{"id":15683,"date":"2021-01-05T01:24:07","date_gmt":"2021-01-04T22:24:07","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/kan-kulturlerinden-izole-edilen-gram-negatif-bakterilerde-cesitli-antibiyotiklere-direnc\/"},"modified":"2021-01-05T01:24:07","modified_gmt":"2021-01-04T22:24:07","slug":"kan-kulturlerinden-izole-edilen-gram-negatif-bakterilerde-cesitli-antibiyotiklere-direnc","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/kan-kulturlerinden-izole-edilen-gram-negatif-bakterilerde-cesitli-antibiyotiklere-direnc\/","title":{"rendered":"Kan K\u00fclt\u00fcrlerinden \u0130zole Edilen Gram-Negatif Bakterilerde \u00c7e\u015fitli Antibiyotiklere Diren\u00e7"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Bu \u00e7al\u0131\u015fmada, 2012 y\u0131l\u0131nda hastanemizin mikrobiyoloji laboratuvar\u0131na g\u00f6nderilen kan k\u00fclt\u00fcr\u00fc \u00f6rneklerinden soyutlanan Gram-negatif bakterilerin antibiyotiklere diren\u00e7 durumlar\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u0130zole edilen Gram-negatif bakterilerin antibiyotiklere diren\u00e7 oranlar\u0131, hasta dosya kay\u0131tlar\u0131 taranarak geriye d\u00f6n\u00fck olarak de\u011ferlendirilmi\u015ftir. Bu \u00e7al\u0131\u015fmada, yo\u011fun bak\u0131m \u00fcnitesi ve klinik servislerde yatan hastalardan al\u0131nan kan k\u00fclt\u00fcrlerinden izole edilen 106 Gram-negatif bakteri de\u011ferlendirilmi\u015ftir. Kan \u00f6rnekleri, BacT\/Alert\u00ae FA Plus aerop \u015fi\u015felerine ekilerek BacT\/Alert\u00ae 3D (bioM\u00e9rieux, Marcy l\u2019Etoile, Fransa) tam otomatik kan k\u00fclt\u00fcr cihaz\u0131nda izlenmi\u015ftir. \u0130zole edilen mikroorganizmalar\u0131n tan\u0131mlanmalar\u0131 ve antibiyotik duyarl\u0131l\u0131k testleri, VITEK\u00ae 2 (bioM\u00e9rieux, Marcy l\u2019Etoile, Fransa) otomatize sistemiyle yap\u0131lm\u0131\u015ft\u0131r ve sonu\u00e7lar Clinical and Laboratory Standards Institute (CLSI) standardlar\u0131na g\u00f6re yorumlanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Bulgular<\/strong>: \u0130zole edilen 106 Gram-negatif bakteriden %37.7\u2019si Escherichia coli, %22.6\u2019s\u0131 Klebsiella pneumoniae, %12.3\u2019\u00fc Pseudomonas aeruginosa ve %13.2\u2019si Acinetobacter baumannii olarak tan\u0131mlanm\u0131\u015ft\u0131r. \u0130zole edilen E. coli su\u015flar\u0131n\u0131n %52.5\u2019inde ve K. pneumoniae su\u015flar\u0131n\u0131n %83.3\u2019\u00fcnde geni\u015flemi\u015f spektrumlu \u03b2-laktamaz (GSBL) saptanm\u0131\u015ft\u0131r. GSBL \u00fcreten ve \u00fcretmeyen su\u015flarda in vitro en etkili antibiyoti\u011fin her iki t\u00fcr i\u00e7in imipenem ve meropenem oldu\u011fu bulunmu\u015ftur. GSBL \u00fcreten E. coli su\u015flar\u0131nda, denenen t\u00fcm antibiyotiklere kar\u015f\u0131 diren\u00e7 oranlar\u0131n\u0131n, GSBL \u00fcretmeyenlerdekinden anlaml\u0131 derecede y\u00fcksek oldu\u011fu saptanm\u0131\u015ft\u0131r (p&lt;0.05). \u00c7al\u0131\u015fmam\u0131zda aminoglikozidler ve \u00f6zellikle amikasin, P. aeruginosa ve A. baumannii su\u015flar\u0131na en etkili ajan olarak bulunmu\u015ftur. Bu \u00e7al\u0131\u015fmada izole edilen Enterobacter t\u00fcrlerine en etkili antibiyotikler olarak imipenem ve amikasin saptanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Sonu\u00e7 olarak, t\u00fcm merkezler kendi etken ve diren\u00e7 profilini saptayarak uygun antibiyotik politikalar\u0131n\u0131 olu\u015fturmal\u0131 ve ba\u015flanacak tedaviler i\u00e7in yol g\u00f6sterici olan g\u00fcncel bilgileri takip etmelidirler.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Bu \u00e7al\u0131\u015fmada, 2012 y\u0131l\u0131nda hastanemizin mikrobiyoloji laboratuvar\u0131na g\u00f6nderilen kan k\u00fclt\u00fcr\u00fc \u00f6rneklerinden soyutlanan Gram-negatif bakterilerin antibiyotiklere diren\u00e7 durumlar\u0131n\u0131n belirlenmesi ama\u00e7lanm\u0131\u015ft\u0131r. Y\u00f6ntemler: \u0130zole edilen Gram-negatif bakterilerin antibiyotiklere diren\u00e7 oranlar\u0131, hasta dosya kay\u0131tlar\u0131 taranarak geriye d\u00f6n\u00fck olarak de\u011ferlendirilmi\u015ftir. Bu \u00e7al\u0131\u015fmada, yo\u011fun bak\u0131m \u00fcnitesi ve klinik servislerde yatan hastalardan al\u0131nan kan k\u00fclt\u00fcrlerinden izole edilen 106 Gram-negatif bakteri [&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":[3117,2969,3368],"class_list":["post-15683","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-antibiyotik-duyarliligi","tag-gramnegatif-bakteriler","tag-kan-kulturu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15683","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=15683"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/15683\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=15683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=15683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=15683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}