{"id":42190,"date":"2019-11-22T18:30:50","date_gmt":"2019-11-22T15:30:50","guid":{"rendered":"https:\/\/www.bghaber.org\/bghaber\/?p=42190"},"modified":"2019-11-22T18:00:31","modified_gmt":"2019-11-22T15:00:31","slug":"bilincsiz-antibiyotik-kullanimi-kuresel-tehdit-haline-geliyor","status":"publish","type":"post","link":"https:\/\/www.bghaber.org\/bghaber\/bilincsiz-antibiyotik-kullanimi-kuresel-tehdit-haline-geliyor\/","title":{"rendered":"Bilin\u00e7siz antibiyotik kullan\u0131m\u0131 k\u00fcresel tehdit haline geliyor"},"content":{"rendered":"<p><b>\u00dclkemizde her g\u00fcn birka\u00e7 d\u00fczine insan hastalan\u0131yor ve art\u0131k antibiyotik tedavisine yan\u0131t vermeyen enfeksiyonlar nedeniyle \u00f6lmektedir.Tedavinin sonu\u00e7 vermemesinin nedeni ise bilin\u00e7siz\u00a0antibiyotik kullan\u0131m\u0131. Kontrols\u00fcz antibiyotik kullan\u0131m\u0131 ayn\u0131 h\u0131zla devam ederse sadece birka\u00e7 on y\u0131l i\u00e7inde insano\u011flu onkolojik hastal\u0131klar\u0131ndan daha b\u00fcy\u00fck bir k\u00fcresel tehdit ile kar\u015f\u0131 kar\u015f\u0131ya gelecek.<\/b><\/p>\n<p>Uzmanlar, 18 Kas\u0131m Avrupa Antibiyotik Fark\u0131ndal\u0131k G\u00fcn\u00fc nedeniyle bilin\u00e7siz\u00a0antibiyotik kullan\u0131m\u0131n\u0131n yaratt\u0131\u011f\u0131 tehdite dair tehlike \u00e7anlar\u0131n\u0131 \u00e7alarken doktorlara ve hastalara seslendi:<\/p>\n<p><i>\u0130lk olarak, burun ak\u0131nt\u0131s\u0131, neredeyse her bo\u011faz a\u011fr\u0131s\u0131, y\u00fcksek ate\u015f ve balgam olmadan seyreden kuru \u00f6ks\u00fcr\u00fck gibi, viral enfeksiyonlar antibiyotikle tedavi edilmez<\/i>\u2013 diyor Enfeksiyon ve Parazit Hastal\u0131klar Merkezi M\u00fcd\u00fcr\u00fc Profes\u00f6r Todor Kantarciyev ve devam ediyor.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/static.bnr.bg\/gallery\/cr\/9ed4fa0ee4d39ef8065e05b7ad5e0814.png?w=640\" alt=\"\" \/><\/p>\n<p><i>\u0130kinci husus,<\/i>\u00a0<i>her antibiyotiik doktor taraf\u0131ndan re\u00e7ete<\/i><i>\u00a0edilmeli. Doktorun ise,<\/i><i>h angi mikroplar\u0131n bir antibiyotik ile tedavi edilece\u011fini bulmak<\/i><i>,<\/i><i>\u00a0antibiyoti\u011f<\/i><i>in<\/i><i>\u00a0en uygun yere n\u00fcfuz e<\/i><i>tmesi amac\u0131yla\u00a0<\/i><i>enfeksiyonu lokalize\u00a0<\/i><i>etmek,\u00a0<\/i><i>hastan\u0131n genel sa\u011fl\u0131\u011f\u0131na ve bir antibiyotik re\u00e7etesine yaz\u0131lacak ila\u00e7larla kombinasyon halinde y\u00f6nlendirilmesi<\/i><i>\u00a0ve p<\/i><i>ahal\u0131 antibiyoti<\/i><i>\u011fin\u00a0<\/i><i>her zaman en iyisi olmad\u0131\u011f\u0131 i\u00e7in ekonomik gerek\u00e7eyi sa\u011flama<\/i><i>s\u0131 gibi baz\u0131 kurallara uymas\u0131 gerek.<\/i><\/p>\n<p>Bulgaristan&#8217;da re\u00e7ete edilen ortalama antibiyotik miktarlar\u0131 Avrupa&#8217;dakilerle kar\u015f\u0131la\u015ft\u0131r\u0131labilir, ancak bu k\u0131yaslama, \u00fczerinde \u00e7al\u0131\u015f\u0131lan patojenler i\u00e7in ge\u00e7erli de\u011fil.