Enfeksiyon Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uz. Dr. \u015eirin Elmi, “Etiket bilgileri bulunmayan, kayna\u011f\u0131 belli olmayan ve g\u00fcvenli yerlerde \u00fcretildi\u011finden emin olunmayan s\u00fct ve s\u00fct \u00fcr\u00fcnleri, et ve et \u00fcr\u00fcnleri t\u00fcketilmemelidir. Past\u00f6rize veya iyice kaynat\u0131lmam\u0131\u015f s\u00fctten yap\u0131lan s\u00fct \u00fcr\u00fcnleri (peynir, krema, tereya\u011f\u0131, kaymak, dondurma gibi) t\u00fcketilmemelidir” dedi.<\/p>\n
Ate\u015f ataklar\u0131 ile seyreden bula\u015f\u0131c\u0131 mikrobik hastal\u0131k olan brusella, insanlara da bula\u015fabilen bir hayvan hastal\u0131\u011f\u0131 olarak belirtiliyor. Koyun, ke\u00e7i, at, s\u0131\u011f\u0131r ve k\u00f6pekler aras\u0131nda s\u0131k\u00e7a g\u00f6r\u00fclen hastal\u0131k gribal \u015fikayetlerle ba\u015fl\u0131yor. Belirtileri hemen hemen her hastal\u0131\u011fa benzedi\u011fi i\u00e7in tan\u0131 konulmas\u0131 zorla\u015fabiliyor ve sinsice ilerliyor. Memorial Antalya Hastanesi Enfeksiyon Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Uz. Dr. \u015eirin Elmi, brusella hastal\u0131\u011f\u0131 ve dikkat edilmesi gerekenler hakk\u0131nda bilgi verdi.<\/p>\n
Brusella hastal\u0131\u011f\u0131n\u0131n, hayvanlardan insanlara bula\u015ft\u0131\u011f\u0131n\u0131 ifade eden Elmi, “Hastal\u0131k kendini hafif belirtilerden a\u011f\u0131r \u015fikayetlere kadar de\u011fi\u015febilen akut veya kronik seyirli bir \u015fekilde g\u00f6sterebilir. Bir\u00e7ok hastal\u0131\u011f\u0131 taklit edebilen sistemik bir enfeksiyon hastal\u0131\u011f\u0131d\u0131r. \u00dclkemizde ve geli\u015fmekte olan \u00fclkelerde yayg\u0131n g\u00f6r\u00fclen, ekonomik kay\u0131plara neden olan ve g\u0131da g\u00fcvenli\u011fini do\u011frudan etkileyen \u00f6nemli \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 sorunudur. Brusella g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 art\u0131ran etkenler k\u0131rsal kesime seyahat olana\u011f\u0131nda art\u0131\u015f, taze peynir ve krema t\u00fcketimindeki art\u0131\u015f olarak belirlenebilir. Hastal\u0131\u011f\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 15-45 ya\u015f grubunda en y\u00fcksektir. \u00c7ocuklar enfeksiyona b\u00fcy\u00fckler kadar duyarl\u0131d\u0131r. \u0130lkbahar ve yaz aylar\u0131nda daha \u00e7ok g\u00f6r\u00fcl\u00fcr. Hayvanlar\u0131n do\u011furganl\u0131k mevsimi ve abortuslar nedeniyle \u00e7evrenin kontaminasyonu da etken fakt\u00f6rlerden biri. Ayr\u0131ca hayvanlarda salg\u0131nlar g\u00f6r\u00fclmesi insan brusellozu oran\u0131n\u0131 art\u0131r\u0131r. K\u00f6ylerde ve hayvanc\u0131l\u0131\u011f\u0131n yo\u011fun oldu\u011fu b\u00f6lgelerde kentlere g\u00f6re daha s\u0131k g\u00f6r\u00fcl\u00fcr” diye konu\u015ftu.<\/p>\n
Elmi, veteriner hekimler, hayvanc\u0131l\u0131kla u\u011fra\u015fanlar, kasaplar ve mezbaha \u00e7al\u0131\u015fanlar\u0131, \u00e7i\u011f s\u00fct ve taze peynir t\u00fcketenler ve laboratuvar \u00e7al\u0131\u015fanlar\u0131 ve sa\u011fl\u0131k personelinin risk alt\u0131nda oldu\u011funu aktard\u0131.<\/p>\n
“Past\u00f6rizasyon brusellay\u0131 \u00f6ld\u00fcr\u00fcyor”<\/p>\n
Brusella cinsi bakterilerin 60 derecede \u0131s\u0131t\u0131lmakla 10 dakikada \u00f6ld\u00fc\u011f\u00fcn\u00fc belirten Elmi, “Normal mide asidi mikroorganizmay\u0131 \u00f6ld\u00fcrmeye yeterlidir. Hayvanlar\u0131n bar\u0131nd\u0131\u011f\u0131 ah\u0131r tozlar\u0131nda 6 hafta, suda 10 hafta canl\u0131l\u0131\u011f\u0131n\u0131 s\u00fcrd\u00fcrebilir. D\u00fc\u015f\u00fck yapm\u0131\u015f hayvan fet\u00fcs\u00fcnde 75 g\u00fcn, enfekte \u00e7i\u011f s\u00fctten yap\u0131lm\u0131\u015f dondurmada 30 g\u00fcn, \u00e7i\u011f s\u00fctten yap\u0131lm\u0131\u015f tuzsuz krema ya\u011f\u0131nda buzdolab\u0131nda 142 g\u00fcn, y\u00fczde 10 tuz i\u00e7eren salamura peynirde 45 g\u00fcn, y\u00fczde 17 tuz i\u00e7eren de ise 1 ay ya\u015fayabilir. Ancak past\u00f6rizasyon ile \u00f6l\u00fcr” ifadelerine yer verdi.<\/p>\n
