Görüntüleme
15
İndirme
4
Amaç: Santral venöz kateterler (SVK), yoğun bakım ünitelerinde hastaların tedavisi ve izlemi için sık kullanılan aletlerdir. Santral venöz kateter ilişkili infeksiyonları belirlemek, uygun ampirik antibiyotik tedavisi açısından yol gösterici olmak ve sonraki çalışmalar için karşılaştırılabilir veri sağlamak amaçlanmıştır. Gereç ve Yöntemler: Yoğun bakım ünitelerinde, aktif prospektif sürveyans kapsamında takip edilen ve Centers for Disease Control and Prevention (CDC) kriterlerine göre SVK ilişkili kan dolaşımı infeksiyonu tanısı konulan hastaların, retrospektif olarak SVK kullanım oranları, kateter ilişkili kan dolaşımı infeksiyon (KİKDİ) hızları, mikrobiyolojik etkenleri, antibiyotiklere duyarlılık sonuçları ve risk faktörleri değerlendirilmiştir. Veriler SPSS 17.0 istatistik paket programına kaydedilerek, analiz edilmiştir. Bulgular: Santral kateter kullanım oranı %48 ve infeksiyon hızı 8,07 olarak saptanmıştır. . İzole edilen 72 patojenin, 28’ i gram pozitif (% 28,9), 31’i gram negatif ( % 43,6), 13’ ü mantar (%18,5) olup, koagülaz negatif stafilokok (%22), Candida spp. (%18,8) Acinetobacter spp. (%16,6) en sık saptanan etkenler olmuştur. Koagülaz negatif stafilokoklarda metisilin direnci %75, S. aureus’ da %67 saptanmıştır. Sonuç: Gereksiz santral kateter kullanımından kaçınılması, endikasyon kalkınca çıkarılması ve altta yatan hastalıkların tedavi edilmesi ile KİKDİ oranlarında azalma sağlanabileceği düşünülmektedir.
Purpose: Central venous catheters (SVKs) are the tools that are commonly used for the treatment and monitoring of patients in intensive care units. The aim is to identify infections associated with the central venous catheter, to be a guide in terms of appropriate ampyric antibiotic treatment and to provide comparable data for subsequent studies. In the intensive care units, patients followed under active prospective surveillance and diagnosed with SVK-related blood circulation infection according to the Centers for Disease Control and Prevention (CDC) criteria, retrospective SVK use rates, catheter-related blood circulation infection rates, microbiological factors, antibiotic sensitivity results and risk factors have been evaluated. The data is SPSS 17. 0 statistics recorded in the package program, analyzed. The findings: Central catheter use rate was determined at 48% and infection rate was 8,07 . isolated 72 pathogens, 28 gram positive (% 28,9), 31 gram negative (% 43,6), 13 gram fungi (% 18,5), coagulate negative staphylococcus (% 22), Candida spp. (%18.8) Acinetobacter spp. (6.6 percent) are the most frequently identified factors. In coagulate negative staphylococcus, methyline resistance was found at 75, and at S. aureus at 67%. The result: it is believed that the avoidance of the use of unnecessary central catheter, the removal of the indication and the treatment of the underlying diseases can be provided with a reduction in the rates of ADHD.
Aim: Central venous catheters (CVCs) are widely utilized for patient therapy and monitoring in intensive care units . Its goal is to identify infections caused by central venous catheters, to recommend appropriate empirical antibiotic therapy in intensive care units, and to offer comparable data for future investigations. Material and Methods:Patients who were followed up in intensive care units as part of an active prospective surveillance program and were found to have CVC-related bloodstream infections according to Centers for Disease Control and Prevention (CDC) criteria were spared. Retrospectively, the rates of catheter-related bloodstream infections (CRBSI), CVC use, microbiological agents, antibiotic sensitivity, and risk factors were evaluated. The data was analyzed and recorded using the SPSS 17.0 statistical package application. Results: The rate of central venous catheter use was 0.48 and the rate of central catheter-related infection was determined as 8.07. The 72 pathogens identified were 28 gram-positive (28.9%), 31 gram-negative (43.6%) and 13 fungi (18.5%) and coagulase-negative staphylococci (22%), Candida spp. (18.8%), Acinetobacter spp. (16.6%) were the most commonly found agents. The methicillin resistance was detected in 75% of coagulase-negative staphylococci and 67% of S. aureus strains. Conclusion: It is believed that reducing the incidence of CRBSI can be achieved by avoiding needless CVCs use, removing it when the indication is no longer needed, and treating the underlying medical conditions.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
