{"id":1132,"date":"2021-10-06T06:56:05","date_gmt":"2021-10-06T06:56:05","guid":{"rendered":"https:\/\/csiag.eu\/?p=1132"},"modified":"2023-01-20T17:14:53","modified_gmt":"2023-01-20T17:14:53","slug":"hastaneler-dogal-bagisikliga-sahip-hemsireleri-ise-almali-kovmamali","status":"publish","type":"post","link":"https:\/\/csiag.eu\/tr\/blog\/2021\/10\/06\/krankenhaeuser-sollten-krankenschwestern-mit-natuerlicher-immunitaet-einstellen-nicht-feuern\/","title":{"rendered":"Hastaneler do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olan hem\u015fireleri kovmak yerine i\u015fe almal\u0131"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>\n<p>TARAFINDAN MARTIN KULLDORFF, 01.10.2021<br><\/p>\n\n\n\n<p>Bu salg\u0131n s\u0131ras\u0131nda ya\u015fanan pek \u00e7ok \u015fa\u015f\u0131rt\u0131c\u0131 geli\u015fme aras\u0131nda en \u015fa\u015f\u0131rt\u0131c\u0131 olan\u0131, bir ki\u015fi Covid hastal\u0131\u011f\u0131na yakaland\u0131ktan sonra do\u011fal yollarla kazan\u0131lan ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n sorgulanmas\u0131yd\u0131. Do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 en az\u0131ndan M\u00d6 430'daki Atina vebas\u0131ndan beri anl\u0131yoruz. Thucydides \u015f\u00f6yle yazm\u0131\u015ft\u0131:<\/p>\n\n\n\n<p>\u201e<em>Ancak hasta ve \u00f6lmek \u00fczere olanlara en b\u00fcy\u00fck sempatiyi hastal\u0131ktan kurtulmu\u015f olanlar g\u00f6steriyordu. Bunlar hastal\u0131\u011f\u0131n ne oldu\u011funu deneyimleriyle biliyorlard\u0131 ve kendileri i\u00e7in korku duymuyorlard\u0131; \u00e7\u00fcnk\u00fc ayn\u0131 adam asla iki kez sald\u0131r\u0131ya u\u011framazd\u0131 - en az\u0131ndan \u00f6l\u00fcmc\u00fcl bir \u015fekilde.<\/em>\" - Thucydides<\/p>\n\n\n\n<p>En az y\u00fcz y\u0131ld\u0131r endemik koronavir\u00fcslerle ya\u015f\u0131yoruz ve bunlara kar\u015f\u0131 uzun s\u00fcreli bir do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131m\u0131z var. Beklendi\u011fi gibi, Covid-19 sonras\u0131nda da do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahibiz, \u00e7\u00fcnk\u00fc yayg\u0131n bir vir\u00fcse ra\u011fmen ciddi hastal\u0131k veya \u00f6l\u00fcmle sonu\u00e7lanan \u00e7ok az say\u0131da yeniden enfeksiyon ya\u015fand\u0131.<\/p>\n\n\n\n<p>\u00c7o\u011fu vir\u00fcs i\u00e7in do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131k a\u015f\u0131 kaynakl\u0131 ba\u011f\u0131\u015f\u0131kl\u0131ktan daha iyidir ve bu Covid i\u00e7in de ge\u00e7erlidir. Bug\u00fcne kadar yap\u0131lan en iyi \u00e7al\u0131\u015fmada, a\u015f\u0131lananlar\u0131n semptomatik hastal\u0131\u011fa yakalanma olas\u0131l\u0131\u011f\u0131, do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olanlara g\u00f6re yakla\u015f\u0131k 27 kat daha fazlayd\u0131 ve tahmini aral\u0131k 13 ile 57 aras\u0131ndayd\u0131. Her iki grupta da Covid \u00f6l\u00fcm\u00fc olmamas\u0131, hem do\u011fal hem de a\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131n \u00f6l\u00fcme kar\u015f\u0131 iyi korudu\u011funu g\u00f6stermektedir.<\/p>\n\n\n\n<p>Son on y\u0131l boyunca hastane epidemiyologlar\u0131 ile yak\u0131n bir \u015fekilde \u00e7al\u0131\u015ft\u0131m. Doktorlar\u0131n rol\u00fc hastalar\u0131 tedavi etmek ve onlar\u0131 iyile\u015ftirmek iken, hastane epidemiyolo\u011funun rol\u00fc hastalar\u0131n hastanede hastalanmamas\u0131n\u0131 sa\u011flamakt\u0131r, \u00f6rne\u011fin ba\u015fka bir hastadan veya hasta bak\u0131c\u0131dan \u00f6l\u00fcmc\u00fcl bir vir\u00fcs kapmamalar\u0131n\u0131 sa\u011flamak.