COVID-19 ENFEKSİYONUNDA İMMÜN PLAZMA TEDAVİSİ: SİİRT DENEYİMİ
Amaç: Dünyada hızla yayılan COVID-19 salgını Türkiye’de de insanları önemli derecede etkilemektedir. Tedaviye yönelik çeşitli ilaç-metodlar denenmekte olup bu uygulamalardan biride immun plazma transfüzyonudur. Gereç ve Yöntem: Bu çalışmada Siirt Eğitim ve Araştırma Hastanesi'nde COVID-19 teşhisli tedavi gören 23 hastaya uygulanan 400cc immün plazma tedavisi, etkisini göstermek için retrospektif olarak değerlendirilmiştir. Bulgular: İmmün plazma tedavisinden önce hastaların mekanik ventilasyon kullanımı %47,82 iken, 3 gün sonra bu gereksinimin %30,43 e düştüğü gözlemlenmiştir. İmmün plazma tedavisi alan 23 hastadan 9'u tedavilerini tamamlayarak iyileşti. Sonuç: Her ne kadar hastalar üzerinde uygulanan immün plazma tedavisi, hastaların iyileşmesine katkıda bulunsa da kesin olarak etki ettiğine dair kanıtlar yetersizdir. Bu nedenle immün plazma transfüzyon etkinliğini belgelemek için daha fazla sayıda COVID-19 hastası ile gözlem yapılması gerekmektedir.
Immune plasma therapy in COVID-19 infection: the experience of Siirt
Objective: COVID-19 pandemic which is rapidly spreading in the world affects people in Turkey significantly. Various drug-methods for treatment are being tried and one of these applications is immune plasma transfusion. Materials and Methods: In this study, 400cc immune plasma treatment was evaluated retrospectively to show the effect of treatment applied to 23 patients with COVID-19 diagnosis in Siirt Training and Research Hospital. Results: It was observed that the use of mechanical ventilation was 47.82% before the immune plasma treatment, while this need decreased to 30.43% after 3 days. Nine out of 23 patients who received immune plasma therapy recovered by completing their treatment. Conclusion: Although the immune plasma applied on patients contributes to the recovery of patients, the evidence is yet insufficient. Therefore, more COVID-19 patients need to be observed to document the efficiency of immune plasma transfusion therapy.
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