{"id":16097,"date":"2021-01-05T01:24:39","date_gmt":"2021-01-04T22:24:39","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/yenidogan-sepsisinin-karar-surecinde-solubl-cd14-ve-yuksek-duyarli-c-reaktif-proteinin-rolu\/"},"modified":"2021-01-05T01:24:39","modified_gmt":"2021-01-04T22:24:39","slug":"yenidogan-sepsisinin-karar-surecinde-solubl-cd14-ve-yuksek-duyarli-c-reaktif-proteinin-rolu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/yenidogan-sepsisinin-karar-surecinde-solubl-cd14-ve-yuksek-duyarli-c-reaktif-proteinin-rolu\/","title":{"rendered":"Yenido\u011fan Sepsisinin Karar S\u00fcrecinde Sol\u00fcbl CD14 ve Y\u00fcksek Duyarl\u0131 C-Reaktif Proteinin Rol\u00fc"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada sepsisin erken tan\u0131s\u0131nda \u00e7\u00f6z\u00fcnebilen CD14 (sCD14) ve y\u00fcksek duyarl\u0131 C-reaktif protein (hs-CRP) d\u00fczeylerinin di\u011fer laboratuvar verileriyle kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. \u00a0<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Yenido\u011fan Servisi\u2019nde 16\u2019s\u0131 erkek, 11\u2019i k\u0131z, toplam 27 yenido\u011fan bebekten al\u0131nan kan \u00f6rneklerinde l\u00f6kosit say\u0131m\u0131, nefelometrik y\u00f6ntemlerle CRP ve hs-CRP \u00f6l\u00e7\u00fcmleri, ek olarak ELISA y\u00f6ntemiyle sCD14 \u00f6l\u00e7\u00fcmleri ger\u00e7ekle\u015ftirilmi\u015ftir. BACTEC 9050 otomatize kan k\u00fclt\u00fcr\u00fc sistemi arac\u0131l\u0131\u011f\u0131yla kan k\u00fclt\u00fcrleri yap\u0131lm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fmaya dahil edilen yenido\u011fanlarda laboratuvar verileri ve klinik g\u00f6zlemler kullan\u0131larak T\u00f6llner sepsis skorlar\u0131 belirlenmi\u015ftir. \u00c7al\u0131\u015fma i\u00e7in yerel Etik Kurulu onay\u0131 al\u0131nm\u0131\u015f ve yap\u0131lacak uygulamalar hakk\u0131nda aileler bilgilendirilerek onay al\u0131nm\u0131\u015ft\u0131r. Konjenital anomalisi olan bebekler \u00e7al\u0131\u015fma d\u0131\u015f\u0131nda tutulmu\u015ftur.\u00a0<\/p>\n<p> <strong>Bulgular<\/strong>: Bebeklerde en s\u0131k g\u00f6r\u00fclen semptom %74 (20\/27) oran\u0131nda beslenmenin reddi olmu\u015f, takiben de letarji ve sar\u0131l\u0131k saptanm\u0131\u015ft\u0131r. Sepsis \u00f6n tan\u0131s\u0131 alm\u0131\u015f 13 bebe\u011fin 4\u2019\u00fcnde kan k\u00fclt\u00fcr\u00fc pozitif bulunmu\u015ftur. CRP \u00f6l\u00e7\u00fcmleri sepsis tan\u0131s\u0131 alm\u0131\u015f 13 bebe\u011fin 7\u2019sinde pozitif bulunurken, sepsis ve CRP aras\u0131nda anlaml\u0131 d\u00fczeyde istatistiksel ili\u015fki g\u00f6zlenmi\u015ftir. Sepsis tan\u0131l\u0131 bebeklerin 12\u2019sinde hs-CRP pozitif (p&lt;0.003), 13 bebe\u011fin tamam\u0131nda sCD14 pozitif (klinikle uyumlu ili\u015fki; p&lt;0.001) bulunmu\u015ftur. Uygulanan sCD14, hs-CRP ve CRP testleri i\u00e7in duyarl\u0131l\u0131k ve \u00f6zg\u00fcll\u00fck oranlar\u0131 s\u0131ras\u0131yla %100 ve %57, %93 ve %64, %54 ve %100 olarak hesaplanm\u0131\u015ft\u0131r.\u00a0<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Yenido\u011fan sepsisinde klinik \u00f6zelliklerle sCD14 ve hs-CRP aras\u0131nda anlaml\u0131 bir korelasyon g\u00f6zlenmi\u015f, bu g\u00f6zlemle sCD14 ve hs-CRP\u2019nin yenido\u011fan sepsisinin erken tan\u0131s\u0131na katk\u0131 sa\u011flayaca\u011f\u0131 kan\u0131s\u0131na var\u0131lm\u0131\u015ft\u0131r.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada sepsisin erken tan\u0131s\u0131nda \u00e7\u00f6z\u00fcnebilen CD14 (sCD14) ve y\u00fcksek duyarl\u0131 C-reaktif protein (hs-CRP) d\u00fczeylerinin di\u011fer laboratuvar verileriyle kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. \u00a0 Y\u00f6ntemler: Yenido\u011fan Servisi\u2019nde 16\u2019s\u0131 erkek, 11\u2019i k\u0131z, toplam 27 yenido\u011fan bebekten al\u0131nan kan \u00f6rneklerinde l\u00f6kosit say\u0131m\u0131, nefelometrik y\u00f6ntemlerle CRP ve hs-CRP \u00f6l\u00e7\u00fcmleri, ek olarak ELISA y\u00f6ntemiyle sCD14 \u00f6l\u00e7\u00fcmleri ger\u00e7ekle\u015ftirilmi\u015ftir. BACTEC 9050 otomatize [&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":[3604,4203,4204,2691,3177],"class_list":["post-16097","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-creaktif-protein","tag-hscrp","tag-scd14","tag-sepsis","tag-yenidogan"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16097","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=16097"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16097\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16097"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16097"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16097"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}