{"id":16265,"date":"2021-01-05T01:24:53","date_gmt":"2021-01-04T22:24:53","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/bolgemizdeki-hemodiyaliz-hastalarinda-hepatit-c-virusu-infeksiyonunun-sikligi-ve-epidemiyolojik-ozellikleri\/"},"modified":"2021-01-05T01:24:53","modified_gmt":"2021-01-04T22:24:53","slug":"bolgemizdeki-hemodiyaliz-hastalarinda-hepatit-c-virusu-infeksiyonunun-sikligi-ve-epidemiyolojik-ozellikleri","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/bolgemizdeki-hemodiyaliz-hastalarinda-hepatit-c-virusu-infeksiyonunun-sikligi-ve-epidemiyolojik-ozellikleri\/","title":{"rendered":"B\u00f6lgemizdeki Hemodiyaliz Hastalar\u0131nda Hepatit C Virusu \u0130nfeksiyonunun S\u0131kl\u0131\u011f\u0131 ve Epidemiyolojik \u00d6zellikleri"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Hepatit C virusu (HCV) hemodiyalize giren hasta pop\u00fclasyonunda s\u0131k g\u00f6r\u00fclen bir infeksiyon etkenidir. \u00c7al\u0131\u015fmada b\u00f6lgemizdeki hemodiyaliz hastalar\u0131nda HCV infeksiyonunun s\u0131kl\u0131\u011f\u0131n\u0131n ve epidemiyolojik \u00f6zelliklerinin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.\u00a0<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmaya rutin olarak hemodiyalize giren 16 ya\u015f\u0131n \u00fczerindeki kronik b\u00f6brek yetmezli\u011fi olan 100 hasta al\u0131nd\u0131. Hastalar\u0131n demografik verileri, HCV i\u00e7in olas\u0131 bula\u015fma yollar\u0131, hemodiyalize giri\u015f yolu, hemodiyaliz s\u00fcresi, karaci\u011fer fonksiyon testleri, hepatit g\u00f6stergeleri ve HCV RNA sonu\u00e7lar\u0131 ara\u015ft\u0131r\u0131ld\u0131. Hepatit g\u00f6stergeleri \u201cenzyme immunoassay\u201d (EIA, Abbott Architect, Almanya) ile test edildi. Plazmada HCV RNA \u201creal time\u201d polimeraz zincir reaksiyonu (PZR, COBAS TaqMan Roche, Almanya) ile ara\u015ft\u0131r\u0131ld\u0131. PZR testinin \u00f6l\u00e7\u00fcm aral\u0131\u011f\u0131 25-3.91&#215;108 \u0130\u00dc\/ml, duyarl\u0131l\u0131\u011f\u0131 ise 25 \u0130\u00dc\/ml idi.\u00a0<\/p>\n<p> <strong>Bulgular<\/strong>: Hastalar\u0131n ya\u015f ortalamas\u0131 58.6\u00b113.9 y\u0131ld\u0131 ve %56\u2019s\u0131 erkekti. Ortalama diyaliz s\u00fcresi 4.8\u00b13.9 (1-19) y\u0131l bulundu. Alanin aminotransferaz ve aspartat aminotransferaz de\u011ferleri ortalamas\u0131 s\u0131ras\u0131yla 17\u00b11.1 \u0130\u00dc\/lt ve 16.1\u00b17.2 \u0130\u00dc\/lt idi. En s\u0131k bula\u015fma yolu cerrahi giri\u015fim, ikinci s\u0131kl\u0131kla kan transf\u00fczyonu olarak saptand\u0131. \u00c7al\u0131\u015fmaya dahil edilen 100 hastan\u0131n 16\u2019s\u0131nda anti-HCV ve HCV RNA testlerinden en az biri pozitifti. Hastalardan 10\u2019unda anti-HCV pozitifli\u011fi, 11\u2019inde HCV RNA pozitifli\u011fi belirlendi. Anti-HCV\u2019si pozitif olan 10 hastadan 5\u2019inin HCV RNA\u2019s\u0131 pozitif bulundu. Anti-HCV\u2019si negatif olan 90 hastan\u0131n 6 (%6.7)\u2019s\u0131nda HCV RNA pozitifti. Bu hastalar\u0131n HCV RNA de\u011ferleri 75-338 \u0130\u00dc\/lt aras\u0131ndayd\u0131.\u00a0<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Hemodiyaliz hastalar\u0131nda HCV infeksiyonunun sessiz seyretmesi hastal\u0131\u011f\u0131n ilerlemesi ve virusun yay\u0131lmas\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemli bir risk olu\u015fturur. Tan\u0131da molek\u00fcler testlerin kullan\u0131lmas\u0131 infeksiyonun ger\u00e7ek s\u0131kl\u0131\u011f\u0131n\u0131 saptamaya ve bula\u015fman\u0131n kontrol\u00fcne katk\u0131 sa\u011flayacakt\u0131r.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Hepatit C virusu (HCV) hemodiyalize giren hasta pop\u00fclasyonunda s\u0131k g\u00f6r\u00fclen bir infeksiyon etkenidir. \u00c7al\u0131\u015fmada b\u00f6lgemizdeki hemodiyaliz hastalar\u0131nda HCV infeksiyonunun s\u0131kl\u0131\u011f\u0131n\u0131n ve epidemiyolojik \u00f6zelliklerinin ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.\u00a0 Y\u00f6ntemler: \u00c7al\u0131\u015fmaya rutin olarak hemodiyalize giren 16 ya\u015f\u0131n \u00fczerindeki kronik b\u00f6brek yetmezli\u011fi olan 100 hasta al\u0131nd\u0131. Hastalar\u0131n demografik verileri, HCV i\u00e7in olas\u0131 bula\u015fma yollar\u0131, hemodiyalize giri\u015f yolu, hemodiyaliz [&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":[3028,2587],"class_list":["post-16265","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hemodiyaliz","tag-hepatit-c"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16265","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=16265"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16265\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16265"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16265"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}