \u00fcretilmi\u015ftir. Brucella menenjiti tan\u0131s\u0131 konulan bir hastan\u0131n BOS \u00f6rne\u011finde Brucella sp. izole edilmi\u015f olup, rose Bengal testi sonucu pozitif saptanm\u0131\u015ft\u0131r. Aseptik menenjit olgular\u0131n\u0131n birinde polimeraz zincir reaksiyonuyla HSV DNA pozitif olarak saptanm\u0131\u015ft\u0131r. Mortalite oran\u0131 bakteriyel menenjit i\u00e7in %14.3, t\u00fcberk\u00fcloz menenjiti i\u00e7in %80 bulunmu\u015ftur.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Menenjit halen y\u00fcksek mortalite ve morbiditesi olan bir infeksiyon hastal\u0131\u011f\u0131d\u0131r. Etken olan mikroorganizmalar\u0131n izolasyon oran\u0131 d\u00fc\u015f\u00fckt\u00fcr. T\u00fcberk\u00fcloz menenjitinde erken tan\u0131 ve tedavi \u00f6nemlidir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Hastanemizde takip edilen menenjit olgular\u0131n\u0131n klinik ve laboratuvar \u00f6zelliklerinin de\u011ferlendirilmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Hastanemizde be\u015f y\u0131ll\u0131k s\u00fcrede menenjit tan\u0131s\u0131yla izlenen 46 olgu, retrospektif olarak incelenmi\u015ftir. Hastalar\u0131n demografik \u00f6zellikleri, ba\u015fvuru yak\u0131nmalar\u0131, menenjite zemin haz\u0131rlayan fakt\u00f6rler, fizik bak\u0131 ve laboratuvar bulgular\u0131, etken mikroorganizmalar ve antibiyotik direnci, antimikrobiyal tedavi, komplikasyonlar ve mortalite oran\u0131 de\u011ferlendirilmi\u015ftir. Bulgular: Ya\u015f ortalamas\u0131 [&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":[2660,3243,2698],"class_list":["post-15899","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-epidemiyoloji","tag-infeksiyon","tag-menenjit"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15899","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=15899"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15899\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15899"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}