<\/p><div id=\"bghab-3362924209\" class=\"bghab-icerik-icine bghab-entity-placement\"><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6203283170189293\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-client=\"ca-pub-6203283170189293\" \ndata-ad-slot=\"7303146466\" \ndata-ad-layout=\"in-article\"\ndata-ad-format=\"fluid\" data-full-width-responsive=\"true\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div>\n<p><i>Son iki y\u0131ld\u0131r, endi\u015fe verici bir e\u011filim ya\u015fan\u0131yor\u00a0<\/i><i>\u2013\u00a0<\/i><i>p<\/i><i>oliklinik<\/i><i>lerde \u00e7al\u0131\u015fan bir\u00e7ok\u00a0<\/i><i>doktor<\/i><i>,<\/i><i>\u00a0\u00e7ocuklar ve yeti\u015fkinler i\u00e7in\u00a0<\/i><i>g\u00fcnde bir kez kullan\u0131lan\u00a0<\/i><i>antibiyotik<\/i><i>leri<\/i><i>\u00a0re\u00e7ete ediyor<\/i><i>lar. Ancak bu geni\u015f spektrumlu ila\u00e7lar, anjina veya k\u0131z\u0131l hastal\u0131\u011f\u0131 tedavisinde g\u00fcnde \u00fc\u00e7 veya d\u00f6rt kez kullan\u0131lan di\u011fer antibiyotiklerden daha iyi de\u011fildir.<\/i><i>\u00a0Hastanelere gelince \u2013 burada miktar olarak orta Avrupa standartlar\u0131ndan daha fazla antibiyotik kullan\u0131lmamas\u0131na ra\u011fmen, bizler Avrupa\u2019da en fazla geni\u015f spektrumlu antibiyotik ila\u00e7lar\u0131 kullanan \u00fclkeyiz \u2013 di\u011fer \u00fclkelere g\u00f6re bizde kullan\u0131m iki kat daha fazla.<\/i><\/p>\n<p>Bu olayla m\u00fccadele etmek amac\u0131yla, Enfeksiyon ve Parazit Hastal\u0131klar Merkezi bu hafta doktorlar i\u00e7in bilgisayar e\u011fitimi ba\u015flatt\u0131yor. Sa\u011fl\u0131k Bakan Yard\u0131mc\u0131s\u0131 Svetlana Yordanova, H\u00fck\u00fcmet taraf\u0131ndan y\u0131l sonuna kadar onaylanmas\u0131 beklenen Ulusal Antimikrobiyal Diren\u00e7 Stratejik Eylem Plan\u0131\u2019n\u0131n da haz\u0131r oldu\u011funu, a\u00e7\u0131klad\u0131. Belgede hem insan, hem de veteriner hekimlikte antibiyotik kullan\u0131m\u0131 konusunda fark\u0131ndal\u0131\u011f\u0131n artt\u0131r\u0131lmas\u0131 \u00f6ng\u00f6r\u00fcl\u00fcyor. Sa\u011fl\u0131k kurulu\u015flar\u0131nda sa\u011fl\u0131k taramas\u0131n\u0131n artr\u0131r\u0131lmas\u0131yla, ila\u00e7lar\u0131n re\u00e7ete edilmesindeki kontrol\u00fcn art\u0131r\u0131lmas\u0131 hedefleniyor. Ayn\u0131 zamanda da antibiyotiklerin kullan\u0131m\u0131yla ilgili\u00a0 enformasyon kampanyalar\u0131n ve metodik e\u011fitimlerin art\u0131r\u0131lmas\u0131 \u00f6ng\u00f6r\u00fcl\u00fcyor.<\/p>\n<p>D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc Bulgaristan temsilcisi Dr. Skender Syla, \u201c<i>Zihniyetimizi de\u011fi\u015ftirip ak\u0131ll\u0131ca antibiyotik kullanmaya ba\u015flamazsak, y\u00fczy\u0131l\u0131n ortas\u0131ndan itibaren bir y\u0131lda antimikrobiyal diren\u00e7 nedeniyle 10 milyon insan hayat\u0131n\u0131 kaybedecek. Bu y\u00fczden bu t\u00fcr ila\u00e7lar\u0131n gelece\u011fi hepimize ba\u011fl\u0131 \u201c dedi:<\/i><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" src=\"https:\/\/i0.wp.com\/static.bnr.bg\/gallery\/cr\/d67f5d5a75ea91681537437b45782e18.png?w=640\" alt=\"\" \/><\/p>\n<p><i>Verilerimize g\u00f6re, antimikrobiyal diren\u00e7, Avrupa Birli\u011fi&#8217;nde y\u0131ll\u0131k 33 bin \u00f6l\u00fcmden ve ayn\u0131 d\u00f6nemde d\u00fcnya genelinde 700 bin \u00f6l\u00fcmden sorumludur. 