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- Title
Orthopedic Surgical Wound Infection: Microorganisms and Resistance Figures.
- Authors
Görmeli, Gökay; Duman, Yücel; Karakaplan, Mustafa; Korkmaz, Mehmet Fatih; Tekerekoğlu, Mehmet Sait; Selçuk, Engin Burak; Aslantürk, Okan
- Abstract
Purpose: One of the most important and feared complications of modern orthopaedic surgery is postperative surgical wound infections. In this study, we aimed to investigate antimicrobial resistance rates of isolated microorganisms in wound infections after orthopaedic surgery. Methods: Isolated bacteria were identified with conventional methods and automated system (Becton Dickinson Phoenix ID). Antimicrobial susceptibility of the strains were investigated according to Clinical Laboratory Standards Institute (CLSI) recommendations. Results: Ninety six (37%) microorganisms were isolated from 257 wound specimens. These were: Acinetobacter spp. 24 (25%), P. aeruginosa 19 (20%), 5. aureus 15 (16%), £ co//10 (10%), K. pneumoniae 10 (10%), CNS 8 (8%), P. mirabilis S (5%), Enterobacter spp. 4 (4%), and Enterococcus spp. 1(1%), respectively. Acinetobacter spp. strains were resistant to imipenem by 92%, to amikacin by 83%, to ciprofloxacin by 89%, and to sulbactam-ampicillin (SAM) by 62%. 10% of £ coti and 40% of K. pneumoniae strains were extended to spektrulu beta-lactamase positive. 7% of 5. aureus, 50% of CNS strains were methicillln resistant. Conclusions: Considering local epidemiological data in the treatment of surgical wound infection is going to help increasing the chance of treatment success and reducing resistance rates by providing rational use of antibiotics.
- Subjects
ORTHOPEDIC surgery complications; MICROORGANISMS; ANTI-infective agents; DRUG resistance; MICROBIAL sensitivity tests; ACINETOBACTER; ANTIBIOTICS
- Publication
Journal of Turgut Ozal Medical Center, 2015, Vol 22, Issue 1, p13
- ISSN
1300-1744
- Publication type
Article
- DOI
10.7247/jtomc.2014.1828