Ama\u00e7: <\/strong>Bu \u00e7al\u0131\u015fmada, hastanemizin yo\u011fun bak\u0131m \u00fcnite (YB\u00dc)’lerinde, mekanik ventilasyon uygulanan hastalardan al\u0131nan endotrakeal aspirat (ETA) \u00f6rneklerinde \u00fcretilen mikroorganizmalar\u0131n da\u011f\u0131l\u0131m\u0131 ve antibiyotik diren\u00e7 oranlar\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n Y\u00f6ntemler:<\/strong> Ocak 2016-Ocak 2017 tarihleri aras\u0131nda YB\u00dc hastalar\u0131n\u0131n ETA k\u00fclt\u00fcr\u00fc sonu\u00e7lar\u0131 geriye d\u00f6n\u00fck olarak de\u011ferlendirilmi\u015ftir. ETA k\u00fclt\u00fcrlerinden \u00fcreyen mikroorganizmalar konvansiyonel y\u00f6ntemler ve gerekti\u011finde VITEK\u00ae 2 (bioM\u00e9rieux, Marcy l\u2019Etoile, Fransa) otomatize sistemiyle tan\u0131mland\u0131. Bakterilerin antibiyotik duyarl\u0131l\u0131\u011f\u0131 Clinical and Laboratory Standards Institute \u00f6nerileri do\u011frultusunda ara\u015ft\u0131r\u0131ld\u0131.<\/p>\n Bulgular:<\/strong> Bir y\u0131ll\u0131k periyodda 1470 ETA \u00f6rne\u011fi incelenmi\u015f ve bunlar\u0131n 620\u2019sinde \u00fcreme saptanm\u0131\u015ft\u0131r. \u00d6rneklerin 307 (%49.5)\u2019sinde Acinetobacter baumannii, 127 (%20.5)\u2019sinde Pseudomonas aeruginosa, 101 (%16.3)\u2019inde Klebsiella spp., 23 (%3.7)\u2019\u00fcnde koag\u00fclaz-negatif stafilokoklar, 13 (%2.1)\u2019\u00fcnde Staphylococcus aureus, 23 (%3.7)\u2019\u00fcnde Serratia marcescens, 15 (%2.4)\u2019inde Escherichia coli, 3 (%0.5)\u2019\u00fcnde Enterobacter spp., 1 (%0.2)\u2019inde Stenotrophomonas maltophilia, 1 (%0.2)\u2019inde Sphingomonas sp. ve 6 (%1)\u2019s\u0131nda Candida spp. saptanm\u0131\u015ft\u0131r. Gram-negatif su\u015flardaki y\u00fcksek imipenem direnci dikkat \u00e7ekmektedir. \u0130mipenem direnci A. baumannii\u2019de %97.7, S. marcescens\u2019te %78.3, P. aeruginosa\u2019da %70.9 saptanm\u0131\u015ft\u0131r. A. baumannii, P. aeruginosa, Klebsiella spp., S. marcescens su\u015flar\u0131nda s\u0131ras\u0131yla %2.9, %2.4, %5 ve %4.3 oran\u0131nda kolistin direnci de saptanm\u0131\u015ft\u0131r. Koag\u00fclaz-negatif stafilokoklarda ve S. aureus\u2019ta metisilin direnci s\u0131ras\u0131yla %86.4 ve %100 olarak bulunmu\u015ftur.<\/p>\n Sonu\u00e7lar:<\/strong> YB\u00dc\u2019de uygun ampirik tedavi yakla\u015f\u0131mlar\u0131n\u0131n planlanmas\u0131 a\u00e7\u0131s\u0131ndan, ventilat\u00f6rle ili\u015fkili pn\u00f6moni etkeni mikroorganizmalar ve antibiyotik duyarl\u0131l\u0131klar\u0131 d\u00fczenli olarak analiz edilmelidir. Panrezistan \u015fu\u015flar ve artan diren\u00e7 oranlar\u0131 g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, infeksiyon kontrol \u00f6nlemlerine harfiyen uyulmas\u0131 ve do\u011fru infeksiyon kontrol stratejilerinin geli\u015ftirilmesi, YB\u00dc infeksiyonlar\u0131n\u0131n \u00f6nlenmesinde \u00f6nemlidir.<\/p>\n Cite this article as: <\/strong>Sa\u011fmak-Tartar A, \u00d6zer AB, Ulu R, Akbulut A. [Microbiological evaluation of the pathogens isolated from the endotracheal aspirate samples of the patients followed in the intensive care units: A one-year retrospective analysis]. Klimik Derg. 2018; 31(1): 56-60. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, hastanemizin yo\u011fun bak\u0131m \u00fcnite (YB\u00dc)’lerinde, mekanik ventilasyon uygulanan hastalardan al\u0131nan endotrakeal aspirat (ETA) \u00f6rneklerinde \u00fcretilen mikroorganizmalar\u0131n da\u011f\u0131l\u0131m\u0131 ve antibiyotik diren\u00e7 oranlar\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: Ocak 2016-Ocak 2017 tarihleri aras\u0131nda YB\u00dc hastalar\u0131n\u0131n ETA k\u00fclt\u00fcr\u00fc sonu\u00e7lar\u0131 geriye d\u00f6n\u00fck olarak de\u011ferlendirilmi\u015ftir. ETA k\u00fclt\u00fcrlerinden \u00fcreyen mikroorganizmalar konvansiyonel y\u00f6ntemler ve gerekti\u011finde VITEK\u00ae 2 (bioM\u00e9rieux, Marcy l\u2019Etoile, […]<\/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":[4175,3394,3691],"class_list":["post-14873","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibakteriyel-ajanlar","tag-endotrakeal-aspirat","tag-yogun-bakim-uniteleri"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14873","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=14873"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14873\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14873"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}