{"id":5554,"date":"2022-01-19T11:40:33","date_gmt":"2022-01-19T08:40:33","guid":{"rendered":"https:\/\/www.klimik.org.tr\/koronavirus\/?p=5554"},"modified":"2022-01-20T11:42:08","modified_gmt":"2022-01-20T08:42:08","slug":"prof-dr-serap-simsek-yavuz-pcr-disinda-testlerin-cesitlendirilmesi-sart","status":"publish","type":"post","link":"https:\/\/www.klimik.org.tr\/koronavirus\/prof-dr-serap-simsek-yavuz-pcr-disinda-testlerin-cesitlendirilmesi-sart\/","title":{"rendered":"Prof. Dr. Serap \u015eim\u015fek-Yavuz: PCR D\u0131\u015f\u0131nda Testlerin \u00c7e\u015fitlendirilmesi \u015eart"},"content":{"rendered":"

\"\"T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 (KL\u0130M\u0130K) Derne\u011fi Ba\u015fkan\u0131 ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek-Yavuz, hastanelerdeki omikrona ba\u011fl\u0131 yo\u011funlu\u011fun artmaya ba\u015flad\u0131\u011f\u0131na i\u015faret ederek \u00f6nemli a\u00e7\u0131klamalarda bulundu.<\/strong><\/p>\n

Prof. Dr. Yavuz, \u0130stanbul’un omikronun ilk g\u00f6r\u00fcld\u00fc\u011f\u00fc yer oldu\u011funu s\u00f6yleyerek “\u0130lk \u00f6nce sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131ndan asl\u0131nda bunu g\u00f6rd\u00fck, a\u015f\u0131l\u0131 olan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 hastal\u0131\u011f\u0131 hafif ge\u00e7irmekte birlikte gene de hastaland\u0131lar ve sonu\u00e7ta belli kliniklerde i\u015f y\u00fck\u00fc \u00e7ok artt\u0131 onlar evde kalmak zorunda kald\u0131klar\u0131 i\u00e7in. \u0130nan\u0131lmaz fazla say\u0131da hasta ba\u015fvurular\u0131 oldu, test s\u0131k\u0131nt\u0131s\u0131 ya\u015fand\u0131, \u00e7ok uzun s\u00fcre test sonucu bekler hale geldi insanlar. \u015eu anda da yatan hasta say\u0131s\u0131nda art\u0131\u015flar g\u00f6r\u00fcyoruz. Yeni servisler a\u00e7mam\u0131z gerekiyor. Yatan hastalar genellikle yine ya\u015fl\u0131, komorbiditesi (altta yatan hastal\u0131\u011f\u0131) olan riskli kesim ama 40’l\u0131 50’li ya\u015flar\u0131nda olan gen\u00e7 hastalar\u0131m\u0131z da var. Bunlar da genellikle ya a\u015f\u0131s\u0131z ya da eksik a\u015f\u0131l\u0131” dedi.<\/p>\n

“OM\u0130KRON PANDEM\u0130N\u0130N SONUNU GET\u0130RECEK G\u00d6R\u00dc\u015e\u00dc HEN\u00dcZ H\u0130POTEZ”<\/strong><\/p>\n

Omikronun hafif seyretti\u011fi i\u00e7in salg\u0131n\u0131n sonunu getirece\u011fi y\u00f6n\u00fcndeki g\u00f6r\u00fc\u015flere “hen\u00fcz” kat\u0131lmad\u0131\u011f\u0131n\u0131 s\u00f6yleyen Prof. Dr. Yavuz, tam tersine bu g\u00f6r\u00fc\u015fle hareket etmenin \u00e7ok tehlikeli oldu\u011funu vurgulayarak \u015funlar\u0131 s\u00f6yledi:<\/p>\n

“Bu g\u00f6r\u00fc\u015f, \u015fu an bir hipotez. Do\u011frulanm\u0131\u015f bir durum de\u011fil. Bilimsel yakla\u015f\u0131m, olumsuz senaryolar \u00fczerinden haz\u0131rlanmam\u0131z gerekti\u011fini s\u00f6yl\u00fcyor bize. \u00c7\u00fcnk\u00fc daha \u00f6nceki tecr\u00fcbelerimizde de bunu g\u00f6rd\u00fck.<\/p>\n

Omikron ilk \u00e7\u0131kt\u0131\u011f\u0131nda \u00e7ok fazla insana bula\u015fabilece\u011fi, bu nedenle de hastanelerde s\u0131k\u0131\u015f\u0131kl\u0131klara neden olabilece\u011fi, test kapasitesinde zorlanmalara yol a\u00e7abilece\u011fi, toplumda \u00f6zellikle \u00f6n saflarda \u00e7al\u0131\u015fan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 gibi, hizmet sekt\u00f6r\u00fc \u00e7al\u0131\u015fanlar\u0131 gibi kesimlerde \u00e7ok fazla hastalanmaya ba\u011fl\u0131 olarak i\u015flerin aksayabilece\u011fi matematik modellemelerle g\u00f6sterilmi\u015fti zaten.<\/p>\n