<\/p>\n\n\n\n<p>Bu ama\u00e7la hastaneler, bir Ebola hastas\u0131na bakarken s\u0131k s\u0131k el y\u0131kamadan tam enfeksiyon kontrol\u00fcne kadar \u00e7e\u015fitli \u00f6nlemler uygulamaktad\u0131r. A\u015f\u0131lar bu kontrol \u00e7abalar\u0131n\u0131n \u00f6nemli bir par\u00e7as\u0131d\u0131r. \u00d6rne\u011fin, ameliyat sonras\u0131 enfeksiyonlar\u0131 en aza indirmek i\u00e7in hastalara dalak ameliyat\u0131ndan iki hafta \u00f6nce pn\u00f6mokok a\u015f\u0131s\u0131 yap\u0131l\u0131r ve klinik personelinin \u00e7o\u011fu her y\u0131l gribe kar\u015f\u0131 a\u015f\u0131lan\u0131r.<\/p>\n\n\n\n<p>Enfeksiyon kontrol \u00f6nlemleri \u00f6zellikle ba\u011f\u0131\u015f\u0131kl\u0131k sistemi zay\u0131flam\u0131\u015f ya\u015fl\u0131 ve k\u0131r\u0131lgan hastane hastalar\u0131 i\u00e7in kritik \u00f6neme sahiptir. \u00c7o\u011fu insan\u0131n kolayca atlatabilece\u011fi bir vir\u00fcs bu hastalar\u0131 enfekte edebilir ve \u00f6ld\u00fcrebilir. Hem\u015fire ve doktorlar\u0131n gribe kar\u015f\u0131 a\u015f\u0131lanmas\u0131n\u0131n temel nedenlerinden biri, bu t\u00fcr hastalara vir\u00fcs bula\u015ft\u0131rmamalar\u0131n\u0131 sa\u011flamakt\u0131r.<\/p>\n\n\n\n<p>Hastaneler hastalar\u0131n\u0131 Covid'den en iyi nas\u0131l koruyabilir? Bu, bak\u0131m evleri i\u00e7in de ge\u00e7erli olan son derece \u00f6nemli bir sorudur. Covid hastalar\u0131n\u0131 di\u011fer hastalardan ay\u0131rmak, personel rotasyonlar\u0131n\u0131 en aza indirmek ve Covid benzeri semptomlar\u0131 olan personeli c\u00f6mert\u00e7e hasta listesine almak gibi baz\u0131 bariz standart \u00e7\u00f6z\u00fcmler vard\u0131r.<\/p>\n\n\n\n<p>Bir di\u011fer hedef de Covid'e kar\u015f\u0131 m\u00fcmk\u00fcn olan en y\u00fcksek ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahip personeli istihdam etmek olmal\u0131d\u0131r, zira bu personelin Covid'e yakalanma ve hastalar\u0131na bula\u015ft\u0131rma olas\u0131l\u0131\u011f\u0131 daha d\u00fc\u015f\u00fckt\u00fcr. Bu, hastanelerin ve bak\u0131m evlerinin aktif olarak \u00f6nceki Covid hastal\u0131klar\u0131na kar\u015f\u0131 do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olan personeli istihdam etmeye \u00e7al\u0131\u015fmas\u0131 ve bu personeli en savunmas\u0131z hastalar\u0131 i\u00e7in kullanmas\u0131 gerekti\u011fi anlam\u0131na gelir.<\/p>\n\n\n\n<p>Sonu\u00e7 olarak, hastaneler ve bak\u0131m evlerinin umutsuzca do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olan insanlar\u0131 i\u015fe almaya \u00e7al\u0131\u015ft\u0131\u011f\u0131 \u015fiddetli bir rekabet g\u00f6r\u00fcyoruz. Pek say\u0131lmaz.<\/p>\n\n\n\n<p>Bunun yerine hastaneler, do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 daha y\u00fcksek olan hem\u015fireleri ve di\u011fer personeli i\u015ften \u00e7\u0131kar\u0131rken, a\u015f\u0131 kaynakl\u0131 ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 daha zay\u0131f olanlar\u0131 b\u00fcnyelerinde tutmaktad\u0131r. Bu \u015fekilde hastalar\u0131na ihanet etmekte ve hastane kaynakl\u0131 enfeksiyon riskini art\u0131rmaktad\u0131rlar.<\/p>\n\n\n\n<p>Beyaz Saray Ba\u015f T\u0131bbi Dan\u0131\u015fman\u0131 Dr. Anthony Fauci, a\u015f\u0131 zorunlulu\u011fu getirerek Covid sonras\u0131 do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n varl\u0131\u011f\u0131n\u0131 sorguluyor. Bunu yaparken de, The Lancet taraf\u0131ndan yay\u0131nlanan 2020 tarihli bir memorandumda do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 sorgulayan CDC Direkt\u00f6r\u00fc Rochelle Walensky'nin izinden gidiyor. A\u015f\u0131 zorunlulu\u011funun getirilmesiyle birlikte \u00fcniversite hastaneleri de Covid hastal\u0131\u011f\u0131 sonras\u0131nda do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n varl\u0131\u011f\u0131n\u0131 sorgulamaya ba\u015flad\u0131.