Nozokomiyal Acinetobacter Baumannii Suşlarının Antibiyotik Duyarlılığı
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Dosyalar
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Selçuk Üniversitesi Meram Tıp Fakültesi Hastanesi’nde yatan hastalardan Eylül 2005-Mart 2007 arasında İnfeksiyon Hastalıkları Anabilim Dalı Laboratuvarı’na gönderilen, çeşitli klinik örneklerden izole edilen ve hastane infeksiyon etkeni olarak tanımlanan 79 Acinetobacter baumannii suşu çalışmaya alınmıştır. Suşların % 63’ü yoğun bakım ünitelerinde yatan hastalardan izole edilmiştir. Anestezi ve Reanimasyon Yoğun Bakım Ünitesi % 25 ile A.baumannii’nin en sık izole edildiği klinik olarak tespit edilmiştir. Bu çalışmada suşların % 43’ü solunum sistemi, % 24’ü yara yeri, % 14’ü idrar, % 11’i kan, % 6’sı beyin omurilik sıvısı ve % 1’i kateter örneğinden izole edilmiştir. Kirby-Bauer disk difüzyon tekniği ile üçünçü kuşak sefalosporinlere % 95’in üzerinde direnç saptanmıştır. Tetrasikline % 92, piperasilin/tazobaktama % 84, siprofloksasine % 82, ampisilin/sulbaktama % 81, trimetoprim/sulfametoksazole % 78, levofloksasine % 76, tobramisine % 71, amikasine % 66, meropeneme % 63 ve imipeneme % 49 direnç bulunmuştur.
Seventy-nine Acinetobacter baumannii strains isolated from various clinical samples of patients with hospital infections in Meram Faculty of Medicine, Selcuk University between September 2005 and March 2007 are the subject of the present study. The 63 % of the strains were isolated from patients in Intensive Care Units. The Anesthesiology and Reanimation Intensive Care Unit was the unit from which the highest number of strains were isolated (25 %). The 43 % of the strains were isolated from respiratory system, 24 % from wound, 14 % from urine, 11 % from blood, 6 % from CSF and 1 % from catheter samples. The resistance rates to third generation cephalosporins were found as more than 95 % by Kirby-Bauer disk diffusion. The resistance rates to tetracyline were 92 %, to piperacillin/tazobactam 84 %, to ciprofloxacin 82 %, to ampicillin/sulbactam 81 %, to trimetophrim/sulfamethoxazole 78 %, to levofloxacin 76 %, to tobramycin 71 %, to amikacin 66 %, to meropenem 63 %, and to imipenem 49 %.
Seventy-nine Acinetobacter baumannii strains isolated from various clinical samples of patients with hospital infections in Meram Faculty of Medicine, Selcuk University between September 2005 and March 2007 are the subject of the present study. The 63 % of the strains were isolated from patients in Intensive Care Units. The Anesthesiology and Reanimation Intensive Care Unit was the unit from which the highest number of strains were isolated (25 %). The 43 % of the strains were isolated from respiratory system, 24 % from wound, 14 % from urine, 11 % from blood, 6 % from CSF and 1 % from catheter samples. The resistance rates to third generation cephalosporins were found as more than 95 % by Kirby-Bauer disk diffusion. The resistance rates to tetracyline were 92 %, to piperacillin/tazobactam 84 %, to ciprofloxacin 82 %, to ampicillin/sulbactam 81 %, to trimetophrim/sulfamethoxazole 78 %, to levofloxacin 76 %, to tobramycin 71 %, to amikacin 66 %, to meropenem 63 %, and to imipenem 49 %.
Açıklama
Anahtar Kelimeler
Acinetobacter baumannii, Antibiyotik, Direnç, Antibiotic, Resistance
Kaynak
Ankem Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
24
Sayı
1
Künye
Balcı, M., Bitirgen, M., Kandemir, B., Türk Arıbaş, E., Erayman, İ., (2010). Nozokomiyal Acinetobacter Baumannii Suşlarının Antibiyotik Duyarlılığı. Ankem Dergisi, 24(1), 28-33.
