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Pediatrik Kan Kültüründen İzole Edilen Gram Negatif Bakterilerin Prevalansı ve Antibiyotik Duyarlılık Paterni
2024
Journal:  
Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
Author:  
Abstract:

Pediatrik hastalardan alınan kan örneklerinden izole edilen Gram negatif bakterilerin antibiyotik duyarlılıklarının değerlendirilmesi amaçlandı. Örnekler Bactec 9120 otomasyon sistemi ile değerlendirildi. AST N090 paneli ile gerçekleştirilen Vitek 2 Compact (Biomerieux Fransa) cihazı kullanılarak Gram-Negatif ID paneli ile bakteriler tanımlandı ve sonuçlar Klinik ve Laboratuvar Standartları Enstitüsü (CLSI) tavsiyelerine göre değerlendirildi. Antibiyotik direnci sonuçları: Seftriakson en dirençli antibiyotik (%71,4) oldu. Salmonella spp. çoğunlukla levofloksasin ve siprofloksasine (%100) dirençliydi. E. coli suşları tikarsilin ve piperasilin'e en dirençli (%71,4) iken, bu bakteriye karşı en etkili antibiyotikler imipenem ve meropenem (%100) oldu. Test edilen tüm antibiyotiklere karşı direnç oranları, ESBL üreten Klebsiella spp ve E coli suşlarında, ESBL üretmeyen suşlara göre anlamlı derecede yüksekti (p<0,05). Bu bilgiler göz önüne alındığında prematüre ve yenidoğan hastalarda ampirik tedavinin uygulanmasında mevcut direnç profillerinin değerlendirilmesi hayati önem taşımaktadır.

Keywords:

Prevalence and Pattern Of Antibiotic Susceptibility Of Gram-negative Bacteria Isolated From Pediatric Blood Culture
2024
Author:  
Abstract:

It was aimed to evaluate the antibiotic susceptibilities of Gram-negative bacteria isolated from blood samples taken from pediatric patients. The samples were evaluated with the Bactec 9120 automation system bacteria were identified by the Gram-Negative ID panel using the Vitek 2 Compact (Biomerieux France) device performed with the AST N090 panel, and the results were evaluated according to The Clinical and Laboratory Standards Institute (CLSI) recommendations. Antibiotic resistance results: Ceftriaxone was the most resistant antibiotic (71.4%). Salmonella spp. it was mostly resistant to levofloxacin and ciprofloxacin (100%). While E. coli strains were the most resistant to ticarcillin and piperacillin (71.4%), the most effective antibiotics against this bacterium were imipenem and meropenem (100%). Resistance rates to all tested antibiotics were significantly higher in ESBL-producing Klebsiella spp and E coli strains than in non-ESBL-producing strains (p<0.05). Considering this information, it is vital to evaluate the current resistance profiles in the application of empirical treatment in premature and newborn patients.

Keywords:

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Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Article : 154
Cite : 628
Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi