{"id":14465,"date":"2021-01-05T01:22:32","date_gmt":"2021-01-04T22:22:32","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/otomatize-sistemde-kolistin-direnci-saptanan-izolatlarin-gradyan-difuzyon-yontemi-ve-sivi-mikrodilusyon-yontemiyle-retrospektif-olarak-degerlendirilmesi-2\/"},"modified":"2021-01-05T01:22:32","modified_gmt":"2021-01-04T22:22:32","slug":"otomatize-sistemde-kolistin-direnci-saptanan-izolatlarin-gradyan-difuzyon-yontemi-ve-sivi-mikrodilusyon-yontemiyle-retrospektif-olarak-degerlendirilmesi-2","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/otomatize-sistemde-kolistin-direnci-saptanan-izolatlarin-gradyan-difuzyon-yontemi-ve-sivi-mikrodilusyon-yontemiyle-retrospektif-olarak-degerlendirilmesi-2\/","title":{"rendered":"Otomatize Sistemde Kolistin Direnci Saptanan \u0130zolatlar\u0131n Gradyan Dif\u00fczyon Y\u00f6ntemi ve S\u0131v\u0131 Mikrodil\u00fcsyon Y\u00f6ntemiyle Retrospektif Olarak De\u011ferlendirilmesi"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Antibiyotik duyarl\u0131l\u0131k testlerinde s\u0131k olarak kullan\u0131lan polistrene ba\u011flanma kapasitesinin y\u00fcksek ve molek\u00fcl a\u011f\u0131rl\u0131\u011f\u0131n\u0131n b\u00fcy\u00fck olmas\u0131, kolistinin duyarl\u0131l\u0131k testlerinin optimizasyonunu g\u00fc\u00e7le\u015ftirmektedir. \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131 otomatize sistemde kolistin direnci saptanan etkenlerde gradyan dif\u00fczyon y\u00f6ntemi (GDY) ile alt\u0131n standard olan s\u0131v\u0131 mikrodil\u00fcsyon (BMD) y\u00f6ntemi kullan\u0131larak elde edilen sonu\u00e7lar\u0131 kar\u015f\u0131la\u015ft\u0131rmakt\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: A\u011fustos 2016-Nisan 2017 aras\u0131nda Merkez Mikrobiyoloji Laboratuvar\u0131na g\u00f6nderilen \u00e7e\u015fitli klinik \u00f6rneklerden izole edilen, Phoenix\u2122 100 (Becton Dickinson, Sparks, MD, ABD) otomatize sistemiyle isimlendirilen ve kolistine diren\u00e7 saptanan 36 Klebsiella pneumoniae, 9 Acinetobacter baumannii ve 5 Pseudomonas aeruginosa izolat\u0131 \u00e7al\u0131\u015fmaya al\u0131nd\u0131. \u0130zolatlar\u0131n kolistin duyarl\u0131l\u0131\u011f\u0131 GDY ve BMD y\u00f6ntemiyle de test edildi.<\/p>\n<p> <strong>Bulgular<\/strong>: Otomatize sistemle ve alt\u0131n standard y\u00f6ntem olan BMD y\u00f6ntemiyle elde edilen kolistine diren\u00e7 oranlar\u0131 kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, otomatize sistemin kategorik uyum (KU) oran\u0131 t\u00fcm izolatlar i\u00e7in %92, K. pneumoniae i\u00e7in %100, A. baumannii i\u00e7in %77.8 ve P. aeruginosa i\u00e7in %60 olarak bulundu. T\u00fcm izolatlar i\u00e7in \u00e7ok b\u00fcy\u00fck hata (\u00c7BH) oran\u0131 %0, b\u00fcy\u00fck hata (BH) oran\u0131 %8 olarak saptand\u0131. T\u00fcm izolatlar i\u00e7in GDY kullan\u0131ld\u0131\u011f\u0131nda ise KU %20, K. pneumoniae i\u00e7in %16.7, A. baumannii i\u00e7in %22.2 ve P. aeruginosa i\u00e7in %40 olarak bulundu. T\u00fcm izolatlar i\u00e7in \u00c7BH oran\u0131 %80 olup BH oran\u0131 %0 olarak bulundu.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Phoenix\u2122 100 otomatize sisteminin, kolistin duyarl\u0131l\u0131\u011f\u0131n\u0131n belirlenmesi i\u00e7in KU, \u00c7BH ve BH oranlar\u0131, ISO 20776 standard\u0131na g\u00f6re kabul edilebilir s\u0131n\u0131rlarda iken, GDY\u2019nin oranlar\u0131 bu standarda uymamaktad\u0131r. Klimik Dergisi 2019; 32(1): 57-61.<\/p>\n<p> <strong>Cite this article as<\/strong>: T\u00fczemen N\u00dc, Efe K, Akal\u0131n H, \u00d6zak\u0131n C. [Retrospective evaluation of colistin-resistant isolates in automated system by gradient diffusion method and broth microdilution method]. Klimik Derg. 2019; 32(1): 57-61. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Antibiyotik duyarl\u0131l\u0131k testlerinde s\u0131k olarak kullan\u0131lan polistrene ba\u011flanma kapasitesinin y\u00fcksek ve molek\u00fcl a\u011f\u0131rl\u0131\u011f\u0131n\u0131n b\u00fcy\u00fck olmas\u0131, kolistinin duyarl\u0131l\u0131k testlerinin optimizasyonunu g\u00fc\u00e7le\u015ftirmektedir. \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131 otomatize sistemde kolistin direnci saptanan etkenlerde gradyan dif\u00fczyon y\u00f6ntemi (GDY) ile alt\u0131n standard olan s\u0131v\u0131 mikrodil\u00fcsyon (BMD) y\u00f6ntemi kullan\u0131larak elde edilen sonu\u00e7lar\u0131 kar\u015f\u0131la\u015ft\u0131rmakt\u0131r. Y\u00f6ntemler: A\u011fustos 2016-Nisan 2017 aras\u0131nda Merkez Mikrobiyoloji Laboratuvar\u0131na [&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":[4090,3468,4303],"class_list":["post-14465","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibiyotik-duyarlilik-testi","tag-ilac-direnci","tag-kolistin"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14465","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=14465"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14465\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}