{"id":3496,"date":"2026-03-24T15:31:12","date_gmt":"2026-03-24T12:31:12","guid":{"rendered":"https:\/\/ekonomievreni.com\/?p=3496"},"modified":"2026-03-24T15:31:12","modified_gmt":"2026-03-24T12:31:12","slug":"menenjitte-en-riskli-grup-bebekler-ve-genc-eriskinler","status":"publish","type":"post","link":"https:\/\/ekonomievreni.com\/?p=3496","title":{"rendered":"Menenjitte en riskli grup, bebekler ve gen\u00e7 eri\u015fkinler"},"content":{"rendered":"\n

Halk aras\u0131nda menenjit olarak bilinen meningokok hastal\u0131\u011f\u0131, nadir g\u00f6r\u00fclmesine ra\u011fmen h\u0131zl\u0131 ilerleyebilen ve ciddi sonu\u00e7lara yol a\u00e7abilen bir bakteri enfeksiyonu olarak tan\u0131mlan\u0131yor. <\/span><\/span><\/span><\/b>\u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi Dahili T\u0131p Bilimleri B\u00f6l\u00fcm\u00fc Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Fatma Bozkurt, son g\u00fcnlerde \u0130ngiltere\u2019de ortaya \u00e7\u0131kan menenjit vakalar\u0131n\u0131n geni\u015f \u00e7apl\u0131 bir salg\u0131n olarak de\u011fil, s\u0131n\u0131rl\u0131 bir \u201ck\u00fcme\u201d olarak de\u011ferlendirildi\u011fini s\u00f6yledi. Meningokok hastal\u0131\u011f\u0131n\u0131n belirli ya\u015f gruplar\u0131nda daha s\u0131k ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Bozkurt, bebekler ve 15\u201325 ya\u015f aras\u0131 gen\u00e7 eri\u015fkinlerin en riskli gruplar\u0131 olu\u015fturdu\u011funu s\u00f6yledi. Prof. Dr. Fatma Bozkurt, meningokok hastal\u0131\u011f\u0131ndan korunmada en etkili y\u00f6ntemin a\u015f\u0131lama oldu\u011funu kaydetti. <\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

\u0130stanbul Atlas \u00dcniversitesi T\u0131p Fak\u00fcltesi Dahili T\u0131p Bilimleri B\u00f6l\u00fcm\u00fc Enfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Fatma Bozkurt, son g\u00fcnlerde \u0130ngiltere\u2019de g\u00f6r\u00fclen vakalarla g\u00fcndeme gelen menenjit hastal\u0131\u011f\u0131na ili\u015fkin bilgi verdi.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

Ad\u00f6lesan ve gen\u00e7 eri\u015fkinlerde genel ta\u015f\u0131y\u0131c\u0131l\u0131k oran\u0131 y\u00fckseliyor<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Meningokok hastal\u0131\u011f\u0131n\u0131n, Neisseria meningitidis adl\u0131 bakterinin neden oldu\u011fu, nadir g\u00f6r\u00fclmesine ra\u011fmen h\u0131zl\u0131 ilerleyebilen ve ciddi sonu\u00e7lara yol a\u00e7abilen bir enfeksiyon oldu\u011funu belirten Prof. Dr. Fatma Bozkurt, \u201cBu bakteri genellikle nazofarenkste yani bo\u011faz\u0131n arka k\u0131sm\u0131nda bulunur ve \u00e7o\u011fu zaman herhangi bir belirtiye neden olmadan ta\u015f\u0131nabilir. Toplumda genel ta\u015f\u0131y\u0131c\u0131l\u0131k oran\u0131 y\u00fczde 5\u201310 civar\u0131ndayken, \u00f6zellikle ad\u00f6lesan ve gen\u00e7 eri\u015fkinlerde bu oran y\u00fczde 20\u201330\u2019a kadar \u00e7\u0131kabilmektedir. Buna ra\u011fmen invaziv hastal\u0131k yaln\u0131zca ta\u015f\u0131y\u0131c\u0131 bireylerin k\u00fc\u00e7\u00fck bir k\u0131sm\u0131nda geli\u015fir\u201d diye konu\u015ftu.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

