Neslihan YÜCEL, Çiğdem KUZUCU, Funda YETKİN, Emine TUNÇ

Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi

Bu çalışmada, enfeksiyon bulguları ile İnönü Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı'na başvuran hastalardan alınan kültür sonuçları retrospektif olarak değerlendirilmiştir. Acil Tıp Anabilim Dalı'na Mayıs 2009 - Şubat 2010 tarihleri arasında müracaat eden 1485 hastadan mikrobiyoloji laboratuvarına, 1062 idrar, 985 kan, 56 gaita, 55 beyin omurilik sıvısı, 44 yara yeri, 30 asit sıvısı, 28 boğaz, 10 apse, yedi balgam, altı plevral sıvı, altı eklem sıvısı ve dört kateter olmak üzere toplam 2293 örnek gönderilmiştir. Gönderilen bu örneklerin 392'ünde (%17) patojen bakteri, 317'sinde (%14) normal flora elemanı üremiş, 151'ü (%7) kontaminasyon olarak değerlendirilmiştir, örneklerin 1433'ünde (%62) ise hiçbir üreme olmamıştır. En sık üreyen bakteriler Esherichia coli (%47), koagülaz negatif stafilokoklar (%14), Klebsiella spp. (%6), Staphylococcus aureus (%6), Pseudomonas aeruginosa (%5), Candida spp (%5) ve Streptococcus spp (%4) olarak değerlendirilmiştir. Anahtar kelimeler: Acil Servis; Enfeksiyon; Mikrobiyolojik Örnekler

Anahtar Kelimeler:

Acil Servis; Enfeksiyon; Mikrobiyolojik Örnekler

Evaluation of the Cultures of Patients with Symptoms of Infection Admitted to Emergency Department

In this study we aimed to investigate a retrospective evaluation of the microbiological information including the number of taken cultures from patients with infection at the emergency department of Inonu University Faculty of Medicine. A total of 2284 cultures from 1485 patients were taken from May 2009 through February 2010; 1062 urine, 985 blood, 56 fecal specimen, 55 cerebrospinal fluid, 44 wound, 30 acid fluid, 28 throat, 10 abscess, seven sputum, six pleural fluid, six joint fluid and four catheter specimens were taken from 1485 patients. Bacterial pathogens were isolated in 392 (17%) specimens, normal flora were isolated in 317 (14%) specimens, contamination were isolated in 151 (7%) specimens and no growth of pathogens in 1433 (62%) specimens. The most frequently isolated bacterias were Esherichia coli (47%), coagulase negative staphylococcus (14%), Klebsiella spp. (6%), Staphylococcus aureus (6%), Pseudomonas aeruginosa (5%), Candida spp (5%) and Streptococcus spp (4%). Key words: Emergency Department; Infection; Microbiological Specimens

Keywords:

Emergency Department; Infection; Microbiological Specimens,

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