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2003, Cilt 17, Sayı 1, Sayfa(lar) 039-044 |
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CAUSATIVE BACTERIA IN NOSOCOMIAL INFECTIONS IN SURGICAL INTENSIVE CARE UNIT AND THEIR RESISTANCE TO ANTIBIOTICS |
Mustafa NAMIDURU1, İlkay KARAOĞLAN1, Sıtkı GÖKSU2, Öner DİKENSOY3, Murat KARAOĞLAN4 |
1Gaziantep Üniversitesi Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Gaziantep 2Gaziantep Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep 3Gaziantep Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Gaziantep 4Gaziantep Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Gaziantep |
Keywords: Nosocomial infection, causative agents, bacteria, surgical intensive care unit, in vitro antibiotic resistance |
In hospitals intensive care units (ICU) are the departments where resistant bacteria are most prevalent.The purpose of this retrospective study was to evaluate the results of cultures and antibiotic sensitivity tests who had been hospitalized in the ICU of Gaziantep University Hospital between 2000 and 2001. Patients who had stayed at the ICU for at least 72 hours were included only. Totally 171 isolates from various specimens including tracheal aspirate, urine, blood, wound, catheter were included. Most frequently isolated pathogens during this period were Pseudomonas aeruginosa (34.5%), Staphyloccus aureus (SA) (31.5%), and Acinetobacter baumannii (22.2%). Methicillin-resistance (MR) was detected in 82% of S. aureus strains. Vancomycin (100%) was the most effective antibiotic followed by trimethoprimsulphametoxazole (90%) on MRSA strains. Pseudomonas isolates were mostly sensitive to sulbactam-cefoperazone (81%) followed by levofloxacin (61.5%), and amikacin (58%). Imipenem (83.7%) and sulbactam-cefoperazone (81%) were the most effective antibiotics against Acinetobacter isolates.
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