{"id":14189,"date":"2021-01-05T01:22:07","date_gmt":"2021-01-04T22:22:07","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kateterle-iliskili-kan-dolasimi-infeksiyonlari-cok-merkezli-bes-yillik-inceleme\/"},"modified":"2021-01-05T01:22:07","modified_gmt":"2021-01-04T22:22:07","slug":"kateterle-iliskili-kan-dolasimi-infeksiyonlari-cok-merkezli-bes-yillik-inceleme","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kateterle-iliskili-kan-dolasimi-infeksiyonlari-cok-merkezli-bes-yillik-inceleme\/","title":{"rendered":"Kateterle \u0130li\u015fkili Kan Dola\u015f\u0131m\u0131 \u0130nfeksiyonlar\u0131: \u00c7ok Merkezli Be\u015f Y\u0131ll\u0131k \u0130nceleme"},"content":{"rendered":"<p><strong>Ama\u00e7<\/strong>: Bu \u00e7ok merkezli \u00e7al\u0131\u015fman\u0131n amac\u0131, hematoloji ve onkoloji servislerinde ve yo\u011fun bak\u0131m \u00fcnitelerinde yatan hastalarda geli\u015fen kateterle ili\u015fkili kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 (K\u0130-KD\u0130\u2019ler)\u2019n\u0131n klinik ve mikrobiyolojik y\u00f6nden de\u011ferlendirilmesidir.<\/p>\n<p><strong>Y\u00f6ntemler<\/strong>: Bu \u00e7al\u0131\u015fmada, Ocak 2013-Aral\u0131k 2017 tarihleri aras\u0131nda \u00fc\u00e7 ayr\u0131 \u00f6zel hastanenin hematoloji ve onkoloji servisleri ve yo\u011fun bak\u0131m \u00fcnitelerinde yatan hastalarda geli\u015fen K\u0130-KD\u0130, Amerika Birle\u015fik Devletleri Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri kriterlerine g\u00f6re laboratuvar ve klini\u011fe dayal\u0131 aktif s\u00fcrveyansla retrospektif olarak saptand\u0131. Hastalar\u0131n demografik \u00f6zellikleri, klinik \u00f6zellikleri, kateterin tak\u0131ld\u0131\u011f\u0131 \u00fcnite ve ven \u00e7evresi k\u0131zar\u0131kl\u0131\u011f\u0131 gibi kateterle ili\u015fkili \u00f6zellikler, kan k\u00fclt\u00fcrlerinde \u00fcreyen etkenler kaydedildi. Etkenler, konvansiyonel y\u00f6ntemlerin yan\u0131 s\u0131ra MicroScan autoSCAN-4 (Beckman Coulter, Brea, CA, ABD) otomatize sistemleriyle tan\u0131mland\u0131. \u0130statistiksel analizler MedCalc Statistical Software Version 12.7.7 (MedCalc Software bvba, Ostend, Bel\u00e7ika) program\u0131yla ger\u00e7ekle\u015ftirildi.<\/p>\n<p><strong>Bulgular<\/strong>: 46 (%45 kad\u0131n) hastada K\u0130-KD\u0130 saptand\u0131. Hastalar\u0131n ya\u015f ortalamas\u0131 61\u00b119 idi. 24 (%52.2) hastada kal\u0131c\u0131 kateter (port), 22 (%47.8) hastada santral ven\u00f6z kateter tak\u0131l\u0131yd\u0131. Hastalar\u0131n 40 (%87)\u2019\u0131ndan kan k\u00fclt\u00fcr\u00fc al\u0131nd\u0131; 24 hastada &gt;2 saat zaman fark\u0131 vard\u0131. Dokuz (%20) hastada kateter giri\u015f yerinde k\u0131zar\u0131kl\u0131k saptand\u0131. \u00dc\u00e7 (%6.5) hasta infeksiyona ba\u011fl\u0131 olarak kaybedildi. Tedavi s\u00fcresi 13\u00b14 g\u00fcn olarak belirlendi. Gram-negatif bakteriler %50, Gram-pozitif bakteriler %25.4, mantarlar %23.9 oran\u0131nda saptand\u0131. Kateter ve port tak\u0131lmas\u0131ndan sonraki 10 g\u00fcn i\u00e7inde \u00fcreyen etkenler Gram-negatif bakteriler ve mantarlar olup, Gram-pozitif etkenlerin \u00fcrememesi istatistiksel olarak anlaml\u0131 bulundu.<\/p>\n<p><strong>Sonu\u00e7lar<\/strong>: K\u0130-KD\u0130\u2019nin \u00f6nlenmesi, h\u0131zl\u0131 ve ba\u015far\u0131l\u0131 tedavisi i\u00e7in hastane s\u00fcrveyans verilerinin analizi, izole edilen mikroorganizmalar\u0131n da\u011f\u0131l\u0131m\u0131, antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n bilinmesi ve risk fakt\u00f6rlerinin \u00f6ng\u00f6r\u00fclmesi \u00f6nem ta\u015f\u0131maktad\u0131r. Klimik Dergisi 2019; 32(2): 117-22.<\/p>\n<p><strong>Cite this article as<\/strong>: Demirel A, Efe-\u0130ris N, \u00c7evik E, Ko\u00e7ulu S, Bayg\u00fcl A, Ta\u015fdelen-F\u0131\u015fg\u0131n N. [Catheter-related bloodstream infections: A multicentric five-year analysis]. Klimik Derg. 2019; 32(2): 117-22. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ama\u00e7: Bu \u00e7ok merkezli \u00e7al\u0131\u015fman\u0131n amac\u0131, hematoloji ve onkoloji servislerinde ve yo\u011fun bak\u0131m \u00fcnitelerinde yatan hastalarda geli\u015fen kateterle ili\u015fkili kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 (K\u0130-KD\u0130\u2019ler)\u2019n\u0131n klinik ve mikrobiyolojik y\u00f6nden de\u011ferlendirilmesidir. Y\u00f6ntemler: Bu \u00e7al\u0131\u015fmada, Ocak 2013-Aral\u0131k 2017 tarihleri aras\u0131nda \u00fc\u00e7 ayr\u0131 \u00f6zel hastanenin hematoloji ve onkoloji servisleri ve yo\u011fun bak\u0131m \u00fcnitelerinde yatan hastalarda geli\u015fen K\u0130-KD\u0130, Amerika Birle\u015fik Devletleri [&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":[4931,4933,3665],"class_list":["post-14189","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-kateterle-iliskili-infeksiyonlar","tag-port-infeksiyonu","tag-surveyans"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14189","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=14189"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14189\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}