“Etiketi olmayan \u00fcr\u00fcnleri almay\u0131n”<\/p>\n
Etiket bilgileri bulunmayan, kayna\u011f\u0131 belli olmayan ve g\u00fcvenli yerlerde \u00fcretildi\u011finden emin olunmayan s\u00fct ve s\u00fct \u00fcr\u00fcnleri, et ve et \u00fcr\u00fcnlerinin t\u00fcketilmemesi gerekti\u011finin alt\u0131n\u0131 \u00e7izen Elmi, “Past\u00f6rize veya iyice kaynat\u0131lmam\u0131\u015f s\u00fctten yap\u0131lan s\u00fct \u00fcr\u00fcnleri (peynir, krema, tereya\u011f\u0131, kaymak, dondurma gibi) t\u00fcketilmemelidir. Salamura peynirler en az 3 ay, yumu\u015fak peynirler en az 6 ay bekletildikten sonra t\u00fcketilmelidir. Et ve et \u00fcr\u00fcnleri yeterince pi\u015firilmeden t\u00fcketilmemelidir. Di\u011fer yandan hayvanc\u0131l\u0131k i\u015fletmelerine kontrols\u00fcz ve muayene edilmeyen hayvanlar sokulmamal\u0131d\u0131r. Hayvanlar d\u00fczenli olarak bruselloza kar\u015f\u0131 a\u015f\u0131lat\u0131lmal\u0131d\u0131r. Hayvanlar at\u0131k yapt\u0131\u011f\u0131nda at\u0131k yavruya, yavru zarlar\u0131na ve plasentaya kesinlikle \u00e7\u0131plak elle temas etmeden veteriner hekime m\u00fcracaat edilmeli ve hastal\u0131k hakk\u0131nda bilgi al\u0131nmal\u0131d\u0131r. Hastal\u0131kl\u0131 hayvanlara ait at\u0131k yavru, yavru zarlar\u0131, plasenta gibi materyaller, etrafa bula\u015ft\u0131r\u0131lmadan yerle\u015fim alanlar\u0131ndan uzak yerlere s\u0131zd\u0131rmaz po\u015fet i\u00e7erisinde, y\u0131rt\u0131c\u0131 hayvanlar\u0131n (kedi, k\u00f6pek, tilki, kurt, \u00e7akal gibi) ula\u015famayaca\u011f\u0131 derinli\u011fe, \u00fczerilerine kire\u00e7 d\u00f6k\u00fclerek g\u00f6m\u00fclmelidir” dedi.<\/p>\n
“Hasta hayvanlar\u0131n s\u00fct\u00fcnden uzak durun”<\/p>\n
Hasta hayvanlar\u0131n bulundu\u011fu ah\u0131rlar ve kullan\u0131lan alet ve ekipmanlar\u0131n dezenfekte edilmesi gerekti\u011fini hat\u0131rlatan Elmi, “Dezenfeksiyon i\u015flemi periyodik olarak tekrarlanmal\u0131d\u0131r. Hasta hayvanlar\u0131n s\u00fctleri kesinlikle t\u00fcketilmemeli, buza\u011f\u0131lar emzirilmemeli, kaynat\u0131larak imha edilmelidir. \u0130\u015fletmesinde hastal\u0131kl\u0131 hayvan tespit edilen ki\u015filer ile bak\u0131c\u0131lar\u0131 veya bula\u015f olan ki\u015filer sa\u011fl\u0131k kurulu\u015funa ba\u015fvurmal\u0131d\u0131r. H\u00fccre i\u00e7i bir bakteri olan brusella bakterisini tedavi etmek i\u00e7in uzun s\u00fcreli ve kombine, en az 2 antibiyotik i\u00e7eren tedaviler kullan\u0131lmaktad\u0131r. Tuttu\u011fu b\u00f6lgeye g\u00f6re tedavi s\u00fcresi 6 hafta ile 9 aya kadar uzayabilmektedir” ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
UZ. DR. \u015e\u0130R\u0130N ELM\u0130, “ET\u0130KET B\u0130LG\u0130LER\u0130 BULUNMAYAN, KAYNA\u011eI BELL\u0130 OLMAYAN VE G\u00dcVENL\u0130 YERLERDE \u00dcRET\u0130LD\u0130\u011e\u0130NDEN EM\u0130N OLUNMAYAN S\u00dcT VE S\u00dcT \u00dcR\u00dcNLER\u0130, ET VE ET \u00dcR\u00dcNLER\u0130 T\u00dcKET\u0130LMEMEL\u0130D\u0130R” DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":206437,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[622,41817,52131,12681,45898,3814],"class_list":["post-206436","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-arttiriyor","tag-brusella","tag-etiketsiz","tag-riskini","tag-tuketmek","tag-urunleri"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/09\/etiketsiz-urunleri-tuketmek-brusella-riskini-arttiriyor_cf8c531.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-RHC","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/206436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=206436"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/206436\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/206437"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=206436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=206436"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=206436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}