Kalabal\u0131k kapal\u0131 alanlarda bula\u015f riski art\u0131yor<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Meningokok bakterisinin esas olarak damlac\u0131k yoluyla bula\u015ft\u0131\u011f\u0131n\u0131 kaydeden Prof. Dr. Fatma Bozkurt, \u201c\u00d6ks\u00fcr\u00fck ve hap\u015f\u0131r\u0131kla yay\u0131lan solunum damlac\u0131klar\u0131, \u00f6p\u00fc\u015fme, ortak e\u015fya kullan\u0131m\u0131 ve sigara veya elektronik sigara payla\u015f\u0131m\u0131 bula\u015fta \u00f6nemli rol oynar. Bununla birlikte meningokok, influenza gibi y\u00fcksek bula\u015f\u0131c\u0131l\u0131\u011fa sahip de\u011fildir; bula\u015f i\u00e7in genellikle uzun s\u00fcreli ve yak\u0131n temas gereklidir. Bu nedenle hastal\u0131k \u00e7o\u011funlukla ayn\u0131 evde ya\u015fayan bireyler, yurt ortam\u0131ndaki \u00f6\u011frenciler veya kalabal\u0131k kapal\u0131 alanlarda uzun s\u00fcre vakit ge\u00e7iren ki\u015filer aras\u0131nda g\u00f6r\u00fcl\u00fcr\u201d dedi.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

En riskli gruplar; bebekler ve gen\u00e7 eri\u015fkinler<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Epidemiyolojik a\u00e7\u0131dan bak\u0131ld\u0131\u011f\u0131nda, meningokok hastal\u0131\u011f\u0131n\u0131n belirli ya\u015f gruplar\u0131nda daha s\u0131k ortaya \u00e7\u0131kt\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Fatma Bozkurt, \u201cBebekler ve 15\u201325 ya\u015f aras\u0131 gen\u00e7 eri\u015fkinler en riskli gruplar\u0131 olu\u015fturur. \u00d6zellikle \u00fcniversite \u00f6\u011frencileri, hem artm\u0131\u015f ta\u015f\u0131y\u0131c\u0131l\u0131k oran\u0131 hem de yo\u011fun sosyal temas nedeniyle dikkat \u00e7ekmektedir. Ayr\u0131ca ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131f olan bireylerde hastal\u0131k geli\u015fme riski belirgin \u015fekilde artar\u201d uyar\u0131s\u0131nda bulundu.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

\u201cMenenjit\u201d ve \u201cmeningokoksemi\u201d \u015feklinde kendini g\u00f6steriyor<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Klinik olarak meningokok hastal\u0131\u011f\u0131n\u0131n \u201cmenenjit\u201d ve \u201cmeningokoksemi\u201d olarak iki ana tablo ile kendini g\u00f6sterdi\u011fini s\u00f6yleyen Prof. Dr. Fatma Bozkurt, \u201cMenenjit durumunda ate\u015f, ba\u015f a\u011fr\u0131s\u0131, ense sertli\u011fi ve \u0131\u015f\u0131\u011fa hassasiyet gibi bulgular \u00f6n plandad\u0131r. Meningokoksemi ise bakterinin kana ge\u00e7mesiyle olu\u015fur ve daha a\u011f\u0131r seyirlidir. Bu tabloda ate\u015f, halsizlik, hipotansiyon ve \u00f6zellikle basmakla solmayan mor d\u00f6k\u00fcnt\u00fcler g\u00f6r\u00fcl\u00fcr. Hastal\u0131k baz\u0131 durumlarda saatler i\u00e7inde ilerleyebilir ve ya\u015fam\u0131 tehdit eden sonu\u00e7lara yol a\u00e7abilir\u201d \u015feklinde bilgi verdi.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

T\u00fcrkiye\u2019de \u00f6zellikle serogrup W \u00f6n planda yer al\u0131yo\u0131r<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Meningokok bakterisinin kaps\u00fcl yap\u0131s\u0131na g\u00f6re farkl\u0131 serogruplara ayr\u0131ld\u0131\u011f\u0131n\u0131 kaydeden Prof. Dr. Fatma Bozkurt, \u015fu bilgileri verdi: <\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

