Fatma SIRMATEL, Elham BEHZADİ, Oğuz KARABAY, Aynur ÖZENSOY

Nosocomial Infections and Cases of Sphingomonas Paucimobilis

Sphingomonas paucimobilis (S. paucimobilis), especially in patients with immune suppressive and very rare in healthy people, attracted attention recently, causing nosocomial infections, is a gram-negative, aerobic bacillus. This bacterial nosocomial infection in our hospital as a first six-month period, six times was isolated from five patients. These five patients were acute peritonitis, vaginal cuff, surgical field, soft tissue and bloodstream infection. The identification of microbiological methods known to S. paucimobilis was examined by the antibiotic sensitivity disk diffusion test. Antibiotic sensitivity of the isolated bacteria were the same. From the environment and environment cultures S. paucimobilis was isolated once from the use water as a hospital infection effect. It was realized that the chlorination of hospital waters was inadequate during that period. Our hospital was thought to have a small epidemic. In conclusion, S. paucimobilis has recently been investigated in the context of literature with the belief that a new nosocomial infection will be affected.

Nosokomiyal Enfeksiyonlar ve Sphingomonas Paucimobilis: Olguların Sunumu

Sphingomonas paucimobilis (S. paucimobilis) özellikle immünsüpresif hastalarda ve sağlıklı insanlarda oldukça nadir görülen, son zamanlarda dikkati çeken, nozokomiyal enfeksiyonlara neden olan, gram-negatif, aerobik bir basildir. Bu bakteri hastanemizde ilk altı aylık bir süreç içersinde nozokomiyal enfeksiyon etkeni olarak, beş hastadan altı kez izole edildi. Toplam beş hasta; akut peritonit, vaginal cuff, cerrahi alan, yumuşak doku ve kan yolu enfeksiyonu idi. S. paucimobilis’in identifikasyonu bilinen mikrobiyolojik yöntemlerle, antibiyotik duyarlılığı ise disk difüzyon testi ile incelendi. İzole edilen bakterilerin antibiyotik duyarlılığı aynı idi. Yapılan çevre ve ortam kültürlerinden S. paucimobilis hastane enfeksiyon etkeni olarak bir kez kullanım suyundan izole edildi. O süreç içersinde hastane sularının klorlamasının yetersiz olduğu fark edildi. Hastanemizde küçük bir epidemi olduğu düşünüldü. Sonuçta S. paucimobilis son zamanlarda yeni bir nozokomiyal enfeksiyon etkeni olacağı düşünülerek literatür eşliğinde olgularla irdelendi.

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