<\/p>\n\n\n\n<p>Bu inan\u0131lmaz.<\/p>\n\n\n\n<p>Boston'daki Brigham and Women's Hospital'da \u00e7al\u0131\u015f\u0131yorum ve bu hastane Covid a\u015f\u0131s\u0131 yapt\u0131rmad\u0131klar\u0131 takdirde t\u00fcm hem\u015firelerin, doktorlar\u0131n ve di\u011fer sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n i\u015ften \u00e7\u0131kar\u0131laca\u011f\u0131n\u0131 duyurdu. Ge\u00e7en hafta hem\u015firelerimizden biriyle konu\u015ftum. Pandeminin ba\u015flang\u0131c\u0131nda baz\u0131 meslekta\u015flar\u0131 korkudan ayr\u0131lsa bile Covid hastalar\u0131na bakmak i\u00e7in \u00e7ok \u00e7al\u0131\u015ft\u0131.<\/p>\n\n\n\n<p>\u015ea\u015f\u0131rt\u0131c\u0131 olmayan bir \u015fekilde enfeksiyon kapt\u0131 ama sonra iyile\u015fti. \u015eimdi, a\u015f\u0131 olmad\u0131\u011f\u0131 i\u00e7in onu taburcu eden a\u015f\u0131l\u0131 hastane y\u00f6neticilerinden daha g\u00fc\u00e7l\u00fc ve daha uzun s\u00fcreli bir ba\u011f\u0131\u015f\u0131kl\u0131\u011fa sahip.<\/p>\n\n\n\n<p>E\u011fer \u00fcniversite hastaneleri ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n temel bilimi konusunda t\u0131bbi kan\u0131tlar\u0131 do\u011fru de\u011ferlendiremiyorsa, sa\u011fl\u0131\u011f\u0131m\u0131z\u0131n di\u011fer y\u00f6nleri konusunda onlara nas\u0131l g\u00fcvenebiliriz?&nbsp;<\/p>\n\n\n\n<p>S\u0131rada ne var? \u00dcniversiteler d\u00fcnyan\u0131n yuvarlak m\u0131 yoksa d\u00fcz m\u00fc oldu\u011funu merak ediyor mu? En az\u0131ndan bu daha az zarar verir.<\/p>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 3<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>BY MARTIN KULLDORFF, 01.10.2021 Bu salg\u0131n s\u0131ras\u0131nda ya\u015fanan pek \u00e7ok \u015fa\u015f\u0131rt\u0131c\u0131 geli\u015fme aras\u0131nda en \u015fa\u015f\u0131rt\u0131c\u0131 olan\u0131, bir ki\u015fi Covid hastal\u0131\u011f\u0131na yakaland\u0131ktan sonra do\u011fal yollarla kazan\u0131lan ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131n sorgulanmas\u0131 oldu. Do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 en az\u0131ndan M\u00d6 430'daki Atina vebas\u0131ndan beri anl\u0131yoruz. Thucydides \u015f\u00f6yle yazm\u0131\u015ft\u0131: \"Yine de hastal\u0131ktan kurtulmu\u015f olanlarla...&nbsp;<a href=\"https:\/\/csiag.eu\/tr\/blog\/2021\/10\/06\/krankenhaeuser-sollten-krankenschwestern-mit-natuerlicher-immunitaet-einstellen-nicht-feuern\/\" rel=\"bookmark\">Daha fazlas\u0131n\u0131 oku \"<span class=\"screen-reader-text\">Hastaneler do\u011fal ba\u011f\u0131\u015f\u0131kl\u0131\u011f\u0131 olan hem\u015fireleri kovmak yerine i\u015fe almal\u0131<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[628],"tags":[],"class_list":["post-1132","post","type-post","status-publish","format-standard","hentry","category-corona"],"modified_by":"Achim Goerner","_links":{"self":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/1132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/comments?post=1132"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/1132\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/media?parent=1132"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/categories?post=1132"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/tags?post=1132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}