\u201cG\u00fcn\u00fcm\u00fczde 12\u2019den fazla serogrup tan\u0131mlanm\u0131\u015f olmakla birlikte, hastal\u0131\u011fa en s\u0131k neden olanlar A, B, C, W ve Y serogruplar\u0131d\u0131r. Bu serogruplar\u0131n da\u011f\u0131l\u0131m\u0131 co\u011frafi b\u00f6lgelere g\u00f6re de\u011fi\u015fiklik g\u00f6stermektedir. Avrupa\u2019da serogrup B daha yayg\u0131nken, T\u00fcrkiye\u2019de \u00f6zellikle serogrup W \u00f6n plandad\u0131r. Bu durum, uluslararas\u0131 seyahatler, \u00f6zellikle hac ve umre gibi toplu organizasyonlar ve a\u015f\u0131lama politikalar\u0131 ile ili\u015fkilidir.\u201d<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

\u0130ngiltere\u2019deki vakalar salg\u0131n de\u011fil, s\u0131n\u0131rl\u0131 bir k\u00fcme<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

D\u00fcnya g\u00fcndeminde son g\u00fcnlerde yer alan menenjit vakalar\u0131n\u0131 de\u011ferlendiren Prof. Dr. Fatma Bozkurt, \u015funlar\u0131 s\u00f6yledi:<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

\u00a0\u201cSon y\u0131llarda \u0130ngiltere\u2019de, \u00f6zellikle Kent ve Canterbury b\u00f6lgesinde meningokok vakalar\u0131n\u0131n k\u00fcmelendi\u011fi bildirilmi\u015ftir. Bu durum geni\u015f \u00e7apl\u0131 bir salg\u0131n olarak de\u011fil, s\u0131n\u0131rl\u0131 bir \u201ck\u00fcme\u201d olarak de\u011ferlendirilmektedir ve vakalar\u0131n \u00e7o\u011funun serogrup B ile ili\u015fkili oldu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Bu t\u00fcr lokal k\u00fcmelenmeler, meningokok hastal\u0131\u011f\u0131n\u0131n genellikle geni\u015f \u00e7apl\u0131 pandemiler yerine belirli sosyal a\u011flar i\u00e7inde yay\u0131ld\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

Yay\u0131l\u0131mlar s\u0131n\u0131rl\u0131 kal\u0131r<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Bu noktada \u00f6nemli bir soru ortaya \u00e7\u0131kmaktad\u0131r: \u0130ngiltere\u2019de g\u00f6r\u00fclen bu vakalar T\u00fcrkiye\u2019ye yay\u0131labilir mi? Teorik olarak, ta\u015f\u0131y\u0131c\u0131 bireylerin uluslararas\u0131 seyahatleri yoluyla bakterinin farkl\u0131 \u00fclkelere ta\u015f\u0131nmas\u0131 m\u00fcmk\u00fcnd\u00fcr. Ancak meningokokun bula\u015fmas\u0131 i\u00e7in yak\u0131n ve uzun s\u00fcreli temas gerekti\u011finden, bu t\u00fcr yay\u0131l\u0131mlar genellikle s\u0131n\u0131rl\u0131 kal\u0131r. Mevcut epidemiyolojik veriler, \u0130ngiltere\u2019deki vakalar\u0131n T\u00fcrkiye\u2019de geni\u015f \u00e7apl\u0131 bir art\u0131\u015fa yol a\u00e7t\u0131\u011f\u0131n\u0131 g\u00f6stermemektedir. En olas\u0131 senaryo, uygun ko\u015fullar olu\u015ftu\u011funda k\u00fc\u00e7\u00fck ve lokal k\u00fcmelenmelerin ortaya \u00e7\u0131kmas\u0131d\u0131r.\u201d<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

En etkili y\u00f6ntem a\u015f\u0131lama<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Prof. Dr. Fatma Bozkurt, meningokok hastal\u0131\u011f\u0131ndan korunmada en etkili y\u00f6ntemin a\u015f\u0131lama oldu\u011funu belirterek \u201cG\u00fcn\u00fcm\u00fczde iki temel a\u015f\u0131 grubu bulunmaktad\u0131r: MenACWY ve MenB a\u015f\u0131lar\u0131. MenACWY a\u015f\u0131s\u0131, A, C, W ve Y serogruplar\u0131na kar\u015f\u0131 kaps\u00fcl temelli konjuge bir a\u015f\u0131 olup hem bireysel koruma sa\u011flar hem de bakterinin ta\u015f\u0131nmas\u0131n\u0131 azaltarak toplum ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olu\u015fturur. MenB a\u015f\u0131s\u0131 ise kaps\u00fcl\u00fcn insan dokular\u0131na benzerli\u011fi nedeniyle protein temelli olarak geli\u015ftirilmi\u015ftir ve \u00f6zellikle bireysel koruma sa\u011flar\u201d dedi.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

