BACTERIAL COLONIZATION IN ELDERLY BURN PATIENTS

Introduction: Aging is a critical factor that contributes to the clinical outcame. Bacterial colonization of the burn patients remains a major challenge in the management of patients. The microorganisms are vary widely thoughout the world. Material and Method: A retrospective review of microbiologic samples results on all elderly (>65- years old) patients admitted to a regional Burn Center over a 8-years period was performed. Results: 40 patients were included in this study. Twenty-six patients were hospitalized for 12(1-43) days in the Burn Intensive Care Unit. A total number of 118 samples were taken from 40 patients and 93,17 and 8 samples were used for wound swab, blood and catheter samples. Eighty microorganisms were detected from 118 samples. Twenty-seven (67.5%) patients had positive microbiological samples. Single isolates were found in 15(55.5%) samples. Nineteen patients had positive swabs (13 patients had positive Pseudomonas aeruginosa). The positivity was found in 35 (29.6%) specimens after the first week. In 11 patients with positive swabs, positivity continued in the first week. Conclusion: The burn patients are provide appropriate medium for bacterial colonisation.The burns are common in this region and therefore it becomes even more meaningful to the study colonization problem in aged burn patients.

YAŞLI YANIK HASTALARINDA BAKTERİYEL KOLONİZASYON

Giriş: Yaşlılık klinik sonuçlara etkisi olan önemli faktörlerden birisidir.Yanık olgularında bakteriyal kolonizasyon hastalığın yönetiminde önemli sorunlardan biri olarak halen devam etmektedir. Mikroorganizmalar tüm dünyada çok değişkendir. Gereç ve Yöntem: Sekiz yıllık süreçte Bölgesel Yanık Merkezine başvuran tüm yaşlı olguların(>65 yaş) mikrobiyolojik örneklerinin sonuçları retrospektif olarak değerlendirildi. Bulgular: Bu çalışmada 40 olgu mevcuttur. Yirmialtı olgu Yanık Yoğun Bakım Ünitesinde 12(1-43)gün yatırılmıştır. Kırk hastadan toplam 118 örnek alınmış olup yara sürüntüsü, kan ve kataterden alınan numune sayısı sırası ile 93,17 ve 8 dir. Yüzonsekiz örneklemeden 80 mikroorganizma tanımlanmıştır. Olguların 27(%67.5)’sinde mikrobiyolojik örnekler pozitif bulunmuştur. Örneklerin 15 (%55.5’inde tek etken izole edilmiştir. Ondokuz hastada sürüntü pozitifti r(13 hastada Pseudomonas aeruginosa pozitifliği). İlk hafta sonrası 35(%29.6) örneklemede pozitif sonuç bulundu. Sürüntü pozitifliği olan 11 hastada bu durum ilk haftada da devam etti. Sonuç: Yanık olguları bakteriyel kolonizasyona uygun ortam oluşturmaktadırlar. Yanıkların bölgede fazla olması nedeni ile yaşlı yanık olgularındaki kolonizasyon sorunu üzerinde çalışılması çok önem taşımaktadır.

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