Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, hastanemizin anestezi yo\u011fun bak\u0131m \u00fcnitesi (AYB\u00dc)’nde geli\u015fen hastane infeksiyonu etkenlerinin ve diren\u00e7 profillerinin belirlenmesi ve bulgular \u0131\u015f\u0131\u011f\u0131nda ak\u0131lc\u0131 antibiyotik uygulanmas\u0131na katk\u0131 sa\u011flanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmam\u0131za Ocak 2014-Aral\u0131k 2015 tarihleri aras\u0131nda AYB\u00dc’de takip edilen 500 hasta dahil edilmi\u015ftir. Hastalardan izole edilen infeksiyon etkenleri konvansiyonel y\u00f6ntemler ve VITEK\u00ae 2 Compact (bioM\u00e9rieux, Marcy l’Etoile, Fransa) otomatize sistemiyle tan\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n Bulgular<\/strong>: \u00c7al\u0131\u015fma boyunca 500 hastan\u0131n 87’sinde 105 hastane infeksiyonu epizodu tan\u0131mlanm\u0131\u015ft\u0131r. Hastane infeksiyonu h\u0131z\u0131 %21 olarak hesaplanm\u0131\u015ft\u0131r. T\u00fcm hastane infeksiyonlar\u0131 i\u00e7erisinde en s\u0131k kan dola\u015f\u0131m\u0131 infeksiyonu (%42.8) g\u00f6r\u00fcl\u00fcrken, invazif ara\u00e7la ili\u015fkili hastane infeksiyonlar\u0131 i\u00e7erisinde ventilat\u00f6rle ili\u015fkili pn\u00f6moni (%42.6) ilk s\u0131rada yer alm\u0131\u015ft\u0131r. Hastane infeksiyonu tan\u0131s\u0131 alan hastalardan 127 mikroorganizma izole edilmi\u015f, bunlar\u0131n 75 (%59)\u2019ini Gram-negatif bakteriler, 41\u2019ini (%32.28) Gram-pozitif bakteriler ve 11 (%8.66)’ini mayalar olu\u015fturmu\u015ftur. Gram-negatif bakteriler i\u00e7erisinde en s\u0131k Acinetobacter spp. (%29.9) ve Pseudomonas aeruginosa (%19.69), Gram-pozitif bakterilerden ise en s\u0131k Enterococcus spp. (%17.32) ve koag\u00fclaz-negatif stafilokoklar (KNS) (%13.38) tan\u0131mlanm\u0131\u015ft\u0131r. Ventilat\u00f6rle ili\u015fkili pn\u00f6monide en s\u0131k etken Acinetobacter spp. (%55.5), sondayla ili\u015fkili \u00fcriner sistem infeksiyonunda Candida spp. (%33.3) ve P. aeruginosa (%29.6) iken, santral ven\u00f6z kateterle ili\u015fkili kan dola\u015f\u0131m\u0131 infeksiyonunda Enterococcus gallinarum (%31.25) saptanm\u0131\u015ft\u0131r. 22 enterokok su\u015funun 17\u2019si kandan, 5’i idrardan izole edilmi\u015ftir. \u0130drar k\u00fclt\u00fcr\u00fcnden elde edilen iki E. faecium su\u015funda vankomisin ve teikoplanin direnci saptanm\u0131\u015ft\u0131r. Metisilin direncinin KNS’de %47 oldu\u011fu tespit edilmi\u015ftir. Escherichia coli su\u015flar\u0131n\u0131n %40\u2019\u0131nda, Klebsiella pneumoniae\u2019nin %60’\u0131nda geni\u015flemi\u015f spektrumlu \u03b2-laktamaz pozitifli\u011fi bulunmu\u015ftur. A. baumannii su\u015flar\u0131n\u0131n %48.65’inde, P. aeruginosa\u2019n\u0131n %40’\u0131nda ve E. coli su\u015flar\u0131n\u0131n %20\u2019sinde karbapenem direnci saptanm\u0131\u015ft\u0131r. Gram-negatif bakterilerde duyarl\u0131l\u0131k sonu\u00e7lar\u0131na g\u00f6re en etkili antibiyotiklerin, Acinetobacter ve Pseudomonas t\u00fcrlerine kar\u015f\u0131 kolistin; E. coli ve Klebsiella su\u015flar\u0131na kar\u015f\u0131 karbapenemler ve aminoglikozidler oldu\u011fu tespit edilmi\u015ftir.<\/p>\n Sonu\u00e7lar<\/strong>: AYB\u00dc\u2019de hastane infeksiyonlar\u0131n\u0131n, etkenlerinin ve diren\u00e7 oranlar\u0131n\u0131n izlenmesi hem infeksiyonlar\u0131n \u00f6nlenmesi hem de rasyonel antibiyotik kullan\u0131m\u0131 a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131maktad\u0131r.\u00a0<\/p>\n Klimik Dergisi 2017; 30(3): 108-13.<\/p>\n Cite this article as<\/strong>: \u00d6zer-Bal\u0131n \u015e, Akta\u015f-\u015eenol A. [Evaluation of hospital infections in intensive care unit]. Klimik Derg. 2017; 30(3): 108-13. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, hastanemizin anestezi yo\u011fun bak\u0131m \u00fcnitesi (AYB\u00dc)’nde geli\u015fen hastane infeksiyonu etkenlerinin ve diren\u00e7 profillerinin belirlenmesi ve bulgular \u0131\u015f\u0131\u011f\u0131nda ak\u0131lc\u0131 antibiyotik uygulanmas\u0131na katk\u0131 sa\u011flanmas\u0131 ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u00c7al\u0131\u015fmam\u0131za Ocak 2014-Aral\u0131k 2015 tarihleri aras\u0131nda AYB\u00dc’de takip edilen 500 hasta dahil edilmi\u015ftir. Hastalardan izole edilen infeksiyon etkenleri konvansiyonel y\u00f6ntemler ve VITEK\u00ae 2 Compact (bioM\u00e9rieux, Marcy l’Etoile, […]<\/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":[2678,4301,3665,3691],"class_list":["post-14921","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-hastane-infeksiyonlari","tag-mikrobiyal-ilac-direnci","tag-surveyans","tag-yogun-bakim-uniteleri"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14921","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=14921"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14921\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}