{"id":64205,"date":"2022-12-18T08:07:04","date_gmt":"2022-12-18T08:07:04","guid":{"rendered":"https:\/\/haberulus.net\/?p=64205"},"modified":"2022-12-18T08:07:04","modified_gmt":"2022-12-18T08:07:04","slug":"cocuklari-hasta-eden-strep-a-sonrasi-kizil-alarmi","status":"publish","type":"post","link":"https:\/\/haberulus.net\/?p=64205","title":{"rendered":"\u00c7ocuklar\u0131 hasta eden Strep A sonras\u0131 k\u0131z\u0131l alarm\u0131!"},"content":{"rendered":"

\u0130ngiltere ve Avrupa ile birlikte ABD\u2019yi de alarma ge\u00e7iren Strep A enfeksiyonlar\u0131, her k\u0131\u015f \u00e7ocuklarda bo\u011faz enfeksiyonlar\u0131 ve bademcik iltihab\u0131na yol a\u00e7mas\u0131yla bilinen A grubu beta hemolitik streptokok adl\u0131 bir bakteri nedeniyle olu\u015fuyor.<\/p>\n

Halk aras\u0131nda beta mikrobu olan bu bakteri, asl\u0131nda yeni bir etken de\u011fil, y\u0131llard\u0131r olduk\u00e7a yayg\u0131n bir \u015fekilde \u00f6zellikle k\u0131\u015f aylar\u0131nda bo\u011faz enfeksiyonlar\u0131na yol a\u00e7abiliyor ve penisilin tedavisi ile \u00e7ok rahat tedavi edilebiliyor.<\/p>\n

Ancak pandemi sonras\u0131 d\u00f6nemde \u00f6zellikle \u0130ngiltere\u2019de Strep A\u2019ya ba\u011fl\u0131 \u00e7ocuk \u00f6l\u00fcmlerinin ard\u0131ndan olu\u015fan endi\u015fenin nedenlerini anlatan T\u00fcrk Klinik Mikrobiyoloji ve Enfeksiyon Hastal\u0131klar\u0131 Derne\u011fi (KL\u0130M\u0130K) Ba\u015fkan\u0131 ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavir\u00fcs Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek Yavuz, her y\u0131l bo\u011faz enfeksiyonlar\u0131na yol a\u00e7an bu bakterinin, eri\u015fkinlerde g\u00f6r\u00fclen versiyonunun \u00e7ocuklardaki art\u0131\u015f\u0131na dikkat \u00e7ekti:<\/p>\n

\u2013 A grubu beta hemolitik streptokok dedi\u011fimiz bakteri, asl\u0131nda insanlarda s\u0131kl\u0131kla enfeksiyona neden olan bir etken. \u00c7ocuklarda hepimizin bademcik iltihab\u0131 yani tonsillit dedi\u011fimiz tabloya yol a\u00e7\u0131yor. Eri\u015fkinde bademcik iltihab\u0131 daha nadir. Eri\u015fkinlerde daha \u00e7ok deri, yumu\u015fak doku enfeksiyonlar\u0131nda \u00e7ok s\u0131k kar\u015f\u0131m\u0131za \u00e7\u0131k\u0131yor.<\/p>\n

\"\"<\/p>\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavir\u00fcs Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek Yavuz<\/p>\n<\/div>\n

\u00c7OK HIZLI \u00d6LD\u00dcR\u00dcYOR<\/strong><\/p>\n

\u2013 Bu A grubu beta hemolitik streptokoklar bazen daha derin dokulara yay\u0131labiliyorlar. Mesela derialt\u0131 ya\u011f dokusunun alt\u0131ndaki fasyalara yani kaslara etki edebiliyorlar. Eskiden de bir d\u00f6nem \u2018et yiyen bakteri\u2019 diye g\u00fcndeme gelmi\u015fti. Nekrotizan fasiit dedi\u011fimiz tabloya neden oluyorlar. Biz buna \u2018invazif A grubu beta hemolitik streptokok\u2019 enfeksiyonlar\u0131 diyoruz.<\/p>\n

\u2013 \u0130nvaziv grup A streptokok enfeksiyonlar\u0131n\u0131n s\u0131k\u0131nt\u0131s\u0131, \u00e7ok h\u0131zl\u0131 seyrederek \u00f6l\u00fcme neden olmas\u0131. Az insan\u0131 etkiliyor toplumda ama, \u00e7ok h\u0131zl\u0131 \u00f6ld\u00fcr\u00fcyor. \u015eu anda d\u00fcnyay\u0131 alarma ge\u00e7iren durum, eskiden \u00e7ocuklarda \u00e7ok nadir g\u00f6r\u00fcl\u00fcrken, \u015fimdilerde \u00e7ocuklarda invaziv streptokok enfeksiyonlar\u0131nda bir miktar art\u0131\u015f olmas\u0131.<\/p>\n

