{"id":16259,"date":"2021-01-05T01:24:52","date_gmt":"2021-01-04T22:24:52","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/acinetobacter-baumannii-bakteriyemilerinde-mortalite-icin-risk-faktorleri\/"},"modified":"2021-01-05T01:24:52","modified_gmt":"2021-01-04T22:24:52","slug":"acinetobacter-baumannii-bakteriyemilerinde-mortalite-icin-risk-faktorleri","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/acinetobacter-baumannii-bakteriyemilerinde-mortalite-icin-risk-faktorleri\/","title":{"rendered":"Acinetobacter baumannii Bakteriyemilerinde Mortalite i\u00e7in Risk Fakt\u00f6rleri"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Acinetobacter baumannii\u2019ye ba\u011fl\u0131 bakteriyemilerde mortalite i\u00e7in risk fakt\u00f6rlerinin belirlenmesi ama\u00e7land\u0131.\u00a0<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: BacT\/Alert (bioM\u00e9rieux, Durham, NC) otomatize kan k\u00fclt\u00fcr sistemiyle kan k\u00fclt\u00fcr izolatlar\u0131ndan A. baumannii izole edilen olgular tespit edildi. Bakteriyemiden sa\u011f \u00e7\u0131kan hastalarla fatal seyreden hastalar, demografik \u00f6zellikleri, altta yatan hastal\u0131klar\u0131, uygulanan invazif giri\u015fimler ve mikroorganizman\u0131n antibiyotik direnci a\u00e7\u0131s\u0131ndan kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131; almakta oldu\u011fu antibiyotiklerin uygunsuzlu\u011funun sonuca etkisi istatistiksel olarak de\u011ferlendirildi.<\/p>\n<p> <strong>Bulgular<\/strong>: \u00c7al\u0131\u015fmaya al\u0131nan 40 hastadan 21 (%52.5)\u2019i A. baumannii bakteriyemisi nedeniyle kaybedildi. Mortalite i\u00e7in risk fakt\u00f6rleri de\u011ferlendirildi\u011finde tek de\u011fi\u015fkenli analiz sonu\u00e7lar\u0131na g\u00f6re 50 ya\u015f \u00fczerinde olma, APACHE II skorunun 16\u2019n\u0131n \u00fczerinde olmas\u0131 ve \u00fcniteler aras\u0131nda birden fazla nakil olmas\u0131 anlaml\u0131 bulunan parametrelerdi (p&lt;0.05). Yap\u0131lan Cox regresyon sa\u011fkal\u0131m analizine g\u00f6re ya\u015f\u0131 &gt;50 olan olgularda, &lt;50 olanlara g\u00f6re 3.5 kat fazla \u00f6l\u00fcm oran\u0131 saptand\u0131. APACHE II skoru &gt;16 olan olgularda, \u00a0&lt;16 olanlara g\u00f6re 2.8 kat daha fazla \u00f6l\u00fcm oran\u0131 saptand\u0131. Fatal seyreden olgularda imipenem direnci %67.5, karbapenem direnci %76 olarak tespit edildi. Olgular\u0131n %70\u2019inin almakta oldu\u011fu antibiyotik tedavisinin uygun olmad\u0131\u011f\u0131 saptand\u0131. Hastalar\u0131n almakta oldu\u011fu veya empirik ba\u015flanan antibiyotik tedavisinin uygunsuzlu\u011fu mortalite i\u00e7in risk fakt\u00f6r\u00fc olarak bulunmad\u0131 (p&gt;0.05).<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: Hastalarda mortaliteye i\u015faret eden risk fakt\u00f6rlerinin bilinmesi ve bu hastalar\u0131n erken tan\u0131nmas\u0131 hastan\u0131n prognozu a\u00e7\u0131s\u0131ndan \u00f6nem ta\u015f\u0131maktad\u0131r. Akut hastal\u0131\u011f\u0131n ve altta yatan hastal\u0131\u011f\u0131n \u015fiddetiyle ilgili do\u011fru karar\u0131 vererek uygun tedaviye ba\u015flaman\u0131n, A. baumannii bakteriyemisinde sonuca etkisi daha iyi olacakt\u0131r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Acinetobacter baumannii\u2019ye ba\u011fl\u0131 bakteriyemilerde mortalite i\u00e7in risk fakt\u00f6rlerinin belirlenmesi ama\u00e7land\u0131.\u00a0 Y\u00f6ntemler: BacT\/Alert (bioM\u00e9rieux, Durham, NC) otomatize kan k\u00fclt\u00fcr sistemiyle kan k\u00fclt\u00fcr izolatlar\u0131ndan A. baumannii izole edilen olgular tespit edildi. Bakteriyemiden sa\u011f \u00e7\u0131kan hastalarla fatal seyreden hastalar, demografik \u00f6zellikleri, altta yatan hastal\u0131klar\u0131, uygulanan invazif giri\u015fimler ve mikroorganizman\u0131n antibiyotik direnci a\u00e7\u0131s\u0131ndan kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131; almakta oldu\u011fu antibiyotiklerin [&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":[3903,2726,2997],"class_list":["post-16259","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-acinetobacter-baumannii","tag-bakteriyemi","tag-mortalite"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16259","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=16259"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16259\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}