{"id":15173,"date":"2021-01-05T01:23:24","date_gmt":"2021-01-04T22:23:24","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/surekli-ayaktan-periton-diyaliziyle-iliskili-peritonit-klinik-ozellikler-etken-mikroorganizmalar-ve-antibiyotik-duyarliliklari\/"},"modified":"2021-01-05T01:23:24","modified_gmt":"2021-01-04T22:23:24","slug":"surekli-ayaktan-periton-diyaliziyle-iliskili-peritonit-klinik-ozellikler-etken-mikroorganizmalar-ve-antibiyotik-duyarliliklari","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/surekli-ayaktan-periton-diyaliziyle-iliskili-peritonit-klinik-ozellikler-etken-mikroorganizmalar-ve-antibiyotik-duyarliliklari\/","title":{"rendered":"S\u00fcrekli Ayaktan Periton Diyaliziyle \u0130li\u015fkili Peritonit: Klinik \u00d6zellikler, Etken Mikroorganizmalar ve Antibiyotik Duyarl\u0131l\u0131klar\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, hastanemizde geli\u015fen s\u00fcrekli ayaktan periton diyalizi (SAPD) ile ili\u015fkili peritonitlerde klinik \u00f6zelliklerin, etken mikroorganizmalar\u0131n ve antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n belirlenmesidir.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: Bu prospektif \u00e7al\u0131\u015fmaya Ocak 2012-\u015eubat 2013 tarihleri aras\u0131nda F\u0131rat \u00dcniversitesi Hastanesi Nefroloji Klini\u011fi, s\u00fcrekli ayaktan periton diyalizi \u00fcnitesinde takip edilen 55 olgudan peritonit ata\u011f\u0131yla ba\u015fvuran 18 ya\u015f ve \u00fcst\u00fc eri\u015fkin 30 hasta al\u0131nd\u0131. K\u00fclt\u00fcrler Uluslararas\u0131 Periton Diyalizi Derne\u011fi\u2019nin \u00f6nerdi\u011fi \u015fekilde hem kat\u0131 besiyerine hem de kan k\u00fclt\u00fcr\u00fc \u015fi\u015felerine ekilerek yap\u0131ld\u0131. Antibiyotik duyarl\u0131l\u0131\u011f\u0131 disk dif\u00fczyon y\u00f6ntemiyle ara\u015ft\u0131r\u0131ld\u0131.<\/p>\n<p> <strong>Bulgular<\/strong>: Hastalar\u0131n 28 (%93.3)\u2019inde bat\u0131nda hassasiyet, 4 (%13.3)\u2019\u00fcnde bat\u0131nda defans \/\u201crebound\u201d, 9 (%30)\u2019unda ate\u015f, 13 (%43.3)\u2019\u00fcnde bulant\u0131 ve kusma, 5 (%16.7)\u2019inde ishal saptand\u0131. Bulan\u0131k diyaliz s\u0131v\u0131s\u0131 ve kar\u0131n a\u011fr\u0131s\u0131 b\u00fct\u00fcn hastalarda saptand\u0131. Periton s\u0131v\u0131s\u0131n\u0131n direkt Gram boyamas\u0131nda bir (%3.3) hastada pozitiflik mevcuttu. Periton s\u0131v\u0131s\u0131 k\u00fclt\u00fcr\u00fcnde 28 (%93.3) hastada \u00fcreme oldu. Kat\u0131 besiyerinde 14 (%46.7), kan k\u00fclt\u00fcr\u00fc \u015fi\u015fesinde 28 (%93.3) hastada \u00fcreme saptand\u0131. \u0130ki (%6.7) hastada ise periton s\u0131v\u0131s\u0131 k\u00fclt\u00fcrlerinde her iki y\u00f6ntemle de \u00fcreme olmad\u0131. Her iki y\u00f6ntemle idantifiye edilen mikroorganizmalar ve antibiyogramlar\u0131 birbirinin ayn\u0131s\u0131yd\u0131. Gram-pozitif mikroorganizmalardan 16 (%57.1)\u2019s\u0131 koag\u00fclaz-negatif stafilokok, 4 (%14.3)\u2019\u00fc Staphylococcus aureus, 4 (%14.3)\u2019\u00fc streptokok, 1 (%3.6)\u2019i enterokok olarak tespit edildi. Gram-negatif mikroorganizmalardan 2\u2019si Escherichia coli, 1\u2019i Yersinia enterocolitica idi. Gram-pozitif mikroorganizmalarda penisilin direnci %46.2 olarak saptand\u0131. Stafilokok t\u00fcrlerinde metisiline diren\u00e7 oran\u0131 ise %9.5 olarak bulundu.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Her merkezin kendi etken ve duyarl\u0131l\u0131k profilini bilmesi, uygun ampirik tedavi se\u00e7ene\u011fini belirlemesi a\u00e7\u0131s\u0131ndan gereklidir. Bu strateji sayesinde gereksiz antibiyotik kullan\u0131m\u0131n\u0131n \u00f6nlenmesi sa\u011flanm\u0131\u015f ve antibiyotiklere kar\u015f\u0131 diren\u00e7 geli\u015fmesi ihtimali de azalt\u0131lm\u0131\u015f olacakt\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131, hastanemizde geli\u015fen s\u00fcrekli ayaktan periton diyalizi (SAPD) ile ili\u015fkili peritonitlerde klinik \u00f6zelliklerin, etken mikroorganizmalar\u0131n ve antibiyotik duyarl\u0131l\u0131klar\u0131n\u0131n belirlenmesidir. Y\u00f6ntemler: Bu prospektif \u00e7al\u0131\u015fmaya Ocak 2012-\u015eubat 2013 tarihleri aras\u0131nda F\u0131rat \u00dcniversitesi Hastanesi Nefroloji Klini\u011fi, s\u00fcrekli ayaktan periton diyalizi \u00fcnitesinde takip edilen 55 olgudan peritonit ata\u011f\u0131yla ba\u015fvuran 18 ya\u015f ve \u00fcst\u00fc eri\u015fkin 30 [&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":[4175,4097,4250],"class_list":["post-15173","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibakteriyel-ajanlar","tag-peritonit","tag-surekli-ayaktan-periton-diyalizi"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15173","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=15173"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15173\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}