{"id":2681,"date":"2020-08-27T13:49:18","date_gmt":"2020-08-27T10:49:18","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=2681"},"modified":"2020-08-27T18:24:48","modified_gmt":"2020-08-27T15:24:48","slug":"covid-19-pandemisi-doneminde-pnomokok-ve-grip-asilarinin-uygulama-gerekliligi","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/covid-19-pandemisi-doneminde-pnomokok-ve-grip-asilarinin-uygulama-gerekliligi\/","title":{"rendered":"Klimik Derne\u011fi Eri\u015fkin Ba\u011f\u0131\u015f\u0131klamas\u0131 \u00c7al\u0131\u015fma Grubundan COVID-19 Pandemisi D\u00f6neminde Pn\u00f6mokok ve Grip A\u015f\u0131lar\u0131n\u0131n Uygulama Gereklili\u011fiyle \u0130lgili Bilgi Notu"},"content":{"rendered":"

COVID-19 salg\u0131n\u0131 s\u0131ras\u0131nda rutin ba\u011f\u0131\u015f\u0131klama faaliyetlerinin devam ettirilmesi gerekir. \u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lamas\u0131n\u0131n k\u0131sa s\u00fcreli de olsa kesintiye u\u011framas\u0131, a\u015f\u0131yla \u00f6nlenebilir hastal\u0131klar\u0131n artmas\u0131na, hatta salg\u0131nlar\u0131na neden olabilir. Ba\u015fta kronik hastal\u0131\u011f\u0131 bulunanlar olmak \u00fczere yeti\u015fkinlerde gerekli a\u015f\u0131lar\u0131n uygulanmamas\u0131 \u00f6l\u00fcme ve ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilir. Ayr\u0131ca, sa\u011fl\u0131k sisteminin COVID-19 nedeniyle artm\u0131\u015f y\u00fck\u00fcne ek y\u00fckler katarak sistemin fel\u00e7 olmas\u0131 riskini yaratabilir.<\/span><\/p>\n

Grip hastal\u0131\u011f\u0131n\u0131n d\u00fcnya \u00e7ap\u0131nda 2-5 milyon ciddi infeksiyona ve yakla\u015f\u0131k 290 bin ila 650 bin aras\u0131nda \u00f6l\u00fcme neden oldu\u011fu tahmin edilmektedir. Grip a\u015f\u0131s\u0131 hastal\u0131\u011f\u0131 \u00f6nlemesinin yan\u0131nda, hastaneye ve yo\u011fun bak\u0131ma yat\u0131\u015f ihtiyac\u0131n\u0131 da azalt\u0131r. Grip a\u015f\u0131s\u0131n\u0131n \u00f6nleyece\u011fi solunum yolu hastal\u0131klar\u0131 sayesinde \u00f6nemli oranda \u00f6l\u00fcm ve ciddi hastal\u0131k engellenmi\u015f olacakt\u0131r. Bunun yan\u0131nda pandemi nedeniyle zaten artm\u0131\u015f hastane y\u00fck\u00fcne ek y\u00fck getirilmesinin de \u00f6n\u00fcne ge\u00e7ilecektir.<\/span><\/p>\n

Pn\u00f6mokoklar, k\u00fcresel olarak toplum kaynakl\u0131 zat\u00fcrrenin en yayg\u0131n nedenidir ve \u00f6zellikle k\u0131\u015f aylar\u0131nda zirve yapar. Pn\u00f6mokok a\u015f\u0131s\u0131yla pn\u00f6moni ve kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 \u00f6nlenirken, hastaneye yat\u0131\u015f ve yo\u011fun bak\u0131ma duyulan ihtiya\u00e7 da azalt\u0131labilmektedir. Bu sayede sa\u011fl\u0131k sisteminin t\u00fcm kaynaklar\u0131n\u0131n ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n t\u00fcm enerjilerinin pandemik hastalara y\u00f6nlendirilmesi sa\u011flanabilir.<\/span><\/p>\n

COVID-19 hastal\u0131\u011f\u0131 i\u00e7in risk grubunda olanlar ayn\u0131 zamanda grip ve pn\u00f6mokok infeksiyonlar\u0131 i\u00e7in de risk grubundad\u0131r. COVID-19 infeksiyonu esnas\u0131nda grip ve p\u00f6nomokok infeksiyonlar\u0131 bir arada g\u00f6r\u00fclebilir, pn\u00f6mokoklar ikincil kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131na da yol a\u00e7abilir. \u00a0Bu durumlar COVID-19 infeksiyonunun seyrini a\u011f\u0131rla\u015ft\u0131rabilir. Ek olarak, grip ve pn\u00f6mokok infeksiyonu nedeniyle hastane yat\u0131\u015flar\u0131 COVID-19 bula\u015fma riski olu\u015fturacakt\u0131r. Grip ve pn\u00f6mokok a\u015f\u0131lar\u0131yla hastal\u0131\u011f\u0131n \u00f6nlenmesi ve hastane y\u00fck\u00fcn\u00fcn azalt\u0131lmas\u0131n\u0131n yan\u0131 s\u0131ra COVID-19 bula\u015fmas\u0131n\u0131n da azalt\u0131lmas\u0131 m\u00fcmk\u00fcn olacakt\u0131r.<\/span><\/p>\n