Gen\u00e7 eri\u015fkinler ve risk alt\u0131ndaki bireyler i\u00e7in a\u015f\u0131laman\u0131n \u00f6nemi art\u0131yor<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

A\u015f\u0131lama stratejilerinin \u00fclkeden \u00fclkeye farkl\u0131l\u0131k g\u00f6sterdi\u011fini s\u00f6yleyen Prof. Dr. Fatma Bozkurt, \u201c\u00d6rne\u011fin \u0130ngiltere\u2019de MenB a\u015f\u0131s\u0131 bebeklik d\u00f6neminde rutin olarak uygulan\u0131rken, MenACWY a\u015f\u0131s\u0131 ergenlik d\u00f6neminde uygulanarak ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131n azalt\u0131lmas\u0131 hedeflenir. T\u00fcrkiye\u2019de ise meningokok a\u015f\u0131lar\u0131 rutin ulusal a\u015f\u0131 program\u0131nda yer almamakta, daha \u00e7ok risk gruplar\u0131na ve \u00f6zel durumlara g\u00f6re \u00f6nerilmektedir. Ancak mevcut epidemiyolojik veriler g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, \u00f6zellikle gen\u00e7 eri\u015fkinler ve risk alt\u0131ndaki bireyler i\u00e7in a\u015f\u0131laman\u0131n \u00f6nemi giderek artmaktad\u0131r\u201d diye konu\u015ftu.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

Yerel k\u00fcmelenmeler dikkatle izlenmeli ve uygun a\u015f\u0131lama stratejileri uygulanmal\u0131<\/span><\/span><\/span><\/b><\/span><\/span><\/span><\/p>\n

Meningokok hastal\u0131\u011f\u0131n\u0131n nadir g\u00f6r\u00fclmesine ra\u011fmen h\u0131zl\u0131 ilerleyen ve ciddi sonu\u00e7lara yol a\u00e7abilen bir enfeksiyon oldu\u011funu vurgulayan Prof. Dr. Fatma Bozkurt, s\u00f6zlerini \u015f\u00f6yle tamamlad\u0131: \u201cHastal\u0131\u011f\u0131n kontrol\u00fcnde yaln\u0131zca klinik vakalar\u0131n tedavisi de\u011fil, ayn\u0131 zamanda ta\u015f\u0131y\u0131c\u0131l\u0131\u011f\u0131n ve bula\u015f dinamiklerinin anla\u015f\u0131lmas\u0131 da b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r. K\u00fcresel hareketlili\u011fin artt\u0131\u011f\u0131 g\u00fcn\u00fcm\u00fczde, yerel k\u00fcmelenmelerin dikkatle izlenmesi ve uygun a\u015f\u0131lama stratejilerinin uygulanmas\u0131, hastal\u0131\u011f\u0131n kontrol\u00fcnde temel unsurlar aras\u0131nda yer almaktad\u0131r.\u201d<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":"

Halk aras\u0131nda menenjit olarak bilinen meningokok hastal\u0131\u011f\u0131, nadir g\u00f6r\u00fclmesine ra\u011fmen h\u0131zl\u0131 ilerleyebilen ve ciddi sonu\u00e7lara yol a\u00e7abilen bir bakteri enfeksiyonu olarak tan\u0131mlan\u0131yor.<\/p>\n","protected":false},"author":1,"featured_media":3497,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-3496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3496","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3496"}],"version-history":[{"count":1,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3496\/revisions"}],"predecessor-version":[{"id":3498,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/posts\/3496\/revisions\/3498"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=\/wp\/v2\/media\/3497"}],"wp:attachment":[{"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3496"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3496"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ekonomievreni.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3496"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}