D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn (DS\u00d6) 2023 May\u0131s ay\u0131nda yay\u0131mlad\u0131\u011f\u0131 rapora g\u00f6re, May\u0131s 2022 \u2013 Nisan 2023 tarihleri aras\u0131nda, T\u00fcrkiye 18.08 olan olgu say\u0131s\u0131 (milyon n\u00fcfus ba\u015f\u0131na d\u00fc\u015fen) ile insidans a\u00e7\u0131s\u0131ndan DS\u00d6 Avrupa b\u00f6lgesinde d\u00f6rd\u00fcnc\u00fc s\u0131rada yer almaktad\u0131r (1). K\u0131zam\u0131k virusu y\u00fcksek derecede bula\u015f\u0131c\u0131 olup hava yoluyla bula\u015f\u0131r ve a\u011f\u0131r komplikasyonlara neden olarak \u00f6l\u00fcme sebebiyet verebilir. K\u0131zam\u0131\u011f\u0131n eliminasyonu i\u00e7in u\u011fra\u015f verdi\u011fimiz bug\u00fcnlerde, k\u0131zam\u0131\u011f\u0131n bula\u015ft\u0131r\u0131c\u0131l\u0131k s\u00fcresi ile ilgili olarak T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n K\u0131zam\u0131k Eliminasyon Program\u0131 Genelgesi ile DS\u00d6 ve ABD Hastal\u0131k Kontrol ve Korunma Merkezleri (U.S. Centers for Disease Control and Prevention – CDC)\u2019nin kaynaklar\u0131nda farkl\u0131l\u0131k bulunmaktad\u0131r.<\/p>\n
T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Temel Sa\u011fl\u0131k Hizmetleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019n\u00fcn 01 Nisan 2010 tarih ve B100TSH01105 say\u0131l\u0131 K\u0131zam\u0131k\/K\u0131zam\u0131k\u00e7\u0131k ve Konjenital K\u0131zam\u0131k\u00e7\u0131k Sendromu (KKS) S\u00fcrveyans\u0131 Genelgesi ile T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 T\u00fcrkiye Halk Sa\u011fl\u0131\u011f\u0131 Kurumu (THSK) A\u015f\u0131 ile \u00d6nlenebilir Hastal\u0131klar Daire Ba\u015fkanl\u0131\u011f\u0131\u2019n\u0131n 05 \u015eubat 2015 tarih ve 21001706 say\u0131l\u0131 K\u0131zam\u0131k Eliminasyon Program\u0131 konulu yaz\u0131s\u0131nda a\u015fa\u011f\u0131da verilen ibare yer almaktad\u0131r:<\/p>\n
\u201cK\u0131zam\u0131k hastal\u0131\u011f\u0131 olan ki\u015filer d\u00f6k\u00fcnt\u00fcn\u00fcn ba\u015flamas\u0131ndan d\u00f6rt g\u00fcn \u00f6ncesine, d\u00f6k\u00fcnt\u00fcn\u00fcn sona ermesinden ise d\u00f6rt g\u00fcn sonras\u0131na kadar bula\u015ft\u0131r\u0131c\u0131 kabul edilmektedir<\/i>\u201d (2,3).<\/p>\n
S\u00f6z konusu ibare a\u015fa\u011f\u0131da \u00f6rnekleri bulunan \u00e7e\u015fitli kaynaklarla \u00e7eli\u015fmektedir. D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn yay\u0131mlam\u0131\u015f oldu\u011fu kaynakta, k\u0131zam\u0131k i\u00e7in bula\u015ft\u0131rma aral\u0131\u011f\u0131 d\u00f6k\u00fcnt\u00fcn\u00fcn ba\u015flang\u0131c\u0131ndan d\u00f6rt g\u00fcn \u00f6nce ve d\u00f6rt g\u00fcn sonra \u015feklinde tan\u0131mlanm\u0131\u015ft\u0131r. Kaynakta yer ifadeler a\u015fa\u011f\u0131daki gibidir:<\/p>\n
\u201cAny direct contact with a patient with measles and rubella during the infectious period (i.e., four days before to four days after rash onset for measles and seven days before to five days after rash onset for rubella) is defined as exposure<\/i>\u201d (s. 27) (4).<\/p>\n
\u201cIsolate patients during their infectious period (i.e., for measles: four days after rash onset, for rubella: five days after rash onset<\/i>\u201d (s. 32) (4).<\/p>\n