Sonu\u00e7 olarak; grip a\u015f\u0131s\u0131n\u0131 \u00f6ncelikle risk grubundakiler ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 olmak \u00fczere 6 aydan b\u00fcy\u00fck herkese, pn\u00f6mokok a\u015f\u0131s\u0131n\u0131 ise risk grubunda olan ki\u015filere \u00f6neriyoruz.<\/span><\/p>\n

Grip a\u00e7\u0131s\u0131ndan risk grubunda olanlar: <\/strong>5 ya\u015f alt\u0131 ve 50 ya\u015f \u00fczerindekiler, kronik akci\u011fer (ast\u0131m dahil), kalp, karaci\u011fer, b\u00f6brek, kan hastal\u0131klar\u0131 ve metabolik hastal\u0131\u011f\u0131 (diyabet dahil) olanlar, obez ki\u015filer (BMI>40), uzun sureli aspirin veya salisilik asit t\u00fcrevi ila\u00e7 kullanan 19 ya\u015f alt\u0131ndakiler, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flamas\u0131na yol a\u00e7an hastal\u0131klar (HIV\/AIDS, l\u00f6semi gibi kanser t\u00fcrleri) veya ila\u00e7 kullan\u0131m\u0131, gebeler ve lohusalar (gebelikten 2 hafta sonras\u0131na kadarki donem) ve uzun s\u00fcreli bak\u0131m evinde kalanlar.<\/span><\/p>\n

Pn\u00f6mokok infeksiyonlar\u0131 a\u00e7\u0131s\u0131ndan risk grubunda olanlar: <\/strong>Ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bask\u0131layan hastal\u0131klar\u0131 (\u00d6rne\u011fin; hematolojik kanserler, HIV enfeksiyonu vb.) veya ila\u00e7 kullan\u0131m\u0131 olanlar, dala\u011f\u0131 olmayanlar veya fonksiyon bozuklu\u011fu olanlar, kronik kalp, akci\u011fer (ast\u0131m dahil), karaci\u011fer ve b\u00f6brek hastal\u0131\u011f\u0131 olanlar, kohlear implant ameliyat\u0131 olanlar, beyin omurilik s\u0131v\u0131s\u0131 (BOS) ka\u00e7a\u011f\u0131 olanlar, sigara kullananalar ve 65 ya\u015f \u00fczerindekiler.<\/span><\/p>\n

Pn\u00f6mokok A\u015f\u0131lar\u0131n\u0131n Uygulanma Endikasyonlar\u0131 ve Takvimi \u0130\u00e7in T\u0131klay\u0131n\u0131z<\/a><\/strong><\/p>\n

\"\"
\n<\/strong>T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 Derne\u011fi
\n<\/strong>Eri\u015fkin Ba\u011f\u0131\u015f\u0131klamas\u0131 \u00c7al\u0131\u015fma Grubu<\/strong><\/p>\n

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COVID-19 salg\u0131n\u0131 s\u0131ras\u0131nda rutin ba\u011f\u0131\u015f\u0131klama faaliyetlerinin devam ettirilmesi gerekir. \u00c7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lamas\u0131n\u0131n k\u0131sa s\u00fcreli de olsa kesintiye u\u011framas\u0131, a\u015f\u0131yla \u00f6nlenebilir hastal\u0131klar\u0131n artmas\u0131na, hatta salg\u0131nlar\u0131na neden olabilir. Ba\u015fta kronik hastal\u0131\u011f\u0131 bulunanlar olmak \u00fczere yeti\u015fkinlerde gerekli a\u015f\u0131lar\u0131n uygulanmamas\u0131 \u00f6l\u00fcme ve ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilir. Ayr\u0131ca, sa\u011fl\u0131k sisteminin COVID-19 nedeniyle artm\u0131\u015f y\u00fck\u00fcne ek y\u00fckler katarak sistemin fel\u00e7 olmas\u0131 riskini yaratabilir. Grip hastal\u0131\u011f\u0131n\u0131n d\u00fcnya \u00e7ap\u0131nda 2-5 milyon ciddi infeksiyona ve yakla\u015f\u0131k 290 bin ila 650 bin aras\u0131nda \u00f6l\u00fcme neden oldu\u011fu tahmin edilmektedir. Grip a\u015f\u0131s\u0131 hastal\u0131\u011f\u0131 \u00f6nlemesinin yan\u0131nda, hastaneye ve yo\u011fun bak\u0131ma yat\u0131\u015f ihtiyac\u0131n\u0131 da azalt\u0131r. Grip a\u015f\u0131s\u0131n\u0131n \u00f6nleyece\u011fi solunum yolu hastal\u0131klar\u0131 sayesinde \u00f6nemli […]<\/p>\n","protected":false},"author":4,"featured_media":2682,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/2681"}],"collection":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/comments?post=2681"}],"version-history":[{"count":7,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/2681\/revisions"}],"predecessor-version":[{"id":2689,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/2681\/revisions\/2689"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/2682"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=2681"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=2681"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=2681"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}