{"id":36,"date":"2017-03-01T18:16:35","date_gmt":"2017-03-01T15:16:35","guid":{"rendered":"http:\/\/192.168.1.104\/enfold-blog\/?p=36"},"modified":"2021-11-04T12:04:42","modified_gmt":"2021-11-04T09:04:42","slug":"this-is-a-post-with-post-type-link","status":"publish","type":"post","link":"https:\/\/www.antalyalab.com\/tr\/this-is-a-post-with-post-type-link\/","title":{"rendered":"Legionella spp. Analizleri"},"content":{"rendered":"<blockquote><p><strong>Hastaneler, Seyahat, Oteller ve Lejyoner Hastal\u0131\u011f\u0131<\/strong><\/p>\n<p>Lejyoner hastal\u0131\u011f\u0131 etkeni olan bakteri \u015febeke suyunun i\u015flenmesi esnas\u0131nda kullan\u0131lan tekniklere ra\u011fmen \u00e7ok k\u00fc\u00e7\u00fck konsantrasyonlarda da olsa do\u011fadaki sulardan \u015fehir \u015febeke suyuna ge\u00e7ebilir. Ard\u0131ndan bina su sistemleri i\u00e7inde yerle\u015fir ve ko\u015fullar uygun ise \u00e7o\u011fal\u0131r. Genellikle b\u00fcy\u00fck binalar\u0131n kapasitesi y\u00fcksek su sistemleri, su tanklar\u0131 ve borularda biriken sediment ve olu\u015fan biyofilm katmanlar\u0131, Legionella bakterisinin \u00e7o\u011falmas\u0131 i\u00e7in elveri\u015fli ortamlar sa\u011flar. Sonu\u00e7 olarak bakteri her b\u00fcy\u00fck bina su sisteminde yerle\u015febilir. Bu nedenle Lejyoner hastal\u0131\u011f\u0131n\u0131n seyahat veya otelde kalma ile ili\u015fkisi de sudan bakterinin bireye ula\u015fmas\u0131 i\u00e7in gerekli ko\u015fullar\u0131n olu\u015fup olu\u015fmad\u0131\u011f\u0131na ba\u011fl\u0131d\u0131r. Suyu aerosol haline getiren ara\u00e7lar (air-conditioner sistemlerinin so\u011futma kuleleri, du\u015f ba\u015fl\u0131klar\u0131, jakuziler, dekoratif f\u0131skiyeler\u2026) turistik tesislerde yayg\u0131n kullan\u0131lmaktad\u0131r ve bakterinin bireye ula\u015fmas\u0131na arac\u0131l\u0131k edebilmektedir.<\/p>\n<p>Lejyoner hastal\u0131\u011f\u0131na yol a\u00e7an bakterinin tesisata yerle\u015fmesinin \u00f6nlenmesi amac\u0131yla otellerin su sistemlerinde d\u00fczenli aral\u0131klarla bak\u0131m yapmalar\u0131 gerekmektedir. \u00dclkemizde 2001 y\u0131l\u0131 May\u0131s ay\u0131nda Temel Sa\u011fl\u0131k Hizmetleri Genel M\u00fcd\u00fcrl\u00fc\u011f\u00fc\u2019n\u00fcn yay\u0131mlad\u0131\u011f\u0131 bir genelge ile [01.05.2001\/2749 say\u0131l\u0131] seyahat-ili\u015fkili Lejyoner hastal\u0131\u011f\u0131 bir kontrol program\u0131 kapsam\u0131na al\u0131nm\u0131\u015ft\u0131r. 13.05.2015 tarih ve 29354 say\u0131l\u0131 resmi gazetede yay\u0131mlanan Lejyoner Hastal\u0131\u011f\u0131 Kontrol Usul ve Esaslar\u0131 Hakk\u0131nda Y\u00f6netmelik ile hastanelerden d\u00fczenli olarak su numunesi al\u0131nmas\u0131n\u0131 da i\u00e7eren bir kontrol program\u0131 ba\u015flat\u0131lm\u0131\u015ft\u0131r. Y\u00f6netmelikte tesislerde al\u0131nmas\u0131 gerekli \u00f6nlemler ve rutin i\u015flemlerde belirtilmektedir.<\/p>\n<p><strong>Su \u00d6rneklerinden Yap\u0131lan \u0130ncelemeler<\/strong><\/p>\n<p>Su sistemlerinde Legionella sp varl\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 iki nedenle yap\u0131lmaktad\u0131r:<\/p>\n<p>Birincisi; epidemiyolojik bir gerek\u00e7e olmaks\u0131z\u0131n su sisteminde bakterinin kolonize olup olmad\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131d\u0131r.<\/p>\n<p>\u0130kincisi ise bir Lejyoner hastal\u0131\u011f\u0131 vakas\u0131 s\u00f6z konusu oldu\u011funda vakan\u0131n etkeni alm\u0131\u015f olabilece\u011fi kayna\u011f\u0131n saptanmas\u0131 i\u00e7in muhtemel su sisteminden \u00f6rneklerin incelenmesidir. Epidemiyolojik a\u00e7\u0131dan de\u011ferli olan ve bilimsel olarak \u00f6nerilen ikinci yakla\u015f\u0131md\u0131r.<\/p>\n<p>Laboratuvar\u0131n incelemede ba\u015far\u0131l\u0131 olabilmesi; \u00f6rneklerin al\u0131nmas\u0131 esnas\u0131nda gereken dikkat ve \u00f6zenin g\u00f6sterilmesi ile ba\u015flayan bir s\u00fcre\u00e7tir. Lejyoner hastal\u0131\u011f\u0131 vakas\u0131 ihbar\u0131 s\u00f6z konusu oldu\u011funda kaynak olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclen su sisteminden \u00f6rnek al\u0131nmas\u0131 ile ba\u015flayan s\u00fcre\u00e7 Lejyoner Hastal\u0131\u011f\u0131 Kontrol Usul ve Esaslar\u0131 hakk\u0131nda Y\u00f6netmelik uyar\u0131nca devam etmektedir.<\/p>\n<p>&nbsp;<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>Hastaneler, Seyahat, Oteller ve Lejyoner Hastal\u0131\u011f\u0131 Lejyoner hastal\u0131\u011f\u0131 etkeni olan bakteri \u015febeke suyunun i\u015flenmesi esnas\u0131nda kullan\u0131lan tekniklere ra\u011fmen \u00e7ok k\u00fc\u00e7\u00fck konsantrasyonlarda da olsa do\u011fadaki sulardan \u015fehir \u015febeke suyuna ge\u00e7ebilir. Ard\u0131ndan bina su sistemleri i\u00e7inde yerle\u015fir ve ko\u015fullar uygun ise \u00e7o\u011fal\u0131r. Genellikle b\u00fcy\u00fck binalar\u0131n kapasitesi y\u00fcksek su sistemleri, su tanklar\u0131 ve borularda biriken sediment ve olu\u015fan [&hellip;]<\/p>\n","protected":false},"author":101013,"featured_media":1411,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-36","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-haber"],"_links":{"self":[{"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/posts\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/users\/101013"}],"replies":[{"embeddable":true,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":4,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/posts\/36\/revisions"}],"predecessor-version":[{"id":1414,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/posts\/36\/revisions\/1414"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/media\/1411"}],"wp:attachment":[{"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/media?parent=36"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/categories?post=36"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.antalyalab.com\/tr\/wp-json\/wp\/v2\/tags?post=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}