{"id":13973,"date":"2021-01-05T01:21:46","date_gmt":"2021-01-04T22:21:46","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/saglik-bakimiyla-iliskili-enterococcus-faecium-ve-enterococcus-faecalis-kan-dolasimi-infeksiyonlarinin-karsilastirilmasi\/"},"modified":"2021-01-05T01:21:46","modified_gmt":"2021-01-04T22:21:46","slug":"saglik-bakimiyla-iliskili-enterococcus-faecium-ve-enterococcus-faecalis-kan-dolasimi-infeksiyonlarinin-karsilastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/saglik-bakimiyla-iliskili-enterococcus-faecium-ve-enterococcus-faecalis-kan-dolasimi-infeksiyonlarinin-karsilastirilmasi\/","title":{"rendered":"Sa\u011fl\u0131k Bak\u0131m\u0131yla \u0130li\u015fkili Enterococcus faecium ve Enterococcus faecalis Kan Dola\u015f\u0131m\u0131 \u0130nfeksiyonlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Son y\u0131llarda, invazif giri\u015fimlerin ve imm\u00fcnos\u00fcpresif tedavilerin yayg\u0131nla\u015fmas\u0131 sonucunda sa\u011fl\u0131k bak\u0131m\u0131yla ili\u015fkili infeksiyon (SB\u0130\u0130) s\u0131kl\u0131\u011f\u0131 artm\u0131\u015ft\u0131r. Kan dola\u015f\u0131m\u0131 infeksiyonu (KD\u0130), SB\u0130\u0130\u2019ler aras\u0131nda \u00f6nemli bir mortalite ve morbidite nedenini olu\u015fturmaktad\u0131r ve enterokoklar bu infeksiyonlarda en s\u0131k saptanan bakteriler aras\u0131ndad\u0131r. Enterokoklara ba\u011fl\u0131 KD\u0130\u2019lere neden olan en s\u0131k t\u00fcrler ise Enterococcus faecium ve E. faecalis\u2019tir. Bu \u00e7al\u0131\u015fmada Ocak 2014-Kas\u0131m 2018 tarihleri aras\u0131nda Samsun E\u011fitim ve Ara\u015ft\u0131rma Hastanesi\u2019nin \u00e7e\u015fitli kliniklerinde geli\u015fen E. faecium ve E. faecalis KD\u0130\u2019lerinin retrospektif olarak ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7land\u0131.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fma d\u00f6neminde geli\u015fen KD\u0130\u2019ler retrospektif olarak incelendi. Enterokoklara ba\u011fl\u0131 KD\u0130\u2019ler kaydedildi ve k\u0131yaslamalar yap\u0131ld\u0131. Verilerin toplanmas\u0131nda hastanemizin s\u00fcrveyans verilerinden ve otomasyon sisteminden yararlan\u0131ld\u0131.<\/p>\n<p><strong>Bulgular<\/strong>: \u00c7al\u0131\u015fma d\u00f6neminde enterokoklara ba\u011fl\u0131 toplam 138 KD\u0130 tespit edildi. En s\u0131k yo\u011fun bak\u0131m \u00fcnitesi (YB\u00dc)\u2019nde yatan hastalarda olmak \u00fczere bu KD\u0130\u2019lerin %76.7\u2019sinde E. faecium saptand\u0131. Enterokoklara ba\u011fl\u0131 KD\u0130\u2019ler aras\u0131nda en s\u0131k tan\u0131mlananlar, santral ven\u00f6z kateterle ili\u015fkili olanlard\u0131. E. faecium KD\u0130\u2019leri erkeklerde istatistiksel olarak anlaml\u0131 derecede daha fazla say\u0131dayd\u0131. \u0130ki t\u00fcre ait KD\u0130\u2019ler aras\u0131nda 30 g\u00fcnl\u00fck mortalite a\u00e7\u0131s\u0131ndan istatistiksel olarak anlaml\u0131 bir fark saptanmad\u0131. \u00dc\u00e7 E. faecium ve d\u00f6rt E. faecalis su\u015fu teikoplanin ve vankomisine diren\u00e7liydi. Ampisilin direncine E. faecium su\u015flar\u0131nda daha s\u0131k rastlansa da aradaki fark istatistiksel olarak anlaml\u0131 de\u011fildi. E\u015flik eden infektif endokardit (\u0130E) varl\u0131\u011f\u0131 E. faecium grubunda 3 (%9.1), E. faecalis grubunda 8 (%8.3) hastada tespit edildi. \u0130E\u2019si olan t\u00fcm hastalarda e\u015flik eden santral ven\u00f6z kateterle ili\u015fkili KD\u0130 mevcuttu.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: E. faecalis ve E. faecium\u2019da antibiyotik direncinin artmas\u0131, \u00f6zellikle YB\u00dc\u2019de geli\u015fen santral ven\u00f6z kateterle ili\u015fkili KD\u0130\u2019lerde \u00f6nemli bir problem yaratmaktad\u0131r. Ayr\u0131ca bu infeksiyonlara \u0130E de e\u015flik edebilece\u011finden hastalar\u0131 ayr\u0131nt\u0131l\u0131 olarak de\u011ferlendirmek gerekmektedir.<\/p>\n<p>Klimik Dergisi 2020; 33(1): 87-90.<\/p>\n<p><strong>Cite this article as<\/strong>: Alkan-\u00c7eviker S, G\u00fcnal \u00d6, K\u00f6ksal E, Ayg\u00fcn C, K\u0131l\u0131\u00e7 SS. [Comparison of health care-associated Enterococcus faecium and Enterococcus faecalis bloodstream infections]. Klimik Derg. 2020; 33(1): 87-90. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Son y\u0131llarda, invazif giri\u015fimlerin ve imm\u00fcnos\u00fcpresif tedavilerin yayg\u0131nla\u015fmas\u0131 sonucunda sa\u011fl\u0131k bak\u0131m\u0131yla ili\u015fkili infeksiyon (SB\u0130\u0130) s\u0131kl\u0131\u011f\u0131 artm\u0131\u015ft\u0131r. Kan dola\u015f\u0131m\u0131 infeksiyonu (KD\u0130), SB\u0130\u0130\u2019ler aras\u0131nda \u00f6nemli bir mortalite ve morbidite nedenini olu\u015fturmaktad\u0131r ve enterokoklar bu infeksiyonlarda en s\u0131k saptanan bakteriler aras\u0131ndad\u0131r. Enterokoklara ba\u011fl\u0131 KD\u0130\u2019lere neden olan en s\u0131k t\u00fcrler ise Enterococcus faecium ve E. faecalis\u2019tir. Bu \u00e7al\u0131\u015fmada [&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":[4575,4576,4990,4543],"class_list":["post-13973","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-enterococcus-faecalis","tag-enterococcus-faecium","tag-kan-dolasimi-infeksiyonlari","tag-saglik-bakimiyla-iliskili-infeksiyonlar"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13973","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=13973"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/13973\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=13973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=13973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=13973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}