\u2013 \u00c7ocukta nas\u0131l g\u00f6r\u00fcl\u00fcyor bu? Yine derin dokulara yay\u0131labiliyor bakteri, kaslara ula\u015fabiliyor. Bir de \u00f6zellikle viral enfeksiyon ge\u00e7iren \u00e7ocuklarda, akci\u011fer enfeksiyonu yaparak kana kar\u0131\u015f\u0131yor ve \u00e7ok \u00f6l\u00fcmc\u00fcl tablolara neden olabiliyor. \u0130ngiltere\u2019de yine y\u00fczde 80 eri\u015fkinlerde g\u00f6r\u00fcl\u00fcyor ama \u00e7ocuklarda g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fczde 10\u2019lardayken \u015fimdilerde y\u00fczde 20\u2019lere \u00e7\u0131km\u0131\u015f durumda.<\/p>\n

A grubu beta mikroplar\u0131n\u0131n bazen vir\u00fcslerle enfekte olarak baz\u0131 toksinler yayabildi\u011fini ve bu toksinler nedeniyle de \u00e7ocuklarda k\u0131z\u0131l hastal\u0131\u011f\u0131 tablosuna yol a\u00e7t\u0131\u011f\u0131n\u0131 kaydeden Prof. Dr. Yavuz, bir di\u011fer endi\u015fe nedeninin de k\u0131z\u0131l hastal\u0131\u011f\u0131n\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131ndaki art\u0131\u015f oldu\u011funu vurgulad\u0131:<\/p>\n

BULANTI, KUSMA, Y\u00dcKSEK ATE\u015e, DER\u0130DE KIRMIZILIK<\/strong><\/p>\n

\u2013 K\u0131z\u0131l toksini ta\u015f\u0131yan A grubu beta hemolitik streptokok, bademcik iltihab\u0131 olan \u00e7ocuklarda k\u0131z\u0131l tablosunun olu\u015fmas\u0131na yol a\u00e7abiliyor. Belirtiler bademcik iltihab\u0131 gibi ba\u015fl\u0131yor ama sonra bulant\u0131, kusma, daha y\u00fcksek ate\u015f, deride k\u0131rm\u0131z\u0131l\u0131klar\u0131n, p\u00fcrt\u00fckl\u00fc bir g\u00f6r\u00fcnt\u00fcn\u00fcn olu\u015ftu\u011fu k\u0131z\u0131l hastal\u0131\u011f\u0131 tablosu ba\u015fl\u0131yor. \u0130ngiltere ve Hollanda, \u0130rlanda gibi baz\u0131 Avrupa \u00fclkelerinde alarmda olmalar\u0131n\u0131n bir nedeni de k\u0131z\u0131l vakalar\u0131n\u0131n \u00e7ok artm\u0131\u015f olmas\u0131.<\/p>\n

\u2013 \u00c7ok ciddi bir viral enfeksiyon salg\u0131n\u0131 var bu y\u0131l. RSV; influenza, covid, eski insan corona vir\u00fcsleri, parainfluenza vs\u2026 \u00c7ocuklar \u00e7ok yo\u011fun bir \u015fekilde bunlara maruz kal\u0131yor. \u00dcst solunum yolu enfeksiyonlar\u0131na yol a\u00e7\u0131yor bunlar da. \u00c7ocuk viral enfeksiyonu ge\u00e7irip \u00fcst\u00fcne bununla enfekte oldu\u011funda \u00e7ocuklarda bu durum; bu bakterinin \u2018invaziv (derin yerle\u015fimli)\u2019 enfeksiyona yol a\u00e7ma riskini art\u0131r\u0131yor mu endi\u015fesi yaratt\u0131. Bu da bir hipotez \u015fu anda.<\/p>\n

\u2013 \u00c7\u00fcnk\u00fc normalde \u00e7ocuklar A grubu beta hemolitik streptokok enfeksiyonunu hafif ge\u00e7irir, tedaviyle h\u0131zla iyile\u015fir. \u00d6ncesinde viral enfeksiyon ge\u00e7iren ki\u015filerde daha m\u0131 a\u011f\u0131r seyrediyor? Ger\u00e7ekten viral enfeksiyonlar v\u00fccudun ba\u011f\u0131\u015f\u0131kl\u0131k sistemini bozarak buna m\u0131 neden oluyor? \u201cBu sorular\u0131n cevaplar\u0131 da ara\u015ft\u0131r\u0131lmal\u0131d\u0131r\u201d diyor D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc\u2026<\/p>\n

KORKULACAK B\u0130R \u015eEY YOK, TEDAV\u0130 BAS\u0130T<\/strong><\/p>\n

\u2013 Streptokok enfeksiyonlar\u0131nda hepsinin tedavisi penisilindir. Antibiyotiklere diren\u00e7 kazanan bir patojen de de\u011fil. O nedenle de bu anlamda s\u0131k\u0131nt\u0131 yok. Ama problemin kayna\u011f\u0131, \u00f6zellikle invaziv streptokok ve k\u0131z\u0131l vakalar\u0131ndaki art\u0131\u015f. \u0130ngiltere\u2019de asl\u0131nda pandemiden \u00f6nce bir y\u00fckselme trendi vard\u0131. 2018\u2019de pik yapm\u0131\u015ft\u0131. Hatta o d\u00f6nemde daha fazla k\u0131z\u0131l ve daha a\u011f\u0131r hastal\u0131\u011fa neden olabilen bir su\u015fun ortaya \u00e7\u0131kt\u0131\u011f\u0131 biliniyordu.<\/p>\n

