{"id":14483,"date":"2021-01-05T01:22:34","date_gmt":"2021-01-04T22:22:34","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/febril-notropenik-hastalardan-izole-edilen-mikroorganizmalarin-dagilimi-ve-antimikrobiyal-duyarliliklari-alti-yillik-bir-gozlemin-sonuclari\/"},"modified":"2021-01-05T01:22:34","modified_gmt":"2021-01-04T22:22:34","slug":"febril-notropenik-hastalardan-izole-edilen-mikroorganizmalarin-dagilimi-ve-antimikrobiyal-duyarliliklari-alti-yillik-bir-gozlemin-sonuclari","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/febril-notropenik-hastalardan-izole-edilen-mikroorganizmalarin-dagilimi-ve-antimikrobiyal-duyarliliklari-alti-yillik-bir-gozlemin-sonuclari\/","title":{"rendered":"Febril N\u00f6tropenik Hastalardan \u0130zole Edilen Mikroorganizmalar\u0131n Da\u011f\u0131l\u0131m\u0131 ve Antimikrobiyal Duyarl\u0131l\u0131klar\u0131: Alt\u0131 Y\u0131ll\u0131k Bir G\u00f6zlemin Sonu\u00e7lar\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, alt\u0131 y\u0131ll\u0131k s\u00fcreyle eri\u015fkin hematoloji klini\u011finde yatarak izlenen febril n\u00f6tropenik hastalardan izole edilen mikroorganizmalar\u0131n da\u011f\u0131l\u0131m\u0131n\u0131n ve bunlar\u0131n antimikrobiyal duyarl\u0131l\u0131klar\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Eri\u015fkin hematoloji klini\u011finde Ocak 2010-Aral\u0131k 2015 tarihleri aras\u0131nda yat\u0131r\u0131larak izlenen 556 n\u00f6tropenik hastadan 598 febril ata\u011f\u0131 s\u0131ras\u0131nda al\u0131nan k\u00fclt\u00fcr \u00f6rneklerinin sonu\u00e7lar\u0131 retrospektif olarak de\u011ferlendirildi. Hastalar\u0131n kan k\u00fclt\u00fcrleri Bactec\u2122 9120 (Becton Dickinson, Sparks, MD, ABD) otomatize sistemiyle yap\u0131ld\u0131. Bakteri tiplendirmesi ve antibiyogram\u0131 i\u00e7in konvansiyonel tan\u0131 y\u00f6ntemleri ve gerekti\u011finde VITEK\u00ae 2 (bioMerieux, Marcy l\u2019Etoile, Fransa) otomatize sistemi kullan\u0131ld\u0131.<\/p>\n<p> <strong>Bulgular<\/strong>: Alt\u0131 y\u0131ll\u0131k \u00e7al\u0131\u015fma s\u00fcresince 299 (%53.7)&#8217;u erkek 556 n\u00f6tropenik hasta de\u011ferlendirildi. Hastalar\u0131n altta yatan hastal\u0131klar\u0131, 233 (%42) hastada akut myeloid l\u00f6semi, 122 (%22) hastada akut lenfoblastik l\u00f6semi ve 112 (%20) hastada lenfomayd\u0131. Etken olarak s\u0131kl\u0131k s\u0131ras\u0131na g\u00f6re Escherichia coli, Klebsiella, Acinetobacter ve Pseudomonas t\u00fcrleri olmak \u00fczere, en s\u0131k Gram-negatif bakteriler \u00fcretildi. Geni\u015flemi\u015f spektrumlu \u03b2-laktamaz pozitifli\u011fi E. coli\u2019de %51 iken, Klebsiella spp.\u2019de %55 idi. Koag\u00fclaz-negatif stafilokoklar (%21), E. coli (%19) ve Klebsiella spp. (%16) en s\u0131k izole edilen mikroorganizmalard\u0131. \u0130stisnai olarak 2012 y\u0131l\u0131nda en s\u0131k izole edilen Gram-pozitif bakteriler enterokoklard\u0131.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: S\u0131k kar\u015f\u0131la\u015f\u0131lan ve \u00f6l\u00fcmle sonlanabilen bir problem olarak febril n\u00f6tropenide ampirik antibiyotik tedavi protokollerinin etkili olabilmesi i\u00e7in izole edilen mikroorganizmalardaki antimikrobiyal diren\u00e7 \u00e7ok yak\u0131ndan izlenmeli ve s\u0131k kullan\u0131lan antibakteriyel ila\u00e7lar g\u00f6zden ge\u00e7irilmelidir. Klimik Dergisi 2019; 32(1): 71-7.<\/p>\n<p> <strong>Cite this article as<\/strong>: Yayla BD, Azak E, Mutlu B, D\u00fcndar D. [Distribution and antimicrobial sensitivity of microorganisms isolated from febrile neutropenic patients: results of a six-year observation]. Klimik Derg. 2019; 32(1): 71-7. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, alt\u0131 y\u0131ll\u0131k s\u00fcreyle eri\u015fkin hematoloji klini\u011finde yatarak izlenen febril n\u00f6tropenik hastalardan izole edilen mikroorganizmalar\u0131n da\u011f\u0131l\u0131m\u0131n\u0131n ve bunlar\u0131n antimikrobiyal duyarl\u0131l\u0131klar\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Eri\u015fkin hematoloji klini\u011finde Ocak 2010-Aral\u0131k 2015 tarihleri aras\u0131nda yat\u0131r\u0131larak izlenen 556 n\u00f6tropenik hastadan 598 febril ata\u011f\u0131 s\u0131ras\u0131nda al\u0131nan k\u00fclt\u00fcr \u00f6rneklerinin sonu\u00e7lar\u0131 retrospektif olarak de\u011ferlendirildi. Hastalar\u0131n kan k\u00fclt\u00fcrleri Bactec\u2122 9120 [&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":[3117,2654,3253],"class_list":["post-14483","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibiyotik-duyarliligi","tag-febril-notropeni","tag-kultur"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14483","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=14483"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14483\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14483"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14483"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14483"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}