Journals / Van Tıp Dergisi / 2022 / Cilt: 29 - Sayı: 2

The Surveyans of Colonisation of Vancomycin Resistant Enterococci and Investigation Antibiotic Susceptibility and Risk Factors

Vankomisine Dirençli Enterokok Kolonizasyonu Sürveyansı, Diğer Antimikrobiyallere Duyarlılıkları ve Risk Faktörlerinin Değerlendirilmesi

Pages
177–183
Publication Date
2022-11-06
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Vancomycin resistant enterococcus colonizations were detected in 31 (6.9%) patients in the pediatric ward and 23 (15.3%) patients in the intensive care unit (p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Vancomycin resistant enterococcus (VRE) colonization rates are higher in intensive care units (ICUs) with long-term hospitalizations, antibiotic use and invasive interventions.
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Key Findings & Data:Rectal swab samples were obtained from all the patients on the first and 7th day of admission.
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Conclusion & Impact:Vancomycin resistant enterococcus colonizations were detected in 31 (6.9%) patients in the pediatric ward and 23 (15.3%) patients in the intensive care unit (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Vancomycin resistant enterococcus (VRE) colonization rates are higher in intensive care units (ICUs) with long-term hospitalizations, antibiotic use and invasive interventions. We aimed to determine the antibiotic susceptibility by investigating the rectal colonization and risk factors of vancomycin resistant enterococcus in patients followed up in the pediatric service and intensive care unit. Methods: The study was conducted in the pediatric wards and intensive care unit of Van Yuzuncu Yıl University Hospital in ten months. Rectal swab samples were obtained from all the patients on the first and 7th day of admission. Enterococcus spp. were identified according to the procedure. Phoenix Automated System (Becton Dickinson, USA) was utilized in identifying the species of enterococcus and defining antibiotic susceptibilities. Results: Vancomycin resistant enterococcus colonizations were detected in rectal swab samples in 54 (9%) of 600 patients who were followed up. Vancomycin resistant enterococcus colonizations were detected in 31 (6.9%) patients in the pediatric ward and 23 (15.3%) patients in the intensive care unit (p

Özet

Amaç: Vankomisine dirençli enterokok (VRE) kolonizasyonu; hastaların uzun süre hastanede takip edildiği, antibiyotik tedavisi ve invaziv işlemlerin daha sık uygulandığı yoğun bakım ünitelerinde (YBÜ) daha sık görülmektedir. Çalışmamızda hastanemiz pediatri servisi ve yoğun bakım ünitesinde yatan hastalarda vankomisine dirençli enterokokun rekta l kolonizasyonu ve risk faktörlerinin araştırılarak, ant ibiyotik duyarlılıklarının saptanması amaçlanmıştır. Yöntem: Çalışmamız, Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi Hastanesi Pediatri Servis ve Yoğun Bakım Ünitesinde yatan hastalarda on aylık zaman diliminde yürütülmüştür. İlgili servislere yatan her hastadan yatışının 0 ve 7. günleri steril eküvyon çubukları ile rektal sürüntü örnekleri alınmıştır. Enterococcus spp. uygun prosedürlerle tespit edilmiştir. Bununla eş zamanlı olarak tespit edilen suşların türlerinin belirlenmesi ve antibiyotik duyarlılıklarının saptanması amacıyla Phoenix Otomatize Sisteminden (Becton Dickinson, ABD) yararlanılmıştır. Bulgular: Takibi yapılan 600 hastanın 54’ünde (%9) rektal sürüntü örneğinde vankomisine dirençli enterokok kolonizasyonu saptanmıştır. Pediatri servisinde 31 (%6.9), yoğun bakım ünitesinde ise 23 (%15.3) hastada vankomisine dirençli enterokok kolonizasyonu tespit edilmiştir (p

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Cite This Article

BİNİCİ, İ., KARAHOCAGİL, M. K., SÜNNETÇİOĞLU, M., PARLAK, M. (2022). The Surveyans of Colonisation of Vancomycin Resistant Enterococci and Investigation Antibiotic Susceptibility and Risk Factors. Van Tıp Dergisi, Cilt: 29 - Sayı: 2, 177–183. https://ajindex.com/articles/645883

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