{"id":230221,"date":"2019-11-19T14:17:47","date_gmt":"2019-11-19T11:17:47","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/antibiyotiklerin-akilci-kullanilmasi-gerekmektedir\/"},"modified":"2019-11-19T14:17:47","modified_gmt":"2019-11-19T11:17:47","slug":"antibiyotiklerin-akilci-kullanilmasi-gerekmektedir","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/antibiyotiklerin-akilci-kullanilmasi-gerekmektedir\/","title":{"rendered":"Antibiyotiklerin ak\u0131lc\u0131 kullan\u0131lmas\u0131 gerekmektedir"},"content":{"rendered":"<p>Dr. Suat G\u00fcnsel Girne \u00dcniversitesi Hastanesi Enfeksiyon Uzman\u0131 Dr. Emine \u00dcnal Evren enfeksiyon hastal\u0131klar\u0131n\u0131n, bakteriler, vir\u00fcsler, parazitler ve mantarlar gibi mikroorganizmalar\u0131n neden oldu\u011fu bula\u015f\u0131c\u0131 da olabilen hastal\u0131klar oldu\u011funu a\u00e7\u0131klad\u0131.<\/p>\n<p>Zaman zaman salg\u0131nlara da neden olarak toplum sa\u011fl\u0131\u011f\u0131n\u0131 tehdit eden bu hastal\u0131klar\u0131n tedavisinin enfeksiyona yol a\u00e7an mikroorganizma t\u00fcr\u00fcne g\u00f6re de\u011fi\u015fiklik g\u00f6sterdi\u011fini s\u00f6yleyen Evren, \u201cToplumda yayg\u0131n olarak kullan\u0131lan antibiyotiklerin sadece bakterilerin neden oldu\u011fu enfeksiyonlar\u0131n tedavisinde etkili oldu\u011funu, vir\u00fcs hastal\u0131klar\u0131n\u0131n iyile\u015fme s\u00fcrecini h\u0131zland\u0131rmayaca\u011f\u0131n\u0131, g\u00fcn\u00fcm\u00fczde t\u00fcketilen antibiyotiklerin en az yar\u0131s\u0131ndan fazlas\u0131n\u0131n uygun olmayan enfeksiyonlarda, dozlarda ve s\u00fcrelerde kullan\u0131lmakta\u201d oldu\u011funu belirtti. Yap\u0131lan \u00e7al\u0131\u015fmalar\u0131n aralar\u0131nda T\u00fcrkiye\u2019nin de bulundu\u011fu \u00fclkelerin uygunsuz antibiyotik kullan\u0131m\u0131nda d\u00fcnyada ilk s\u0131ralarda yer ald\u0131\u011f\u0131n\u0131 g\u00f6sterdi\u011fini kaydeden Evren, bu durumun toplumlar\u0131 halk sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan \u00e7ok ciddi bir tehdit olan antibiyotik direnci ile kar\u015f\u0131 kar\u015f\u0131ya b\u0131rakt\u0131\u011f\u0131n\u0131 hat\u0131rlatt\u0131. Evren, antibiyotik direnci s\u00f6z konusu oldu\u011funda, ilac\u0131n hedef bakteriyi tedavi dozunda etkisiz hale getiremedi\u011fini belirtti. Evren, viral enfeksiyonlar\u0131n neden oldu\u011fu hastal\u0131k tablosunun klinik olarak bakteriyel enfeksiyonlara benzerlik g\u00f6sterdi\u011fi i\u00e7in hekimlerin tan\u0131 koyarken ulusal ve uluslararas\u0131 tan\u0131 ve tedavi rehberlerine uyum g\u00f6stermelerinin ve hastalar\u0131n da antibiyotik yazma konusunda hekimlere \u0131srarc\u0131 davranmamalar\u0131n\u0131n gerekti\u011fini vurgulad\u0131.<\/p>\n<p>Evren, bakterilerin dirence neden olan genetik yap\u0131lar\u0131n\u0131 farkl\u0131 t\u00fcrlere de aktarabildi\u011fini bunun da antibiyotik direncinin yayg\u0131nla\u015fmas\u0131na katk\u0131 sa\u011flad\u0131\u011f\u0131n\u0131 a\u00e7\u0131klad\u0131. Diren\u00e7li bakterilerin neden oldu\u011fu hastal\u0131klar\u0131n \u00f6zellikle de yo\u011fun bak\u0131m ortam\u0131nda ve ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flam\u0131\u015f hastalarda \u00f6l\u00fcmc\u00fcl seyredebildi\u011fini dile getiren Evren, bu durumun \u00f6n\u00fcne ge\u00e7ilmemesi durumunda, yak\u0131n gelecekte enfeksiyon hastal\u0131klar\u0131n\u0131n tedavisinde mevcut ila\u00e7lar\u0131n tamamen etkisiz hale gelece\u011fini bildirdi.<\/p>\n<p>\u201cVir\u00fcslerin sebep oldu\u011fu enfeksiyonlar\u0131n tedavisinde antibiyotiklerin yeri yoktur \u201c<\/p>\n<p>Evren; \u201cGelecek hepimizin gelece\u011fidir. Antibiyotik direnciyle m\u00fccadelede, bu ila\u00e7lar\u0131 re\u00e7eteleyen, satan, kullanan, \u00fcreten, pazarlayan ve bu s\u00fcre\u00e7leri denetleyen herkes, her kurum ta\u015f\u0131d\u0131\u011f\u0131 sorumlulu\u011fun fark\u0131nda olmal\u0131d\u0131r \u201c diyerek a\u00e7\u0131klamas\u0131n\u0131 s\u00fcrd\u00fcrd\u00fc.  Evren, antibiyotiklerin her alanda (tar\u0131m, hayvanc\u0131l\u0131k, veterinerlik, insanlarda) ak\u0131lc\u0131 kullan\u0131m\u0131n\u0131n \u00f6nemini vurgulad\u0131. Toplum genelinde antibiyotik kullan\u0131m\u0131n\u0131n en s\u0131k nedenlerinden birisi olan \u00fcst solunum yolu enfeksiyonlar\u0131n\u0131n y\u00fczde 90 gibi b\u00fcy\u00fck bir oran\u0131n\u0131n vir\u00fcslere ba\u011fl\u0131 oldu\u011funu  ifade eden Evren, bu hastal\u0131klar\u0131n genellikle kendili\u011finden iyile\u015fen bir klinik tabloya sebep oldu\u011funun alt\u0131n\u0131 \u00e7izdi.<\/p>\n<p>\u201918-24 Kas\u0131m D\u00fcnya Antibiyotik Fark\u0131ndal\u0131k Haftas\u0131\u2019 ve 18 Kas\u0131m Avrupa Antibiyotik Fark\u0131ndal\u0131k G\u00fcn\u00fc\u2019n\u00fcn , halk sa\u011fl\u0131\u011f\u0131n\u0131 tehdit eden antibiyotik direnci ve ak\u0131lc\u0131 antibiyotik kullan\u0131m\u0131 hakk\u0131nda fark\u0131ndal\u0131k olu\u015fturma amac\u0131yla d\u00fczenlendi\u011fini s\u00f6yleyen  Evren, diren\u00e7li bakterilerin geli\u015fmesinin durdurulmas\u0131 ve antibiyotiklerin gelecek nesillerde etkinli\u011finin s\u00fcrd\u00fcr\u00fclebilmesi i\u00e7in tek \u00e7arenin bu ila\u00e7lar\u0131n ak\u0131lc\u0131 kullan\u0131m\u0131n\u0131n oldu\u011funu kaydetti.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>DR. SUAT G\u00dcNSEL G\u0130RNE \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 ENFEKS\u0130YON UZMANI DR. EM\u0130NE \u00dcNAL EVREN ENFEKS\u0130YON HASTALIKLARININ, BAKTER\u0130LER, V\u0130R\u00dcSLER, PARAZ\u0130TLER VE MANTARLAR G\u0130B\u0130 M\u0130KROORGAN\u0130ZMALARIN NEDEN OLDU\u011eU BULA\u015eICI DA OLAB\u0130LEN HASTALIKLAR OLDU\u011eUNU A\u00c7IKLADI.<\/p>\n","protected":false},"author":1,"featured_media":230222,"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":[16979,58001,58002,18879],"class_list":["post-230221","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-akilci","tag-antibiyotiklerin","tag-gerekmektedir","tag-kullanilmasi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/antibiyotiklerin-akilci-kullanilmasi-gerekmektedir_eddfc68.jpg?fit=750%2C1000","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-XTf","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/230221","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=230221"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/230221\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/230222"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=230221"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=230221"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=230221"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}