{"id":16655,"date":"2021-01-05T01:25:22","date_gmt":"2021-01-04T22:25:22","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/febril-notropenik-hastalardan-kateterle-iliskili-kan-dolasimi-infeksiyonu-etkeni-olarak-izole-edilen-koagulaz-negatif-stafilokok-turlerinin-teikoplanine-duyarliliklari\/"},"modified":"2021-01-05T01:25:22","modified_gmt":"2021-01-04T22:25:22","slug":"febril-notropenik-hastalardan-kateterle-iliskili-kan-dolasimi-infeksiyonu-etkeni-olarak-izole-edilen-koagulaz-negatif-stafilokok-turlerinin-teikoplanine-duyarliliklari","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/febril-notropenik-hastalardan-kateterle-iliskili-kan-dolasimi-infeksiyonu-etkeni-olarak-izole-edilen-koagulaz-negatif-stafilokok-turlerinin-teikoplanine-duyarliliklari\/","title":{"rendered":"Febril N\u00f6tropenik Hastalardan Kateterle \u0130li\u015fkili Kan Dola\u015f\u0131m\u0131 \u0130nfeksiyonu Etkeni Olarak \u0130zole Edilen Koag\u00fclaz-Negatif Stafilokok T\u00fcrlerinin Teikoplanine Duyarl\u0131l\u0131klar\u0131"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> <strong>Ama\u00e7<\/strong>: Febril n\u00f6tropeni (FN) hastalar\u0131nda \u00f6zellikle koag\u00fclaz-negatif stafilokoklar\u0131n (KNS) etken oldu\u011fu kateterle ili\u015fkili kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 (K\u0130KD\u0130) s\u0131k g\u00f6r\u00fclmekte ve ampirik tedavide glikopeptidler s\u0131k kullan\u0131lmaktad\u0131r. Ancak son y\u0131llarda glikopeptidlerin yo\u011fun kullan\u0131m\u0131 nedeniyle ba\u015fta Staphylococcus haemolyticus ve S. epidermidis olmak \u00fczere KNS\u2019ler aras\u0131nda teikoplanine duyarl\u0131l\u0131\u011f\u0131 azalm\u0131\u015f su\u015flar bildirilmektedir. Bu \u00e7al\u0131\u015fmada Hematoloji Servisi ve K\u00f6k H\u00fccre Nakil (KHN) Birimi\u2019nde \u00fc\u00e7 y\u0131l boyunca takip edilen hastalarda geli\u015fen K\u0130KD\u0130\u2019lerden izole edilen KNS\u2019lere kar\u015f\u0131 teikoplaninin \u00a0minimal inhibit\u00f6r konsantrasyon (MIC) d\u00fczeylerini ara\u015ft\u0131rmay\u0131 ama\u00e7lad\u0131k.\u00a0<\/p>\n<p> <strong>Y\u00f6ntemler<\/strong>: \u00c7al\u0131\u015fmam\u0131zda 2007-2009 y\u0131llar\u0131 aras\u0131nda, Hematoloji ve KHN Birimi\u2019nde takip edilen FN hastalar\u0131nda geli\u015fen K\u0130KD\u0130\u2019lerden izole edilen KNS izolatlar\u0131 yer alm\u0131\u015ft\u0131r. Oksasilin duyarl\u0131l\u0131\u011f\u0131 disk dif\u00fczyon y\u00f6ntemiyle, teikoplanin duyarl\u0131l\u0131klar\u0131 ve MIC d\u00fczeyleri ise E-test\u00ae y\u00f6ntemiyle belirlenmi\u015ftir.<\/p>\n<p> <strong>Bulgular<\/strong>: Otuz dokuz hastan\u0131n farkl\u0131 FN ataklar\u0131ndan K\u0130KD\u0130 etkeni olarak izole edilmi\u015f 96 KNS izolat\u0131 \u00e7al\u0131\u015fmaya al\u0131nm\u0131\u015ft\u0131r. \u00c7al\u0131\u015fmada en s\u0131k izole edilen KNS t\u00fcr\u00fc S. epidermidis (%46) olup ikinci s\u0131kl\u0131kta S. haemolyticus (%39) tespit edilmi\u015ftir. \u00c7al\u0131\u015f\u0131lan su\u015flarda teikoplanin direnci saptanmam\u0131\u015ft\u0131r. Ancak izolatlar\u0131n %10\u2019unda orta d\u00fczeyde duyarl\u0131l\u0131k tespit edilmi\u015ftir. S. haemolyticus su\u015flar\u0131nda teikoplanin MIC d\u00fczeyleri ve metisiline diren\u00e7 oran\u0131 S. epidermidis\u2019e g\u00f6re daha y\u00fcksek saptanm\u0131\u015ft\u0131r.<\/p>\n<p> <strong>Sonu\u00e7lar<\/strong>: FN hastalar\u0131nda K\u0130KD\u0130\u2019lerden izole edilen KNS\u2019ler t\u00fcr d\u00fczeyinde tan\u0131mlanmal\u0131; klinik yan\u0131ts\u0131zl\u0131k varsa, tedavi MIC d\u00fczeyi saptanarak d\u00fczenlenmelidir. S. haemolyticus ba\u015fta olmak \u00fczere KNS izolatlar\u0131 aras\u0131nda teikoplanin MIC d\u00fczeylerinin yak\u0131n takibi gerekmektedir.\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Ama\u00e7: Febril n\u00f6tropeni (FN) hastalar\u0131nda \u00f6zellikle koag\u00fclaz-negatif stafilokoklar\u0131n (KNS) etken oldu\u011fu kateterle ili\u015fkili kan dola\u015f\u0131m\u0131 infeksiyonlar\u0131 (K\u0130KD\u0130) s\u0131k g\u00f6r\u00fclmekte ve ampirik tedavide glikopeptidler s\u0131k kullan\u0131lmaktad\u0131r. Ancak son y\u0131llarda glikopeptidlerin yo\u011fun kullan\u0131m\u0131 nedeniyle ba\u015fta Staphylococcus haemolyticus ve S. epidermidis olmak \u00fczere KNS\u2019ler aras\u0131nda teikoplanine duyarl\u0131l\u0131\u011f\u0131 azalm\u0131\u015f su\u015flar bildirilmektedir. Bu \u00e7al\u0131\u015fmada Hematoloji Servisi ve K\u00f6k H\u00fccre [&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":[2654,3979,3568,3981],"class_list":["post-16655","post","type-post","status-publish","format-standard","hentry","category-ozgun-arastirma","tag-febril-notropeni","tag-kateterle-iliskili-kan-dolasimi-infeksiyonu","tag-koagulaznegatif-stafilokoklar","tag-teikoplanin"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16655","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=16655"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16655\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16655"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}