{"id":62928,"date":"2022-12-15T02:21:04","date_gmt":"2022-12-15T02:21:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=62928"},"modified":"2022-12-15T02:21:04","modified_gmt":"2022-12-15T02:21:04","slug":"strep-a-bakterisiyle-ilgili-gercekler","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=62928","title":{"rendered":"Strep A bakterisiyle ilgili ger\u00e7ekler"},"content":{"rendered":"

Streptokok A bakterisinin \u2018toksik’ olarak adland\u0131r\u0131lan formu \u0130stanbul, Ankara ve \u0130zmir’de g\u00f6r\u00fcld\u00fc. Ankara’da bir \u00e7ocu\u011fun yo\u011fun bak\u0131ma al\u0131nd\u0131\u011f\u0131, \u0130stanbul’da ise bir \u00e7ocu\u011fun Strep A bakterisi nedeniyle menenjit oldu\u011fu \u00f6\u011frenildi. Strep A’n\u0131n bo\u011fazda ve deride g\u00f6r\u00fclen, \u00f6l\u00fcmc\u00fcl sonu\u00e7lar do\u011furabilen bir bakteri oldu\u011funu belirten \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ye\u015fim Eker Neft\u00e7i, \u2018’Bu bakteri \u00e7ocuklarda \u00fcst solunum yolu enfeksiyonu (farenjit) ve deri enfeksiyonlar\u0131n\u0131n en s\u0131k sebebidir” dedi ve \u015fu bilgileri verdi\u2026<\/p>\n

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Ye\u015fim Eker Neft\u00e7i<\/p>\n<\/div>\n

Belirtileri nelerdir?<\/b><\/p>\n

Genellikle h\u0131zl\u0131 bir \u015fekilde ba\u015flayan bo\u011faz a\u011fr\u0131s\u0131 ve yutkunma ile a\u011fr\u0131. Ate\u015f (38\u00b0C veya \u00fcst\u00fc) K\u0131rm\u0131z\u0131 ve \u015fi\u015fmi\u015f bademcikler, bazen dil \u00fczerinde beyaz lekeler. Yumu\u015fak veya sert damakta k\u00fc\u00e7\u00fck k\u0131rm\u0131z\u0131 lekeler. Ba\u015f a\u011fr\u0131s\u0131. Bulant\u0131 ve\/veya kusma. Boyunda \u015fi\u015fmi\u015f lenf bezleri. V\u00fccut a\u011fr\u0131lar\u0131 ve deride d\u00f6k\u00fcnt\u00fc. Bu hastal\u0131kta viral enfeksiyonlarda daha \u00e7ok g\u00f6rd\u00fc\u011f\u00fcm\u00fcz burun ak\u0131nt\u0131s\u0131, g\u00f6z k\u0131zar\u0131kl\u0131\u011f\u0131, \u00f6ks\u00fcr\u00fck, ses k\u0131s\u0131kl\u0131\u011f\u0131, ishal gibi \u015fikayetler genelde olmaz.<\/p>\n

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Nas\u0131l bula\u015f\u0131r?<\/b><\/p>\n

