Evde Sağlık Hizmeti Alan Geriatrik Hastalarda Mikrobiyolojik Kültür ve Antimikrobiyal Duyarlılık: 7 Yıllık Değerlendirme


BAHÇECİ İ. , ARSLAN N. , ŞENTÜRK Ş. , YILDIZ İ. E. , KOSTAKOĞLU U. , ARDIÇ C.

Geriatrik Bilimler Dergisi, cilt.3, sa.2, ss.44-50, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 3 Konu: 2
  • Basım Tarihi: 2020
  • Doi Numarası: 10.47141/geriatrik.716009
  • Dergi Adı: Geriatrik Bilimler Dergisi
  • Sayfa Sayıları: ss.44-50

Özet

Aim: It is aimed to contribute to symptomatic treatment and
geriatric epidemiology by reviewing the microorganisms and
antimicrobial susceptibility results reproduced in samples
taken within seven years in geriatric patients receiving home
health care.
Material and Methods: Retrospective evaluation of
microbiological samples and antimicrobial susceptibility of
geriatric patients sent to Training and Research Hospital
Routine Microbiology Laboratory from the home health care
outpatient clinic within seven years.
Results: The samples evaluated were 87% urine, 7% wound
swab and 1.4% catheter (catheter used for central vein and
intravenous drug treatment). The microorganism produced in
the first place was
Escherichia coli with 40.5% and
Pseudomonas aeruginosa in the second place with 13% and
Klebsiella pneumoniae with 11.5%.In antimicrobial
susceptibility, carbapenem resistance was approximately 13%,
penicillin resistance 100%, ampicillin resistance 78.5%,
ceftriaxone resistance 50.8%, ceftazidime resistance 37.5%,
quinolone resistance 50.5%.
Conclusions: While the most common type of infection
among community-acquired infections is urinary tract and the
agent Escherichia coli, similar findings were obtained in our
study. Empirical treatment can be arranged according to these
results until culture results. In addition, taking samples of
geriatric patients who receive home health care services by
experts in the field and delivering them to the laboratory at
home will provide both comfort and economic contribution to
the people and institutions that provide and receive services to
speed up the work.