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- Title
Bir Özel Hastanenin Yoğun Bakım Ünitesinde Yatan Hastaların Derin Trakeal Aspirat Örneklerinden İzole Edilen Mikroorganizmalar ve Antibiyotik Duyarlılıkları.
- Authors
OĞUZ MIZRAKÇI, Serpil
- Abstract
Objective: The aim of this study was to evaluate the distribution of microorganisms and their antimicrobial resistance rates isolated from deep tracheal aspirate (DTA) samples of patients under mechanical ventilation in intensive care units (ICUs) of our hospital. Materials and Methods: DTA culture results of ICU patients were retrospectively evaluated during one-year period between January 2019 and January 2020. Bacteria isolated from cultures of DTA samples were identified by conventional methods. The antimicrobial susceptibility tests were performed according to the Clinical and Laboratory Standards Institute criteria. Results: In one-year period, 288 DTA samples were accepted to the laboratory and 140 of these samples were culture-positive. Most prevalent isolates were, A cinetobacter spp. (45%), Pseudomonas aeruginosa (21.4%), Klebsiella pneumoniae (16.4%), Enterobacter spp. (6.4%), Escherichia coli (2.8%), Staphylococcus aureus (5%). Resistance rates to carbapenem were 87.3% in A cinetobacter spp., 65.2% in K. pneumoniae and 40% in P. aeruginosa. Conclusion: Carbapenem resistance, detected at high rates in A cinetobacter spp. and K. pneumoniae strains, causes treatment difficulties. Each center should determine its own microorganism distribution and resistance status and arrange treatment protocols. Continuous and close followup of resistant infections, taking infection control measures rapidly, and training of healthcare workers are important.
- Publication
Online Turkish Journal of Health Sciences (OTJHS) / Online Türk Sağlık Bilimleri Dergisi, 2022, Vol 7, Issue 3, p441
- ISSN
2459-1467
- Publication type
Article
- DOI
10.26453/otjhs.1068780