2050 y\u0131l\u0131na kadar antimikrobiyal diren\u00e7, onkolojik hastal\u0131klardan bile insanl\u0131k i\u00e7in daha b\u00fcy\u00fck bir tehdit olabilece\u011fine inan\u0131lmaktad\u0131r. Bundan dolay\u0131, ulusal bir eylem plan\u0131 geli\u015ftirmek i\u00e7in Bulgar kurumlar\u0131yla bir araya geldik ve birlikte \u00e7al\u0131\u015fmaya karar verdik. Ancak burada en \u00f6nemli \u015fey, mesajlar\u0131m\u0131z\u0131n t\u00fcm insanlara ula\u015fmas\u0131d\u0131r.<\/i><\/p>\n<p>&nbsp;<\/p><div id=\"bghab-844877604\" class=\"bghab-icerik-icine-10-paragraf bghab-entity-placement\"><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6203283170189293\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-client=\"ca-pub-6203283170189293\" \ndata-ad-slot=\"7303146466\" \ndata-ad-layout=\"in-article\"\ndata-ad-format=\"fluid\" data-full-width-responsive=\"true\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div>\n<p>BNR<\/p>\n<div id=\"bghab-2326557690\" class=\"bghab-yazi-altinda bghab-entity-placement\"><div class=\"bghab-adlabel\">Reklamlar<\/div><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- bghaber-yaz\u0131-sonu -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6203283170189293\"\r\n     data-ad-slot=\"4222328180\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><\/div><br style=\"clear: both; display: block; float: none;\"\/>","protected":false},"excerpt":{"rendered":"<p>\u00dclkemizde her g\u00fcn birka\u00e7 d\u00fczine insan hastalan\u0131yor ve art\u0131k antibiyotik tedavisine yan\u0131t vermeyen enfeksiyonlar nedeniyle \u00f6lmektedir.Tedavinin sonu\u00e7 vermemesinin nedeni ise bilin\u00e7siz\u00a0antibiyotik kullan\u0131m\u0131. Kontrols\u00fcz antibiyotik kullan\u0131m\u0131<\/p>\n","protected":false},"author":29,"featured_media":42191,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1,7],"tags":[2640,425,30,1862],"class_list":["post-42190","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-haberler","category-saglik-spor","tag-antiboyotik","tag-avrupa","tag-bulgaristan","tag-ilac"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.bghaber.org\/bghaber\/wp-content\/uploads\/2019\/11\/18-Kas%C4%B1m-Avrupa-Antibiyotik-Fark%C4%B1ndal%C4%B1k-G%C3%BCn%C3%BC.png?fit=925%2C520&ssl=1","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"jetpack_shortlink":"https:\/\/wp.me\/pc2PfJ-aYu","_links":{"self":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts\/42190","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/comments?post=42190"}],"version-history":[{"count":0,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts\/42190\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/media\/42191"}],"wp:attachment":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/media?parent=42190"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/categories?post=42190"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/tags?post=42190"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}