Abstract:

Purpose: Infections in the wound place are ranked in the top three among hospitalized infections. During the treatment of wound infections, making cultural and antibiotic sensitivities will also prevent the development of resistance to the bacteria that are active by preventing the use of inappropriate antibiotics as it will increase the success of treatment. Our study aimed at identifying the distribution and antibiotic sensitivity of microorganisms that we isolate from the wound location samples of patients who apply to clinics from 2016 to 2018 or who are treated by bed in the services, to be a guide to the options of empirical treatment. Tools and Methods: A total of 315 sample of the wound site, which was sent to the microbiology laboratory of our hospital, was examined retrospectively. Identification and antimicrobial sensitivity of microorganisms considered to be active have been studied. 46.4 percent of the isolated microorganisms (n=146) were gram-positive odors, 53 percent (n=167) gram-negative bacteria and 0.6 percent (n=2) fungi (Candida albicans). S. aureus was the most common in 21%, Koagulase Negative Staphylococcus was the second in 16%, and E. coli was the third in 15% (p<0.001). In gram-positive bacteria, it was found that 16.7% of S. aureus juices were methylene-resistant. Gram-positive bacteria, including enterococcus, have not found glycopeptide resistance. In E. coli and K. pneumoniae, the GSBL ratio (43.8 percent; 48.5 percent) was higher than in other Gram negative bacteria (p=0.493 percent). The highest antibiotic resistance rate was 70.8%, with ampisiline, and the lowest resistance rate was 2%. In our study, S. aureus and E. coli, which are the frequent factors of wound infections, were considered to be considered to take into account the antibiotic sensitivity of these factors in ampyric treatment due to the very high rate of detection, primarily in patients with gastrointestinal cancer.

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