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• W2972515351 abstract "Kahramanmaraş Sütçü İmam Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi’nde kan kültürlerinden izole edilen mikroorganizmalar ve antibiyotik duyarlılıkları ÖZET Amaç: Kan dolaşımı enfeksiyonları, mortalite ve morbiditenin önde gelen nedenlerinden biridir. Çalışmamızın amacı kan kültürlerinde en sık belirlenen enfeksiyon etkenlerini ve antibiyotik duyarlılıklarını saptamaktır. Gereç ve Yöntem: 3719 izolat çalışmaya dahil edilmiştir. Kan kültürü örnekleri BACT/ALERT 3D otomatize sistemi ile inkübe edilmiştir. Üreyen mikroorganizmaların identifikasyonu ve antibiyotik duyarlılıkları Phoenix otomatize sistem ile yapılmıştır. Bulgular: En sık izole edilen Gram negatif bakteriler Escherichia coli 227 (%36.37), Klebsiella pneumoniae 126 (%20.19) olarak bulunmuştur. Gram pozitif bakterilerin 2245’inin koagülaz negatif Staphylococcus türleri, 251’inin (%8.8) Enterococcus spp., 194’ünün (%6.87) Staphylococcus aureus olduğu saptanmıştır. Gram negatif bakterilere en etkili antibiyotikler karbapenemler, aminoglikozidler ve tigesiklin olarak bulunmuştur. Tüm Acinetobacter izolatları karbapenemlere dirençli bulunmuştur. Staphylococcus aureus izolatlarında vankomisin direnci saptanmazken metisilin direnci %55, koagülaz negatif Staphylococcus izolatlarında metisilin direnci %84 olarak bulunmuştur. Enterococcus spp. izolatlarında vankomisin direnci %9.7 olarak bulunmuştur. Sonuç: Sonuç olarak bakterilerin direnç oranlarının bu denli yüksek olması enfeksiyon kontrol önlemlerinin artırılması gerektiğini düşündürmektedir. Anahtar kelimeler : Antibiyotik direnci; kan kültürü; kan dolaşımı enfeksiyonu; mikroorganizma Microorganism isolated from blood culture and their antimicrobial susceptibilities obtained at Kahramanmaraş Sütçü Imam University Health Practice and Research Hospital ABSTRACT Objective: Blood stream infections remain a major cause of morbidity and mortality. The aim of this study is to determine the types of microorganisms and antibiotic susceptibility isolated from blood cultures. Materials and Methods: 3719 isolates identified included in the study. Blood culture samples were incubated in BACT/ALERT 3D automated system. Identification and antibiotic susceptibility of microorganisms were done with Phoenix automated system. Results: The most frequent Gram negative bacteria were Escherichia coli 227 (36.3%), Klebsiella pneumoniae 126 (20.1%). The most frequent Gram positive bacteria were 2245 (79.5%) coagulase negative Staphylococcus , 251 (8.8%) Enterococcus spp., 194 (6.87%) Staphylococcus aureus . Carbapenems, aminoglycosides and tigecycline were most effective antibiotics against all Gram negatives. All Acinetobacter isolates were resistant to carbapenems. No resistance to vancomycin was detected Staphylococcus aureus . Methicilin resistance was 55% to Staphylococcus aureus , 84% to coagulase negative Staphylococcus . Vancomycin resistance was 9.7% to Enterococcus spp.. Conclusion: As a result, the high resistance rates of bacteria suggest that infection control measures should be increased. Key words : Antibiotic resistance; blood culture; blood stream infection; microorganism" @default.
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• W2972515351 date "2019-09-16" @default.
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• W2972515351 title "Kahramanmaraş Sütçü İmam Üniversitesi Sağlık Uygulama ve Araştırma Hastanesi’nde Kan Kültürlerinden İzole Edilen Mikroorganizmalar ve Antibiyotik Duyarlılıkları" @default.
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• W2972515351 doi "https://doi.org/10.31832/smj.595034" @default.
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