Y\u00fczde 25 daha hafif seyirli bile olsa, o kadar fazla insana bula\u015f\u0131yor ki, \u00f6l\u00fcm ve hastaneye yat\u0131\u015f say\u0131lar\u0131n\u0131n \u00e7ok daha y\u00fcksek olabilece\u011fini matematik modellemeler g\u00f6steriyor \u015fu anda. M\u00fccadelenizi bunlar \u00fczerinden y\u00fcr\u00fctmeniz gerekiyor.”<\/p>\n

“HIZLI TESTLER\u0130 GE\u00c7EN HAFTA DA G\u00dcNDEME GET\u0130RD\u0130K”<\/strong><\/p>\n

Omikron varyant\u0131n\u0131n d\u00fcnyada h\u0131zla yay\u0131lmas\u0131yla beraber Bilim Kurulu toplant\u0131lar\u0131nda da test say\u0131lar\u0131n\u0131n art\u0131r\u0131lmas\u0131, sadece PCR de\u011fil h\u0131zl\u0131 testler gibi se\u00e7eneklerin de g\u00fcndeme al\u0131nmas\u0131 gerekti\u011fini g\u00fcndeme getirdiklerini de s\u00f6yleyen Prof. Dr. Yavuz, \u015funlar\u0131 kaydetti:<\/p>\n

“Test say\u0131n\u0131z\u0131, test \u00e7e\u015fitlili\u011finizi art\u0131r\u0131n, omikrondaki \u00f6ng\u00f6r\u00fcler bu y\u00f6ndeydi. Bunu yaparsan\u0131z daha az zararl\u0131 \u00e7\u0131kars\u0131n\u0131z diyor \u00f6ng\u00f6r\u00fcler. Bilim Kurulu’nda testleri, test y\u00f6ntemlerini \u00e7ok yak\u0131ndan takip eden arkada\u015flar\u0131m\u0131z var. H\u0131zl\u0131 testler kullan\u0131ma girer girmez, Bilim Kurulu’nun da g\u00fcndemine geldi ve tart\u0131\u015f\u0131ld\u0131 bu konu; Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’na da \u00f6nerildi h\u0131zl\u0131 test kullan\u0131m\u0131. Hatta ge\u00e7ti\u011fimiz hafta \u00c7ar\u015famba g\u00fcn\u00fc de dahil olmak \u00fczere.<\/p>\n

Buraya daha haz\u0131rl\u0131kl\u0131 girilseydi, test \u00e7e\u015fitlili\u011fi, testi yapan b\u00f6l\u00fcmlerde \u00e7al\u0131\u015fan insan say\u0131s\u0131n\u0131n yeniden d\u00fczenlenmesi vb. omikron pikine b\u00f6yle girmi\u015f olmam\u0131z gerekirdi. \u00d6yle giremedi\u011fimiz i\u00e7in PCR i\u00e7in hastanelerde korkun\u00e7 kuyruklar oldu, test say\u0131lar\u0131 a\u015f\u0131r\u0131 y\u00fckseldi.<\/p>\n

Dolay\u0131s\u0131yla Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131, burada ba\u015fka bir y\u00f6nteme giderek, test yap\u0131lacak gruplar\u0131 azaltmaya gitmek zorunda kald\u0131. \u015eu anda T\u00fcrkiye’nin g\u00fcvenilir h\u0131zl\u0131 testlere ihtiyac\u0131 var. Ge\u00e7ti\u011fimiz haftalarda ya\u015fad\u0131\u011f\u0131m\u0131z PCR testlerindeki t\u0131kanma, bu h\u0131zl\u0131 testlerin uygun endikasyonda kullan\u0131m\u0131na ihtiya\u00e7 oldu\u011funu da g\u00f6sterdi.”<\/p>\n

“BEDEL\u0130N\u0130 A\u011eIR \u00d6DEYEB\u0130L\u0130R\u0130Z”<\/strong><\/p>\n

Salg\u0131n\u0131n hen\u00fcz “endemik” hale gelmedi\u011fini, halen pandemik ko\u015fullar i\u00e7inde oldu\u011fumuzu vurgulayan Prof. Dr. Yavuz, daha hipotez iken salg\u0131n sonlan\u0131yormu\u015f gibi hareket etmenin bedelini a\u011f\u0131r \u00f6deyebilece\u011fimizi s\u00f6yleyerek s\u00f6zlerini \u015f\u00f6yle s\u00fcrd\u00fcrd\u00fc:<\/p>\n

