Yıl: 2017 Cilt: 16 Sayı: 3 Sayfa Aralığı: 64 - 69 Metin Dili: İngilizce İndeks Tarihi: 29-11-2018

OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY

Öz:
Background: The aim of this study was to evaluate the differences in oropharyngeal microbiota in patients with asthma who were usinginhaled corticosteroids (ICS) compared to those in healthy individuals.Materials and Methods: A sample consisting of 100 oropharyngeal swabs was analyzed between April 2016 and May 2016. Due torecurrence, 1 asthmatic patient was excluded from the study. Common bacteriological culture techniques and the Vitek version 2.0(Biomerieux, France) automatization systems were used to obtain the bacteriological diagnosis.Results: The isolation of transitory flora bacteria in the control group was 88%, and 79.6 % in asthmatic group. There were nosignificant differences between the groups in respect of the cultured bacteria. Bacteria were recovered in 10/49 samples from the asthmaticpatients and in 6/50 samples from the non-asthmatic subjects. In the asthmatic group all the growths were those of female patients and in thecontrol group all were male. A statistically significant association was determined in respect of gender and the presence of growth bacteria inthe asthmatic patients (p:0.042). Cultured bacteria were observed to increase with age in the control group (p:0.021). There was nosignificant association in respect of the use of ICS and the presence of growth bacteria in the asthmatic patients (p = 0.838 ).Conclusions: E. coli, Klebsiella spp., Pseudomonas spp., Acinetobacter spp., Methicillin-resistant Staphylococcus aureus (MRSA) andMethicillin-susceptible Staphylococcus aureus (MSSA), Streptococcus pyogenes were found in the oropharyngeal swab specimens of theasthmatic subjects, as well as in some of the non-asthmatic group. Inhaled corticosteroids were not seen to have any obvious effect onoropharyngeal flora in the patients with asthma, which suggested that inhaled corticosteroids are safe for the treatment of bronchial asthma.
Anahtar Kelime:

Konular: Kulak, Burun, Boğaz

STEROİD TEDAVİSİ ALAN ASTIMLI HASTALARDA OROFARİNGEAL BAKTERİYEL FLORA

Öz:
Giriş: Bu çalışmada, inhaler steroid alan astımlı hastaların sağlıklı bireylere göre orofaringeal mikrobial farklılıklarının değerlendirilmesi amaçlanmıştır. Materyal ve Metod:100 orofaringeal svab örneği Nisan 2016 - Mayis 2016 tarihleri arasında analiz edildi. Bir astımlı hasta mükerrer olması nedeni ile çalışma dışı bırakıldı. Konvansiyonel bakteriyolojik kültür yöntemleri ve Vitek 2.0 (Biomerieux, Fransa) otomatize sistem bakteriyolojik tanıyı elde etmek için kullanıldı. Sonuçlar: Kontrol grubunda geçici bakteriyel flora izolasyonu %88, astımlı grupta %79,6 idi. Üreyen bakteri açısından gruplar arasında istatistiksel önemli bir farklılık yoktu. Astımlı hastalarda 49 örnekten 10’unda, astımlı olmayan bireylerde 50 örnekten 6’sında bakteri üredi. Astımlı grupta tüm üremeler kadın iken kontrol grubunda hepsi erkek idi. Astımlı hastalardaki cinsiyet ile bakteri üremesi durumu arasında istatistiksel anlamlı bir ilişki saptandı (p:0.042). Kontrol grubunda üreme durumunun yaş ile yükseldiği gözlendi(p:0.021). Astımlı hastalarda bakteri üremesi durumu ile inhaler steroid kullanımı arasında anlamlı bir ilişki gözlenmedi (p=0.838). Sonuç: Astımlı hastalar ile kontrol grubu bireylerin bazılarının orofaringeal svab örneklerinde E.coli, Klebsiella Spp., Pseudomonas Spp., Acinetobacter Spp., Metisilin-Dirençli Stafilococcus Aureus (MRSA), Methicillin-Duyarlı Stafilococcus Aureus (MSSA) ve Streptococcus Pyogenes ürediği gözlendi. İnhaler steroid kullanımının astımlı hastaların orofaringeal florası üzerine belirgin etkisi gözlenmemiştir. Böylece inhaler kortikosteroid kullanımının bronşial astım tedavisi için güvenli olduğunu düşünülmüştür.
Anahtar Kelime:

Konular: Kulak, Burun, Boğaz
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Kirişci Ö, BİLAL N, AKKÖK B, Özkaya E, BOZKUŞ F, SENOL H (2017). OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. , 64 - 69.
Chicago Kirişci Özlem,BİLAL Nagihan,AKKÖK BURCU,Özkaya Esra,BOZKUŞ Fulsen,SENOL HANDE OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. (2017): 64 - 69.
MLA Kirişci Özlem,BİLAL Nagihan,AKKÖK BURCU,Özkaya Esra,BOZKUŞ Fulsen,SENOL HANDE OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. , 2017, ss.64 - 69.
AMA Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. . 2017; 64 - 69.
Vancouver Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. . 2017; 64 - 69.
IEEE Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H "OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY." , ss.64 - 69, 2017.
ISNAD Kirişci, Özlem vd. "OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY". (2017), 64-69.
APA Kirişci Ö, BİLAL N, AKKÖK B, Özkaya E, BOZKUŞ F, SENOL H (2017). OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. KBB-Forum, 16(3), 64 - 69.
Chicago Kirişci Özlem,BİLAL Nagihan,AKKÖK BURCU,Özkaya Esra,BOZKUŞ Fulsen,SENOL HANDE OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. KBB-Forum 16, no.3 (2017): 64 - 69.
MLA Kirişci Özlem,BİLAL Nagihan,AKKÖK BURCU,Özkaya Esra,BOZKUŞ Fulsen,SENOL HANDE OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. KBB-Forum, vol.16, no.3, 2017, ss.64 - 69.
AMA Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. KBB-Forum. 2017; 16(3): 64 - 69.
Vancouver Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY. KBB-Forum. 2017; 16(3): 64 - 69.
IEEE Kirişci Ö,BİLAL N,AKKÖK B,Özkaya E,BOZKUŞ F,SENOL H "OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY." KBB-Forum, 16, ss.64 - 69, 2017.
ISNAD Kirişci, Özlem vd. "OROPHARYNGEAL BACTERİAL FLORA İN ASTHMATİC PATİENTS USİNG STEROİD THERAPY". KBB-Forum 16/3 (2017), 64-69.