Ama\u00e7<\/strong>: Bakteriyemi ve sepsis hastaneye yat\u0131\u015f nedenleri aras\u0131nda \u00f6nemli yer tutar. Mortalite oranlar\u0131 %12-80 aras\u0131nda de\u011fi\u015fmekle birlikte, erken tan\u0131 ve tedaviyle bu oran azalt\u0131labilir. Bu \u00e7al\u0131\u015fmada \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011finde yatarak tedavi g\u00f6ren hastalar\u0131n yat\u0131\u015f tan\u0131s\u0131, al\u0131nan kan k\u00fclt\u00fcr\u00fc sonu\u00e7lar\u0131nda \u00fcreyen mikroorganizmalar, antibiyotik duyarl\u0131l\u0131klar\u0131 ve prognozlar\u0131 irdelenmi\u015ftir.<\/p>\n Y\u00f6ntemler<\/strong>: Hastanemizde Ocak 2014-Aral\u0131k 2017 tarihleri aras\u0131nda \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011finde yatarak izlenen hastalar\u0131n kan k\u00fclt\u00fcrlerine ait veriler retrospektif olarak de\u011ferlendirildi. Kan k\u00fclt\u00fcrleri Bactec\u2122 9120 (Becton Dickinson, Sparks, MD, ABD) otomatize sistemiyle yap\u0131ld\u0131. Kontamine kan k\u00fclt\u00fcrleri \u00e7al\u0131\u015fmadan d\u0131\u015fland\u0131. Ayn\u0131 hastaya ait m\u00fckerrer \u00fcremelerden yaln\u0131zca biri \u00e7al\u0131\u015fmaya dahil edildi.<\/p>\n Bulgular<\/strong>: 124 kan k\u00fclt\u00fcr\u00fc \u015fi\u015fesinde anlaml\u0131 \u00fcreme saptand\u0131. Anlaml\u0131 \u00fcreme saptanan hastalar\u0131n 90 (%72.6)\u2019\u0131 erkek, 34 (%27.4)\u2019\u00fc kad\u0131nd\u0131. Ya\u015f ortalamas\u0131 68.48\u00b113.7 (minimum-maksimum 22-94) y\u0131l olarak bulundu. Kan k\u00fclt\u00fcrlerinde \u00fcreyen mikroorganizmalar\u0131n 86 (%69.2)\u2019s\u0131 Gram-negatif bakteri, 34 (%27.3)\u2019\u00fc Gram-pozitif bakteri ve 4 (%3.2)\u2019\u00fc mantar olarak saptand\u0131. En s\u0131k Escherichia coli saptan\u0131rken, ikinci s\u0131kl\u0131kta Staphylococcus aureus \u00fcredi. \u0130zole edilen Gram-negatif bakterilerde kolistin direnci saptanmad\u0131. \u0130ki Acinetobacter su\u015fu d\u0131\u015f\u0131nda di\u011fer mikroorganizmalar imipeneme duyarl\u0131 bulundu.<\/p>\n Sonu\u00e7lar<\/strong>: \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011finde yatan bakteriyemik hastalar\u0131n etkenlerinin ve bunlar\u0131n diren\u00e7 profillerinin, hastane k\u00f6kenli infeksiyonlardan farkl\u0131 oldu\u011fu a\u00e7\u0131k\u00e7a g\u00f6r\u00fclmektedir. \u0130leri ya\u015f, bakteriyemi riskini \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131rmakta olup, bu hastalar hastaneye yat\u0131\u015f indikasyonu a\u00e7\u0131s\u0131ndan dikkatle de\u011ferlendirilmelidir. Bakteriyemi riski olan hastalarda ba\u015flang\u0131\u00e7taki antibiyotik tedavisi \u00f6zellikle hastane kaynakl\u0131 infeksiyonlarda geni\u015f spektrumlu olmal\u0131, m\u00fcmk\u00fcnse k\u00fclt\u00fcr sonu\u00e7lar\u0131na g\u00f6re de-eskalasyona gidilmelidir. Klimik Dergisi 2018; 31(3): 218-22.<\/p>\n Cite this article as<\/strong>: Sa\u011fmak-Tartar A, Akbulut A. [Evaluation of blood cultures from patients being treated at an infectious diseases and clinical microbiology clinic: a three-year retrospective analysis]. Klimik Derg. 2018; 31(3): 218-22.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Ama\u00e7: Bakteriyemi ve sepsis hastaneye yat\u0131\u015f nedenleri aras\u0131nda \u00f6nemli yer tutar. Mortalite oranlar\u0131 %12-80 aras\u0131nda de\u011fi\u015fmekle birlikte, erken tan\u0131 ve tedaviyle bu oran azalt\u0131labilir. Bu \u00e7al\u0131\u015fmada \u0130nfeksiyon Hastal\u0131klar\u0131 ve Klinik Mikrobiyoloji Klini\u011finde yatarak tedavi g\u00f6ren hastalar\u0131n yat\u0131\u015f tan\u0131s\u0131, al\u0131nan kan k\u00fclt\u00fcr\u00fc sonu\u00e7lar\u0131nda \u00fcreyen mikroorganizmalar, antibiyotik duyarl\u0131l\u0131klar\u0131 ve prognozlar\u0131 irdelenmi\u015ftir. Y\u00f6ntemler: Hastanemizde Ocak 2014-Aral\u0131k 2017 […]<\/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":[2726,3705,3368],"class_list":["post-14603","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-bakteriyemi","tag-infeksiyon-hastaliklari","tag-kan-kulturu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14603","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=14603"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14603\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14603"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14603"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14603"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}