“Bu senaryoyu ger\u00e7ek bir senaryoymu\u015f gibi \u015fimdiden kabul edersek, bedelini a\u011f\u0131r \u00f6deyebiliriz. Biz, k\u00f6t\u00fc senaryo \u00fczerinden haz\u0131rlanmal\u0131 ve her t\u00fcrl\u00fc \u00f6nlemi de onun \u00fczerinden yapmal\u0131y\u0131z. Amerika’da g\u00f6r\u00fcyoruz, hastaneye yat\u0131\u015flar m\u00fcthi\u015f artt\u0131; \u00f6l\u00fcm say\u0131lar\u0131 artt\u0131. Neredeyse di\u011fer piklere yakla\u015fan say\u0131larda yat\u0131\u015flar var.<\/p>\n

Hatta bir \u00f6nceki piklere g\u00f6re daha fazla \u00f6l\u00fcm say\u0131s\u0131 ile kar\u015f\u0131la\u015f\u0131lmas\u0131ndan korkuluyor. Yetersiz a\u015f\u0131l\u0131 olanlar\u0131n ek dozlar\u0131n\u0131 mutlaka yapt\u0131rmas\u0131 gerekli. A\u015f\u0131lamaya h\u0131z kazand\u0131r\u0131lmas\u0131 laz\u0131m. Di\u011fer taraftan da toplumda infeksiyonu kontrol alt\u0131na almay\u0131 sa\u011flayan, ‘tara-test et-izole et’ kural\u0131, mesafenin art\u0131r\u0131lmas\u0131, maske kullan\u0131m\u0131na halen dikkat edilmesi ki zaten kullan\u0131yoruz, gerekiyor. \u015eu anda bilim bize bunu s\u00f6yl\u00fcyor.”<\/p>\n

“TAT\u0130LDE KI\u015e OTELLER\u0130N\u0130N RESTORANLARI R\u0130SKL\u0130 OLACAK”<\/strong><\/p>\n

\u0130ki g\u00fcn sonra ba\u015flayacak yar\u0131 y\u0131l tatiliyle de ilgili \u00f6nemli uyar\u0131larda bulunan Prof. Dr. Yavuz, tatilin ba\u015flamas\u0131yla beraber insan hareketlili\u011fi ve belli b\u00f6lgelerdeki y\u0131\u011f\u0131lmalardan endi\u015fe etti\u011fini belirterek,\u00a0\u015funlar\u0131 s\u00f6yledi:<\/p>\n

“\u015eubat tatili i\u00e7in tabii ki ben de takip ediyorum, ben de dinlenmek istiyorum. Her yer dolu, inan\u0131lmaz bir kalabal\u0131k olacak, kayak otelleri, b\u00fct\u00fcn k\u0131\u015f otelleri olduk\u00e7a yo\u011fun bir \u015fekilde dolu. Ben buralar\u0131n yemek yenilen alanlar\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyorum; omikron edinmek i\u00e7in ya da COVID olmak i\u00e7in ger\u00e7ekten ideal ortamlar olacak.<\/p>\n

O y\u00fczden kalabal\u0131klara girmeyin diyece\u011fim ben yine mecburen. Bunu demek zorunday\u0131m \u00e7\u00fcnk\u00fc. Hele a\u015f\u0131s\u0131zlar kesinlikle girmesinler. Eksik a\u015f\u0131l\u0131 olanlar da mutlaka a\u015f\u0131 dozlar\u0131n\u0131 tamamlas\u0131nlar. En az\u0131ndan hastalansalar bile \u00f6l\u00fcm riski neredeyse 13 kat daha d\u00fc\u015f\u00fck a\u015f\u0131s\u0131zlara g\u00f6re. Ayr\u0131ca tan\u0131d\u0131klar\u0131n\u0131z, aile bireyleriniz, a\u015f\u0131l\u0131 oldu\u011funu bildi\u011finiz ki\u015filer vb. d\u0131\u015f\u0131nda; kalabal\u0131k bir ortamda olacaksan\u0131z maskenizi asla \u00e7\u0131karmay\u0131n. Tabii ki testler herhalde ki yayg\u0131nla\u015ft\u0131r\u0131lacakt\u0131r diye d\u00fc\u015f\u00fcn\u00fcyorum. San\u0131r\u0131m Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n da bu y\u00f6nde bir tak\u0131m \u00e7al\u0131\u015fmalar\u0131 olacakt\u0131r.”<\/p>\n

“UZUN VADEL\u0130 ETK\u0130LER\u0130N\u0130 HAF\u0130FE ALMAYIN”<\/strong><\/p>\n