Di\u011fer yanda CDC\u2019nin de k\u0131zam\u0131k bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131 ile ilgili olarak yay\u0131mlad\u0131\u011f\u0131 bilgi, bula\u015ft\u0131r\u0131c\u0131l\u0131\u011f\u0131n d\u00f6k\u00fcnt\u00fcn\u00fcn ba\u015flang\u0131c\u0131n\u0131n d\u00f6rt g\u00fcn \u00f6ncesinden, d\u00f6k\u00fcnt\u00fcn\u00fcn ba\u015flad\u0131\u011f\u0131 tarihten d\u00f6rt g\u00fcn sonras\u0131na kadar ger\u00e7ekle\u015fti\u011fi \u015feklindedir. Kaynakta yer alan ifade a\u015fa\u011f\u0131daki gibidir:<\/p>\n
\u201cMeasles is considered transmissible from 4 days before through 4 days after rash onset<\/i>\u201d (5).<\/p>\n
\u00dclkemizde bir istisna olarak, Tekirda\u011f \u0130l Sa\u011fl\u0131k M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019n\u00fcn 2023 y\u0131l\u0131nda g\u00fcncellenmi\u015f olan internet sayfas\u0131nda bilgi d\u00fczeltilmi\u015f olarak yer alm\u0131\u015ft\u0131r (6).<\/p>\n
Sonu\u00e7 olarak; bula\u015ft\u0131rma s\u00fcresi ile ilgili olarak uluslararas\u0131 kurumlara ait kaynaklar ile \u00e7eli\u015fen bilgiler i\u00e7eren K\u0131zam\u0131k Eliminasyon Program\u0131 konulu genelgenin g\u00fcncellenmesi sahada meydana gelebilecek kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131 engelleyecektir. Gerekli de\u011fi\u015fikli\u011fin yap\u0131lmas\u0131na dair bir dilek\u00e7e 26 Nisan 2023 tarihinde T.C. Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019na iletilmi\u015f olup 21 Haziran 2023 tarihi itibariyle hen\u00fcz dilek\u00e7e sahibine bir geri d\u00f6n\u00fc\u015f olmam\u0131\u015ft\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"
D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2019n\u00fcn (DS\u00d6) 2023 May\u0131s ay\u0131nda yay\u0131mlad\u0131\u011f\u0131 rapora g\u00f6re, May\u0131s 2022 \u2013 Nisan 2023 tarihleri aras\u0131nda, T\u00fcrkiye 18.08 olan olgu say\u0131s\u0131 (milyon n\u00fcfus ba\u015f\u0131na d\u00fc\u015fen) ile insidans a\u00e7\u0131s\u0131ndan DS\u00d6 Avrupa b\u00f6lgesinde d\u00f6rd\u00fcnc\u00fc s\u0131rada yer almaktad\u0131r (1). K\u0131zam\u0131k virusu y\u00fcksek derecede bula\u015f\u0131c\u0131 olup hava yoluyla bula\u015f\u0131r ve a\u011f\u0131r komplikasyonlara neden olarak \u00f6l\u00fcme sebebiyet verebilir. K\u0131zam\u0131\u011f\u0131n […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5139],"tags":[3377,5495],"class_list":["post-27222","post","type-post","status-publish","format-standard","hentry","category-editore-mektup","tag-kizamik","tag-kizamik-eliminasyonu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/27222","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"}],"author":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=27222"}],"version-history":[{"count":3,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/27222\/revisions"}],"predecessor-version":[{"id":27678,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/27222\/revisions\/27678"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=27222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=27222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=27222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}