| Yazarlar |
Prof. Dr. Mustafa Kasım KARAHOCAGİL
Kırşehir Ahi Evran Üniversitesi, Türkiye |
| Özet |
| Materials and methods VIP is a hospital infection which has a high mortality ratio, often seen in intensive care units and occurs in patients with invasive mechanic ventilation. In this study, VIP density, risk factors, agents and their sensitivity to antibiotics were researched at Anesthesia and Reanimation İntensive Care Unit of Yuzuncu Yil University Medical School Hospital, between September 2008 and December 2009, the ratio of ventilator use related with patient day and the ratio of VIP that occured in 1000 ventilator days were found as 0.77 and 31.6 case/1000 ventilator days, respectively. Results In VIP cases, respectively; 31% Acinetobacter baumannii, 20.6% Pseudomonas spp., 17.2% Klebsiella spp., 15% S. aureus, 9.2% E. coli, 3.5% S. epidermidis, 1.1% E. faecium, 1.1% E. cloacae and 1.1% M. Morganii were isolated. Some antibiotic resistance profiles that can matter at clinical applications were obtained. For P. aeruginosa; Imipenem resistance was 61.1%, Ciprofloxacin resistance was 55.5%, Ceftazidime resistance was 55.5% and Amikacin resistance was 44.5%, for S. aureus; Methicillin resistance was 84.6% and for A. baumannii; Imipenem resistance was 59.3%. Conclusion According to the microbiological flora and antibiotic resistance of the unit, the guidance of the antibiotics which will be used for empiric therapy after the active isolation should be aimed to be modified with a narrow-spectrum antibiotic according to the antibiotic susceptibility result of the treatment. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | Uluslararası alan indekslerindeki dergilerde yayımlanan tam makale |
| Dergi Adı | Van Tıp Derg |
| Dergi Tarandığı Indeksler | |
| Makale Dili | İngilizce |
| Basım Tarihi | 01-2012 |
| Cilt No | 19 |
| Sayı | 4 |
| Sayfalar | 170 / 176 |
