Nadir bir patojen Hafnia Alvei: Olgu sunumu ve literatürün gözden geçirilmesi

Hafnia alvei, insan gastrointestinal florasında bulunan gram negatif bir basildir. İlk kez 1954 yılında tanımlanmıştır. Toplum kökenli ya da sağlık hizmeti ilişkili enfeksiyon etkeni olabilen bu mikroorganizmanın, günümüze kadar sadece bir kez salgına neden olduğu bilinmektedir. Ayrıca ölüm ile seyreden vaka sayısı oldukça azdır. Bu çalışmada diyabetes mellitus, hipertansiyon ve serebrovasküler hastalıkları olan 71 yaşında erkek hastada Hafnia alvei’nin neden olduğu toplum kökenli idrar yolu enfeksiyonu olgusu sunulmaktadır. Hasta, siprofloksasin yedi gün ile tedavi edildi. Hafnia alvei, aminoglikozidler, kinolon grubu antibiyotikler ve üçüncü kuşak sefalosporinler ile tedavi edilebilir. Nadiren enfeksiyon etkeni olan bu tür mikroorganizmalardan korunmak amacı ile toplum ve sağlık profesyonellerinin bilgilendirilmesi ve farkındalığının artırılması için çeşitli stratejilerin geliştirilmesi, enfeksiyonların önlenmesini sağlayabilir. Ancak bunun gerçekleşebilmesi için iç hastalıkları, enfeksiyon kontrol ve halk sağlığı hemşireleri ile diğer sağlık profesyonelleri multidisipliner olarak çalışmalıdırlar

Anahtar Kelimeler:

Hafnia alvei, idrar yolu enfeksiyonu, sağlık hizmeti ilişkili enfeksiyon, toplum kökenli enfeksiyon

A rare pathogen Hafnia Alvei: Case report and literature rewiew

Hafnia alvei is a gram-negative bacillus found in human gastrointestinal flora. It was first described in 1954. It is known that this microorganism, which may be a community-acquired or health care-associated infection agent, cause only one epidemic to date. In addition to, the number of cases with death is quite low. In this study, we present a case of communityacquired urinary tract infection caused by Hafnia alvei in a 71-year-old male patient with diabetes mellitus, hypertension and cerebrovascular diseases. The patient was treated with ciprofloxacin seven days . Hafnia alvei can be treated with aminoglycosides, quinolone antibiotics and 3rd generation cephalosporins. In order to protect against these microorganisms which are rarely infectious agents, community and health professionals need to be informed and raised awareness. The development of various strategies for this may prevent infections. Therefore, internal medicine, infection control and public health nurses and other health professionals are recommended to work multidisciplinary

Keywords:

Hafnia alvei, urinary tract infection, healthcare related infection, community acquired infection,

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