ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY
Yıl: 2023 Cilt: 6 Sayı: 1 Sayfa Aralığı: 60 - 64 Metin Dili: İngilizce DOI: 10.53446/actamednicomedia.1186190 İndeks Tarihi: 16-06-2023
ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY
Öz: Objective: Antibiotic resistance development in the treatment of Acinetobacter infection is a serious health care problem and responsible for high mortality in intensive care units (ICU). In our study, it was aimed to determine rates of antibiotics resistance of Acinetobacter strains isolated from various samples in our ICU. Methods: We examined the records of Acinetobacter isolates and antibiotics resistance for one year followed up in our ICU. The samples from different patients and different type of samples of the same patients were evaluated. The data was analyzed with SPSS for Windows version 23.0. Categorical variables were expressed in terms of numbers and percentage. Results: 50% of the samples were isolated from tracheostomy. 96.4% of the 138 isolates were Acinetobacter baumannii and 3.6% were the other strains. We found high resistance to all of antibiotics except colistin (3.6%) and tigecycline (13.1%). Conclusion: Acinetobacter is the most important opportunistic human pathogen causing fatal nosocomial infections because its ability of developing resistance to new antibiotics is overly fast. Compared to the results reported from Dicle University Hospital in south east of our country it was determined that antibiotics resistance, especially colistin resistance ratio in our ICU was different. It is important to remember that antibiotic susceptibility may vary in regions, hospitals and even clinics, and resistance development should be constantly detected to make the appropriate initial therapy until deescalation
Anahtar Kelime: YOĞUN BAKIM ÜNİTEMİZDEKİ ACİNETOBACTER SUŞLARININ ANTİBİYOTİK DİRENCİ: RETROSPEKTİF BİR ÇALIŞMA
Öz: Amaç: Acinetobacter enfeksiyonunun tedavisinde antibiyotik direnci gelişimi ciddi bir sağlık sorunudur ve yoğun bakım ünitelerinde (YBÜ) yüksek mortaliteden sorumludur. Çalışmamızda yoğun bakım ünitemizde çeşitli örneklerden izole edilen Acinetobacter suşlarının antibiyotik direnç oranlarının belirlenmesi amaçlanmıştır. Yöntem: Yoğun bakım ünitemizde takip edilen bir yıllık Acinetobacter izolatları ve antibiyotik direnç kayıtları incelendi. Farklı hastalardan alınan numuneler ve aynı hastaya ait farklı tipteki numuneler değerlendirildi. Veriler SPSS for Windows 23.0 versiyon ile analiz edildi. Kategorik değişkenler sayı ve yüzde olarak ifade edildi. Bulgular: Örneklerin %50 'si trakeostomiden izole edildi. 138 izolatın %96,4'ü Acinetobacter baumannii ve %3,6'sı diğer suşlardı. Kolistin (%3,6) ve tigesiklin (%13,1) dışındaki tüm antibiyotiklere yüksek direnç bulduk. Sonuç: Acinetobacter, yeni antibiyotiklere aşırı hızlı direnç geliştirme yeteneği nedeniyle ölümcül hastane enfeksiyonlarına neden olan en önemli fırsatçı insan patojenidir. Ülkemizin güneydoğusundaki Dicle Üniversitesi Hastanesi'nden bildirilen sonuçlarla karşılaştırıldığında, yoğun bakım ünitemizde antibiyotiklerin dirençlerinin, özellikle kolistin direnç oranının farklı olduğu görülmektedir. Antibiyotik duyarlılığının bölgelere, hastanelere hatta kliniklere göre değişebileceğini ve direnç gelişiminin deeskalasyona kadar uygun başlangıç tedavisini yapmak için sürekli olarak saptanması gerektiğini hatırlamak önemlidir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | karakoç e, AYYILDIZ A, YELKEN B (2023). ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. , 60 - 64. 10.53446/actamednicomedia.1186190 |
Chicago | karakoç ebru,AYYILDIZ AYŞE,YELKEN Birgül ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. (2023): 60 - 64. 10.53446/actamednicomedia.1186190 |
MLA | karakoç ebru,AYYILDIZ AYŞE,YELKEN Birgül ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. , 2023, ss.60 - 64. 10.53446/actamednicomedia.1186190 |
AMA | karakoç e,AYYILDIZ A,YELKEN B ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. . 2023; 60 - 64. 10.53446/actamednicomedia.1186190 |
Vancouver | karakoç e,AYYILDIZ A,YELKEN B ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. . 2023; 60 - 64. 10.53446/actamednicomedia.1186190 |
IEEE | karakoç e,AYYILDIZ A,YELKEN B "ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY." , ss.60 - 64, 2023. 10.53446/actamednicomedia.1186190 |
ISNAD | karakoç, ebru vd. "ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY". (2023), 60-64. https://doi.org/10.53446/actamednicomedia.1186190 |
APA | karakoç e, AYYILDIZ A, YELKEN B (2023). ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. Acta Medica Nicomedia, 6(1), 60 - 64. 10.53446/actamednicomedia.1186190 |
Chicago | karakoç ebru,AYYILDIZ AYŞE,YELKEN Birgül ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. Acta Medica Nicomedia 6, no.1 (2023): 60 - 64. 10.53446/actamednicomedia.1186190 |
MLA | karakoç ebru,AYYILDIZ AYŞE,YELKEN Birgül ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. Acta Medica Nicomedia, vol.6, no.1, 2023, ss.60 - 64. 10.53446/actamednicomedia.1186190 |
AMA | karakoç e,AYYILDIZ A,YELKEN B ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. Acta Medica Nicomedia. 2023; 6(1): 60 - 64. 10.53446/actamednicomedia.1186190 |
Vancouver | karakoç e,AYYILDIZ A,YELKEN B ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY. Acta Medica Nicomedia. 2023; 6(1): 60 - 64. 10.53446/actamednicomedia.1186190 |
IEEE | karakoç e,AYYILDIZ A,YELKEN B "ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY." Acta Medica Nicomedia, 6, ss.60 - 64, 2023. 10.53446/actamednicomedia.1186190 |
ISNAD | karakoç, ebru vd. "ANTIBIOTIC RESISTANCE OF ACINETOBACTER STRAINS IN OUR INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY". Acta Medica Nicomedia 6/1 (2023), 60-64. https://doi.org/10.53446/actamednicomedia.1186190 |