{"id":14441,"date":"2021-01-05T01:22:31","date_gmt":"2021-01-04T22:22:31","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/enterokok-suslarinda-antibiyotik-duyarliligi-clsi-ve-eucast-disk-difuzyon-klinik-sinir-deger-yorumlarinin-karsilastirilmasi\/"},"modified":"2021-01-05T01:22:31","modified_gmt":"2021-01-04T22:22:31","slug":"enterokok-suslarinda-antibiyotik-duyarliligi-clsi-ve-eucast-disk-difuzyon-klinik-sinir-deger-yorumlarinin-karsilastirilmasi","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/enterokok-suslarinda-antibiyotik-duyarliligi-clsi-ve-eucast-disk-difuzyon-klinik-sinir-deger-yorumlarinin-karsilastirilmasi\/","title":{"rendered":"Enterokok Su\u015flar\u0131nda Antibiyotik Duyarl\u0131l\u0131\u011f\u0131: CLSI ve EUCAST Disk Dif\u00fczyon Klinik S\u0131n\u0131r De\u011fer Yorumlar\u0131n\u0131n Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmadaki amac\u0131m\u0131z, Ahi Evran \u00dcniversitesi E\u011fitim ve Ara\u015ft\u0131rma Hastanesi T\u0131bbi Mikrobiyoloji Laboratuvar\u0131&#8217;nda Ocak 2016 itibariyle kullan\u0131lmaya ba\u015flanan European Committee on Antimicrobial Susceptibility Testing (EUCAST) kriterlerinin, klinik \u00f6rneklerden izole edilen enterokok su\u015flar\u0131nda, Clinical Laboratory Standards Institute (CLSI)\u2019e g\u00f6re elde edilen antibiyotik duyarl\u0131l\u0131k sonu\u00e7lar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ve bu sonu\u00e7lar\u0131n bildirimlerimize olas\u0131 etkilerinin belirlenmesidir.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u00c7e\u015fitli klinik \u00f6rneklerden izole edilen toplam 77 enterokok su\u015fu \u00e7al\u0131\u015fmaya al\u0131nm\u0131\u015ft\u0131r. Su\u015flar\u0131n tan\u0131mlanmas\u0131nda manuel y\u00f6ntemler ve VITEK\u00ae 2 (bioM\u00e9rieux, Marcy l&#8217;Etoile, Fransa) otomatize sistemi kullan\u0131lm\u0131\u015ft\u0131r. antibiyotik duyarl\u0131l\u0131klar\u0131 ise her iki rehberin \u00f6nerileri do\u011frultusunda standard disk dif\u00fczyon y\u00f6ntemiyle belirlenmi\u015ftir. Antibiyotik duyarl\u0131l\u0131k testlerine g\u00f6re belirlenen zon \u00e7aplar\u0131, CLSI ve EUCAST kriterlerine g\u00f6re de\u011ferlendirilmi\u015f ve istatistiksel olarak kar\u015f\u0131la\u015ft\u0131r\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Bulgular<\/strong>: Her iki rehbere g\u00f6re yap\u0131lan de\u011ferlendirmede, streptomisin (300 \u00b5g) ve kinupristin-dalfopristin (15 \u00b5g) diskleri aras\u0131nda su\u015flar\u0131n antibiyotik duyarl\u0131l\u0131\u011f\u0131 bak\u0131m\u0131ndan anlaml\u0131 bir fark tespit edilmi\u015ftir (p&lt;0.05). Di\u011fer antibiyotikler (ampisilin, linezolid, norfloksasin, teikoplanin, vankomisin, gentamisin ve nitrofurantoin) aras\u0131nda ise anlaml\u0131 bir fark belirlenmemi\u015ftir.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: T\u0131bbi mikrobiyoloji laboratuvarlar\u0131n\u0131n en \u00f6nemli g\u00f6revlerinden biri, antibiyotik duyarl\u0131l\u0131k testlerinin g\u00fcncel bilgiler do\u011frultusunda yap\u0131lmas\u0131 ve yorumlanmas\u0131d\u0131r. Klinisyenlerin de antibiyotik duyarl\u0131l\u0131k oranlar\u0131nda EUCAST kriterlerine ge\u00e7ilmesinden kaynaklanabilecek olas\u0131 de\u011fi\u015fikliklerin fark\u0131nda olmas\u0131 gerekmektedir. Klimik Dergisi 2019; 32(1): 35-9.<\/p>\n<p> <strong>Cite this article as<\/strong>: Milletli-Sezgin F, Sevim E, Sevim A. [Antibiotic susceptibility of enterococcal strains: comparison of clinical breakpoint interpretations for disk diffusion according to the CLSI and EUCAST]. Klimik Derg. 2019; 32(1): 35-9. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmadaki amac\u0131m\u0131z, Ahi Evran \u00dcniversitesi E\u011fitim ve Ara\u015ft\u0131rma Hastanesi T\u0131bbi Mikrobiyoloji Laboratuvar\u0131&#8217;nda Ocak 2016 itibariyle kullan\u0131lmaya ba\u015flanan European Committee on Antimicrobial Susceptibility Testing (EUCAST) kriterlerinin, klinik \u00f6rneklerden izole edilen enterokok su\u015flar\u0131nda, Clinical Laboratory Standards Institute (CLSI)\u2019e g\u00f6re elde edilen antibiyotik duyarl\u0131l\u0131k sonu\u00e7lar\u0131yla kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131 ve bu sonu\u00e7lar\u0131n bildirimlerimize olas\u0131 etkilerinin belirlenmesidir. Y\u00f6ntemler: \u00c7e\u015fitli [&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":[4090,4854,4549,4855],"class_list":["post-14441","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibiyotik-duyarlilik-testi","tag-clsi","tag-enterokoklar","tag-eucast"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14441","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=14441"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14441\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}