İclal HOCANLI, Mehmet KABAK, Barış ÇİL, Ahmet DOBLAN, İdris KIRHAN

Bronşektazi Tanılı Hastaların Balgam Kültür Sonuçlarının Hastanede Kalış Süresine Etkisi

Amaç: Bu çalışmanın amacı, kliniğimizde bronşektazi tanısıyla takip edilmiş hastaların balgam kültür sonuçlarının hastanede kalış süresi üzerine etkisinin olup olmadığını araştırmaktır. Materyal ve metod: Ocak 2018-aralık 2018 tarihleri arasında göğüs hastalıkları kliniğinde bronşektazi tanısyla takip edilen, 23 hastanın laboratuvar ve radyolojik verileri retrospektif olarak incelendi.Bulgular: Hastaların %39,1' de kültürde üreme olurken (9 hasta), %60,1'de kültürde üreme olmadı (14 hasta). 4 hastanın kültüründe klebsiella pnömoni, yine 4 hastanın kültüründe psödomonas aeruginosa ve 1 hastanın kültüründe de myocobacterıum tuberculosis üredi.kültür üremesi olan hastalar ile kültür üremesi olmayan hastalar hastane yatış süreleri karşılaştırıldı.Kültürde üremesi saptanan hastalarda (10.1±5.1 gün), kültürde üremesi saptanmayan hastalara (7.8±5.5 gün) göre hastane yatış süresi daha uzun olmakla beraber istatiksel olarak anlamlı bir farklılık tespit edilmedi (p=0.135). Ancak kültürde psödomonas aeruginosa üremesi olanların hastanede kalış süresi daha uzun ve istatiksel olarak ta anlamlı idi.Sonuç: Bronşektazi tanılı hastalarda kolonizasyon ve/veya enfeksiyon sık görülmektedir. Balgam kültürlerinde en sık üreyen etkenlerden biri pseudomonas aeruginosadır ve bu etken hastane yatış sürelerini arttırmaktadır. Çalışmamızda az sayıda olgu olmasına rağmen, literatür verilerine benzer sonuçlar elde edilmiştir. Ancak daha etkili değerlendirmeler yapabilmek için hasta sayısının daha yoğun olduğu benzer çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

bronşektazi, balgam kültürü, enfeksiyon

The Effect of Sputum Culture Results on The Duration of Hospitalization in Patients with Bronchiectasis

Background: The aim of this study is to investigate whether sputum culture results (treatment revision according to culture results) have an effect on the duration of hospitalization in patients who were followed up with the diagnosis of bronchiectasis in our clinic.Materials and Methods: The laboratory and radiological data of 23 patients who were followed up with the diagnosis of bronchiectasis in the chest diseases clinic between January 2018-December 2018 were analyzed retrospectively. Demographic features, the duration of hospitalization, the used antibiotics and antibiotic changes according to the culture results were recorded for all patients. The duration of hospitalization of patients with and without culture growth was compared. In addition, the culture growing group was evaluated in itself according to the growing microorganism type in terms of the duration of hospitalization.Results: While 39.1% (9 patients) of the patients had culture growth, 60.9% (14 patients) had no culture (14 patients). Klebsiella pneumonia was detected in the culture of 4 patients, pseudomonas aeruginosa in the culture of 4 patients and mycobacterium tuberculosis in the culture of 1 patient. Although the duration of hospitalization was longer in patients with (10.1 ± 5.1 days) than those without culture growth (7.8 ± 5.5 days), there was no significant difference between two groups (p= 0.135). However, when patients with culture growth were compared according to the microorganism type; it was detected that patients with pseudomonas aeruginosa growth in the culture had significantly longer duration of hospitalization. Conclusion: Pseudomonas aeruginosa is one of the most common grow microorganisms in sputum cultures of patients with bronchiectasis. This factor increases the duration of hospitalization of patients.

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