\u2013 \u015eimdi bu klasik, 3-4 y\u0131lda bir beklenen art\u0131\u015f m\u0131d\u0131r, yoksa pandemi nedeniyle kapal\u0131 kal\u0131nd\u0131, \u015fimdi birdenbire daha \u00e7abuk bula\u015fabiliyor ondan m\u0131d\u0131r hen\u00fcz bilmiyoruz. Sonu\u00e7ta bu bakterilerin de bula\u015fmas\u0131, yak\u0131n temasla oluyor. \u015eu anda d\u00fcnya i\u00e7in \u00e7ok ciddi bir tehdit olarak g\u00f6r\u00fclm\u00fcyor. Onu s\u00f6ylemek laz\u0131m. Say\u0131lar o kadar y\u00fcksek de\u011fil.<\/p>\n

\u201c\u00c7OCU\u011eUM HASTALANSIN, BA\u011eI\u015eIKLIK KAZANIR\u201d D\u00dc\u015e\u00dcNCES\u0130 \u00c7OK YANLI\u015e<\/strong><\/p>\n

\u2013 Toplumda \u015f\u00f6yle yanl\u0131\u015f bir inan\u0131\u015f var; \u201c\u00c7ocuk hastal\u0131\u011f\u0131 ge\u00e7irsin, ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 g\u00fc\u00e7lensin.\u201d Hi\u00e7 \u00f6yle bir \u015fey yok. \u00c7\u00fcnk\u00fc bu vir\u00fcsler v\u00fccuda giriyor ve ileride kanser yapan\u0131 var (\u00f6rne\u011fin HPV), ba\u015fka hastal\u0131klara neden olan\u0131 var (EBV gibi), CMV gibi \u00e7ocu\u011fun ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 hafif d\u00fc\u015ft\u00fc\u011f\u00fcnde ciddi tablolara neden olanlar\u0131 var. Kronik hastal\u0131k yapanlar\u0131 var. O nedenle m\u00fcmk\u00fcn olan her durumda \u00e7ocu\u011funuzu hastal\u0131ktan koruyun.<\/p>\n

\u2013 A\u015f\u0131s\u0131 varsa yapt\u0131r\u0131n. \u015eu an hem Kovid hem de gribin a\u015f\u0131s\u0131 var. Onun d\u0131\u015f\u0131nda \u00e7ocukluk \u00e7a\u011f\u0131 a\u015f\u0131lar\u0131n\u0131n eksiksiz olarak yap\u0131lmas\u0131 gerekir. Ayr\u0131ca \u00e7ocu\u011funuza ellerini g\u00fczelce y\u0131kamay\u0131 \u00f6\u011fretin ki solunum yolu enfeksiyonlar\u0131 \u00f6rne\u011fin nezle, el y\u0131kama ile \u00e7ok \u00f6nemli oranda azalt\u0131labiliyor. Kalabal\u0131klarda da \u015fu anda maske tak\u0131lmas\u0131 \u00e7ok mant\u0131kl\u0131. S\u0131n\u0131flarda ve toplu ta\u015f\u0131mada maske tak\u0131lmal\u0131. (DHA)<\/p>\n","protected":false},"excerpt":{"rendered":"

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 Koronavir\u00fcs Bilim Kurulu \u00dcyesi Prof. Dr. Serap \u015eim\u015fek Yavuz, \u0130ngiltere ve Amerika’y\u0131 alarma ge\u00e7iren “Strep A” enfeksiyonlar\u0131 ile ilgili uyar\u0131da bulundu. Prof. Dr. Yavuz, halk aras\u0131nda beta mikrobu olarak da bilinen ve \u00e7ocuklarda bademcik iltihab\u0131na yol a\u00e7an enfeksiyonlarda, as\u0131l endi\u015feye yol a\u00e7an \u015feylerden birinin, \u00e7ocuklarda ‘k\u0131z\u0131l’a neden olan t\u00fcr\u00fcn\u00fcn yay\u0131l\u0131m\u0131ndaki art\u0131\u015f oldu\u011funu s\u00f6yledi.<\/p>\n","protected":false},"author":1,"featured_media":64206,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[4449,10223,10224,378,303],"class_list":["post-64205","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-bakteri","tag-cocuklarda","tag-kizil","tag-neden","tag-yol"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/64205","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=64205"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/64205\/revisions"}],"predecessor-version":[{"id":64207,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/64205\/revisions\/64207"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/64206"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=64205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=64205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=64205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}