Prof. Dr. Serap \u015eim\u015fek Yavuz, son olarak ‘nas\u0131lsa art\u0131k hafif ge\u00e7iriliyor’ diye d\u00fc\u015f\u00fcnerek salg\u0131n\u0131 ciddiye almay\u0131 b\u0131rakman\u0131n risklerine de su s\u00f6zlerle de\u011findi:<\/p>\n

“Bu asl\u0131nda hala yeni bir virus. \u0130ki y\u0131l oldu ortaya \u00e7\u0131kal\u0131 ama hen\u00fcz uzun d\u00f6nem etkilerinin neler olaca\u011f\u0131 tamamen bilinmiyor. Hafif bile ge\u00e7irseniz, bu virusun v\u00fccutta bir\u00e7ok yere yerle\u015febildi\u011fi g\u00f6sterildi. Merkezi sinir sisteminden, beyin fonksiyonlar\u0131ndan tutunun, \u00fcreme sistemine, bir\u00e7ok yere etkisi olabilece\u011fi g\u00f6r\u00fcl\u00fcyor. Uzun d\u00f6nem sonu\u00e7lar\u0131n\u0131 da s\u00fcre\u00e7 i\u00e7inde g\u00f6rece\u011fiz.<\/p>\n

Kural, bu virusla infekte olmamaya \u00e7al\u0131\u015f\u0131n olmal\u0131. Viruslar o kadar da masum de\u011fil. \u0130lerleyen d\u00f6nemde ummad\u0131\u011f\u0131m\u0131z sonu\u00e7lar\u0131 \u00e7\u0131kabilir. Mesela MS (Multipl Skleroz) hastal\u0131\u011f\u0131n\u0131n da viral bir hastal\u0131k oldu\u011fu neredeyse g\u00f6sterilmi\u015f durumda.<\/p>\n

Ge\u00e7ti\u011fimiz hafta bununla ilgili yay\u0131mlanan bir \u00e7al\u0131\u015fma (ba\u015fka bir virusa maruziyet sonucu uzun vadede ortaya \u00e7\u0131kabilece\u011fini) g\u00f6sterdi. Dolay\u0131s\u0131yla bilinmeyen bir virus, hem de \u00f6l\u00fcmc\u00fcl oldu\u011funu biliyoruz, omikron da olsa \u00f6ld\u00fcrebildi\u011fini g\u00f6r\u00fcyoruz; nitekim hastanemize de \u00e7ok a\u011f\u0131r seyreden hastalar geliyor, kaybetti\u011fimiz hastalar oluyor.”<\/p>\n

Haber \u0130\u00e7in T\u0131klay\u0131n\u0131z<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00fcrk Klinik Mikrobiyoloji ve \u0130nfeksiyon Hastal\u0131klar\u0131 (KL\u0130M\u0130K) Derne\u011fi Ba\u015fkan\u0131 ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavirus Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek-Yavuz, hastanelerdeki omikrona ba\u011fl\u0131 yo\u011funlu\u011fun artmaya ba\u015flad\u0131\u011f\u0131na i\u015faret ederek \u00f6nemli a\u00e7\u0131klamalarda bulundu. Prof. Dr. Yavuz, \u0130stanbul’un omikronun ilk g\u00f6r\u00fcld\u00fc\u011f\u00fc yer oldu\u011funu s\u00f6yleyerek “\u0130lk \u00f6nce sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131ndan asl\u0131nda bunu g\u00f6rd\u00fck, a\u015f\u0131l\u0131 olan sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 hastal\u0131\u011f\u0131 hafif ge\u00e7irmekte birlikte gene de hastaland\u0131lar ve sonu\u00e7ta belli kliniklerde i\u015f y\u00fck\u00fc \u00e7ok artt\u0131 onlar evde kalmak zorunda kald\u0131klar\u0131 i\u00e7in. \u0130nan\u0131lmaz fazla say\u0131da hasta ba\u015fvurular\u0131 oldu, test s\u0131k\u0131nt\u0131s\u0131 ya\u015fand\u0131, \u00e7ok uzun s\u00fcre test sonucu bekler hale geldi insanlar. \u015eu anda da yatan hasta say\u0131s\u0131nda art\u0131\u015flar g\u00f6r\u00fcyoruz. Yeni […]<\/p>\n","protected":false},"author":4,"featured_media":5555,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5554"}],"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=5554"}],"version-history":[{"count":1,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5554\/revisions"}],"predecessor-version":[{"id":5556,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/posts\/5554\/revisions\/5556"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media\/5555"}],"wp:attachment":[{"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/media?parent=5554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/categories?post=5554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimik.org.tr\/koronavirus\/wp-json\/wp\/v2\/tags?post=5554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}