Strep A asl\u0131nda insan\u0131n floras\u0131nda hastal\u0131k yapmadan zaten bulunur ama burada as\u0131l sorun, flora d\u0131\u015f\u0131 yerlere bula\u015ft\u0131\u011f\u0131 zaman yapt\u0131\u011f\u0131 enfeksiyon ve hasarlard\u0131r. Y\u00fcksek derecede bula\u015f\u0131c\u0131d\u0131r. Anneden ge\u00e7en antikorlara ba\u011fl\u0131 olarak yenido\u011fanda hastal\u0131k nadirdir. Farenjit genellikle 5-15 ya\u015f aras\u0131 \u00e7ocuklarda, \u00f6zellikle k\u00fc\u00e7\u00fck okul \u00e7a\u011f\u0131 \u00e7ocuklar\u0131nda, en y\u00fcksektir. Akut farenjitli tedavisiz \u00e7ocuklar, Strep A’y\u0131 t\u00fck\u00fcr\u00fck damlac\u0131klar\u0131 yoluyla havadan ve burun salg\u0131s\u0131 \u015feklinde yayabilirler. Yak\u0131n temas bula\u015fmada \u00f6nemlidir. Bu y\u00fczden okullar ve evler yay\u0131lma i\u00e7in \u00f6nemli ortamlard\u0131r. Farenjit i\u00e7in kulu\u00e7ka s\u00fcresi 2-5 g\u00fcnd\u00fcr. Strep A, s\u0131k yak\u0131n temas\u0131n oldu\u011fu ortamlarda salg\u0131n hastal\u0131\u011fa neden olma potansiyeline sahiptir. Ciddi ilerleyici Strep A enfeksiyonlar\u0131n\u0131n y\u00fczde 50’sinde enfeksiyon etkeninin v\u00fccuda giri\u015f kap\u0131s\u0131 bilinmemektedir. Bunlar\u0131n bir k\u0131sm\u0131 nadiren farenjit enfeksiyonunu takiben geli\u015fir. \u00d6ks\u00fcrme s\u0131ras\u0131nda a\u011fz\u0131n kapat\u0131lmas\u0131, ellerin iyi y\u0131kanmas\u0131 ve maske tak\u0131lmas\u0131 bula\u015fma riskini azalt\u0131r.<\/p>\n

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Hangi sorunlara yol a\u00e7ar?<\/b><\/p>\n

Strep A’n\u0131n neden oldu\u011fu en \u00f6nemli enfeksiyonlar \u015funlard\u0131r\u2026<\/p>\n

\u2013 Farenjit<\/p>\n

\u2013 K\u0131z\u0131l<\/p>\n

\u2013 \u0130mpetigo (deri enfeksiyonu)<\/p>\n

\u2013 Erizipel (a\u011fr\u0131, k\u0131zar\u0131kl\u0131k, \u015fi\u015flik ve \u0131s\u0131 art\u0131\u015f\u0131 ile ortaya \u00e7\u0131kan en \u00e7ok bacaklarda g\u00f6r\u00fclen bir deri enfeksiyonu)<\/p>\n

\u2013 Perianal dermatit (an\u00fcs etraf\u0131ndaki deri enfeksiyonu)<\/p>\n

\u2013 Vajinit (vajina iltihab\u0131)<\/p>\n

\u2013 Ciddi ilerleyici hastal\u0131k (toksik \u015fok sendromu, nekrotizan fasiit)<\/p>\n

\"\"<\/p>\n

Cildi nas\u0131l <\/strong>etkiler?<\/strong><\/p>\n

\u0130mpetigo (cildin Strep A ile enfeksiyonu), yaralar ve b\u00f6cek \u0131s\u0131r\u0131klar\u0131n\u0131n oldu\u011fu cilt b\u00f6lgelerinde g\u00f6r\u00fcl\u00fcr. Strep A sa\u011flam deriden ge\u00e7emez. Enfeksiyon yapmas\u0131 i\u00e7in deri b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc bozan bir durum (b\u00f6cek \u0131s\u0131r\u0131klar\u0131, travmatik yaralar, yan\u0131klar) gerekir. \u0130mpetigo yapan Strep A serotipleri genellikle deriden deriye yay\u0131l\u0131rlar, nadiren bo\u011fazda da ta\u015f\u0131nabilirler. Bakteriyemi (Strep A’n\u0131n kana kar\u0131\u015fmas\u0131), streptokoksik toksik \u015fok sendromu ve nekrotizan fasiit dahil ciddi ilerleyici Strep A enfeksiyonlar\u0131n\u0131n s\u0131kl\u0131\u011f\u0131 son y\u0131llarda artm\u0131\u015ft\u0131r, \u0130ngiltere ve Fransa’da oldu\u011fu gibi\u2026<\/p>\n

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Te\u015fhisi kolay m\u0131?<\/b><\/p>\n

Strep A enfeksiyonunun tan\u0131s\u0131 konurken, Strep A ile enfekte olmu\u015f bir ki\u015fi ile temas \u00f6yk\u00fcs\u00fc yararl\u0131d\u0131r. Strep A ve strep d\u0131\u015f\u0131 farenjitin belirti ve bulgular\u0131 ayn\u0131d\u0131r, klinik \u00f6zelliklere bak\u0131larak en deneyimli doktor taraf\u0131ndan bile tan\u0131 konulamaz; bu y\u00fczden bakteriyolojik tan\u0131 testi (Strep A h\u0131zl\u0131 testi ve bo\u011faz k\u00fclt\u00fcr\u00fc) tan\u0131y\u0131 do\u011frular. Strep A testinin pozitifli\u011fi g\u00fcvenilirdir ancak negatif \u00e7\u0131kt\u0131\u011f\u0131 zaman Strep bakterisi varl\u0131\u011f\u0131n\u0131 d\u0131\u015flamaz. Bu y\u00fczden mutlaka tan\u0131da alt\u0131n standart olarak kabul edilen ve y\u00fczde 95 duyarl\u0131l\u0131\u011f\u0131 olan bo\u011faz k\u00fclt\u00fcr\u00fc yap\u0131lmas\u0131 t\u00fcm \u015f\u00fcpheli vakalar i\u00e7in \u015fartt\u0131r. Tek dezavantaj\u0131 sonucunun ge\u00e7 \u00e7\u0131kmas\u0131d\u0131r. Bu s\u00fcre zarf\u0131nda Strep A h\u0131zl\u0131 test sonucu ve hastan\u0131n klinik-muayene bulgular\u0131 bize tedaviyi bir an \u00f6nce ba\u015flama konusunda yard\u0131mc\u0131d\u0131r.<\/p>\n

\"\"<\/p>\n

A\u015f\u0131s\u0131 var m\u0131?<\/b><\/p>\n

Strep A enfeksiyonlar\u0131n\u0131 \u00f6nlemek amac\u0131yla uzun s\u00fcreli antibiyotik kullan\u0131m\u0131n\u0131n tek ko\u015fulu, akut romatizmal ate\u015f ya da akut romatizmal kalp hastal\u0131\u011f\u0131 ge\u00e7irmi\u015f hastad\u0131r. Etkinli\u011fi saptanm\u0131\u015f streptokok aday a\u015f\u0131s\u0131 vard\u0131r, ancak streptokokun \u00e7ok say\u0131daki tipini tek bir a\u015f\u0131 i\u00e7inde sunmak zor bir prosed\u00fcr oldu\u011fu i\u00e7in \u015fu an a\u015f\u0131n\u0131n yayg\u0131n ve rutin bir kullan\u0131m\u0131 bulunmamaktad\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"

Son bir hafta i\u00e7inde \u0130ngiltere ve Fransa\u2019da \u00e7ocuk \u00f6l\u00fcmlerine yol a\u00e7an Strep A bakterisi, T\u00fcrkiye\u2019de de 3 ilde g\u00f6r\u00fcld\u00fc. \u00c7ocuk Sa\u011fl\u0131\u011f\u0131 ve Hastal\u0131klar\u0131 Uzman\u0131 Dr. Ye\u015fim Eker Neft\u00e7i; k\u00fcresel endi\u015feye yol a\u00e7an Strep A bakterisinin merak edilen \u00f6zelliklerini a\u00e7\u0131klad\u0131…<\/p>\n","protected":false},"author":1,"featured_media":62929,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[2690,3067,10140,10139,9829],"class_list":["post-62928","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-deri","tag-enfeksiyon","tag-enfeksiyonu","tag-farenjit","tag-strep-a"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62928","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=62928"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62928\/revisions"}],"predecessor-version":[{"id":62930,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/62928\/revisions\/62930"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/62929"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}