{"id":13673,"date":"2021-01-05T01:21:25","date_gmt":"2021-01-04T22:21:25","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/farkli-hasta-gruplarinin-idrar-kulturlerinden-izole-edilen-escherichia-coli-izolatlarinin-antibiyotik-duyarliliklarinin-karsilastirilmasi-bir-universite-hastanesi-deneyimi\/"},"modified":"2021-01-05T01:21:25","modified_gmt":"2021-01-04T22:21:25","slug":"farkli-hasta-gruplarinin-idrar-kulturlerinden-izole-edilen-escherichia-coli-izolatlarinin-antibiyotik-duyarliliklarinin-karsilastirilmasi-bir-universite-hastanesi-deneyimi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/farkli-hasta-gruplarinin-idrar-kulturlerinden-izole-edilen-escherichia-coli-izolatlarinin-antibiyotik-duyarliliklarinin-karsilastirilmasi-bir-universite-hastanesi-deneyimi\/","title":{"rendered":"Farkl\u0131 Hasta Gruplar\u0131n\u0131n \u0130drar K\u00fclt\u00fcrlerinden \u0130zole Edilen Escherichia coli \u0130zolatlar\u0131n\u0131n Antibiyotik Duyarl\u0131l\u0131klar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131: Bir \u00dcniversite Hastanesi Deneyimi"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: \u00c7al\u0131\u015fmam\u0131zda Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Merkez Laboratuvar\u0131&#39;nda idrar k\u00fclt\u00fcrlerinden izole edilen Escherichia coli izolatlar\u0131n\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n incelenmesi ve farkl\u0131 hasta gruplar\u0131na ait E. coli izolatlar\u0131n\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131 aras\u0131ndaki farkl\u0131l\u0131\u011f\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmam\u0131za 1 Ocak 2017-30 Nisan 2018 tarihleri aras\u0131nda idrar k\u00fclt\u00fcrlerinden izole edilen E. coli izolatlar\u0131 dahil edilmi\u015ftir. \u0130zolatlar\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n belirlenmesi amac\u0131yla VITEK\u00ae 2 Compact (bioM\u00e9rieux, Marcy l&#39;Etoile, Fransa) ve BD Phoenix (Becton Dickinson, Sparks, MD, ABD) otomatize sistemleri ve disk dif\u00fczyon testi kullan\u0131lm\u0131\u015ft\u0131r. Bakterilerin izole edildi\u011fi hastalar ya\u015f (&lt;18, 18-64, &gt;64), cinsiyet ve bak\u0131m yerlerindeki farklara g\u00f6re ayaktan hasta\/yatan hasta \u015feklinde gruplara ayr\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p><strong>Bulgular<\/strong>: \u0130zolatlar\u0131n duyarl\u0131l\u0131k oran\u0131n\u0131n en y\u00fcksek oldu\u011fu antibiyotikler karbapenemler (&gt;%99), fosfomisin (%98.5), nitrofurantoin (%98.3) ve amikasin (%94.2) iken, diren\u00e7 oran\u0131n\u0131n en y\u00fcksek oldu\u011fu antibiyotikler ampisilin (%61.3) ve amoksisilin-klavulanat (%37.5-45.7) olarak bulunmu\u015ftur. Farkl\u0131 ya\u015f gruplar\u0131n\u0131n izolatlar\u0131 diren\u00e7 y\u00f6n\u00fcnden kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, piperasilin-tazobaktam, amikasin ve ertapenem haricindeki t\u00fcm antibiyotiklere kar\u015f\u0131 en y\u00fcksek diren\u00e7 oran\u0131 65 ya\u015f ve \u00fczerindeki hastalar\u0131n izolatlar\u0131nda saptanm\u0131\u015ft\u0131r. Erkek hasta izolatlar\u0131n\u0131n t\u00fcm antibiyotiklere kar\u015f\u0131 kad\u0131n hasta izolatlar\u0131ndan; yatan hasta izolatlar\u0131n\u0131n da t\u00fcm antibiyotiklere kar\u015f\u0131 ayaktan hasta izolatlar\u0131ndan daha y\u00fcksek oranda diren\u00e7 g\u00f6sterdi\u011fi saptanm\u0131\u015ft\u0131r. Geni\u015flemi\u015f spektrumlu \u03b2-laktamaz (GSBL) \u00fcreten E. coli oranlar\u0131 ya\u015f gruplar\u0131na g\u00f6re kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, en y\u00fcksek oran 65 ya\u015f ve \u00fczerindeki hastalar\u0131n izolatlar\u0131nda (%34.2) saptanm\u0131\u015ft\u0131r. GSBL \u00fcreten izolatlar\u0131n oran\u0131, erkek hasta izolatlar\u0131nda (%33.9) kad\u0131nlar\u0131nkine g\u00f6re (%23.8); yatan hastalar\u0131nkinde de (%36.3) ayaktan hastalara g\u00f6re (%23.3) y\u00fcksek bulunmu\u015ftur.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: E. coli izolatlar\u0131n\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131 farkl\u0131 hasta gruplar\u0131 aras\u0131nda farkl\u0131l\u0131klar g\u00f6sterebilir. \u00dcriner sistem infeksiyonlar\u0131n\u0131n ampirik tedavisinde antibiyotik se\u00e7imi i\u00e7in hastalar\u0131n demografik \u00f6zellikleri yol g\u00f6sterebilir.<\/p>\n<p>Klimik Dergisi. 2020; 33(3): 270-6.<\/p>\n<p><strong>Cite this article as<\/strong>: Mirza HC, Sancak B. [Comparison of antimicrobial susceptibilities of Escherichia coli isolated from urinary cultures of different patient groups: A university hospital experience]. Klimik Derg. 2020; 33(3): 270-6. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: \u00c7al\u0131\u015fmam\u0131zda Hacettepe \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Merkez Laboratuvar\u0131&#39;nda idrar k\u00fclt\u00fcrlerinden izole edilen Escherichia coli izolatlar\u0131n\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n incelenmesi ve farkl\u0131 hasta gruplar\u0131na ait E. coli izolatlar\u0131n\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131 aras\u0131ndaki farkl\u0131l\u0131\u011f\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fmam\u0131za 1 Ocak 2017-30 Nisan 2018 tarihleri aras\u0131nda idrar k\u00fclt\u00fcrlerinden izole edilen E. coli izolatlar\u0131 dahil edilmi\u015ftir. \u0130zolatlar\u0131n antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n belirlenmesi [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5129],"tags":[4951,3191,4301,3465,5097],"class_list":["post-13673","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-cinsiyet","tag-escherichia-coli","tag-mikrobiyal-ilac-direnci","tag-uriner-sistem-infeksiyonlari","tag-yas-gruplari"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13673","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=13673"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13673\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=13673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=13673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=13673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}