Introduction:Determination of suitable antibiotics in treatment of Acinetobacter infections is through the hospital ascertaining the resistance state to bacteria causing the problem. In this study, the evaluation of antibiotics sensitivity of Acinetobacter strains isolated as infection factor in patients hospitalized in intensive care units is aimed.Methods: Acinetobacter strains isolated from the samples of patients hospitalized in the 2nd and 3rd Stage adult intensive care units of a province in in northwestern Anatolia have been studied.
Results:A total of 165 patients were included in the study. The most isolated samples were respiratory tract samples, blood and urine. The antibiotics which the factors were most sensitive were cholistin (66,1%) gentamicin (22,4%) and trimethoprim sulfamethoxazole (18,2%).
Conclusion:We face increasing resistance ratios in Acinetobacter strains. Necessary precautions should be taken for this.
Background: Sepsis is a systemic inflammatory condition with high mortality rate. It is important to estimate nosocomial sepsis in order to manage the patients earlier. The aim of this study was to investigate the role of hematological parameters in estimating nosocomial sepsis. Material and Methods: A retrospective examination was conducted on 121 nosocomial sepsis patients between 01 January 2014 and 30 June 2017. Neutrophil to lymphocyte ratio (NLR) and C-reactive protein (CRP) of the patients at the onset of sepsis were compared with baseline values. Results: The mean CRP level of the cohort at admission was 55±5.4 mg/dL and 139.2±6.2 mg/dL at the onset of sepsis (p<0.001). The mean NLR at admission was 10.64±10.6 and 13.69±14.5 at the onset of sepsis (p=0.037). In contrast, the differences in white blood cell, and mean platelet volume values at admission and sepsis onset were not statistically significant (p>0.05). Significant correlation was found between CRP and NLR values at both admission (r=0.365, p<0.001) and at the onset of sepsis (r=0.261, p=0.004). Conclusion: We concluded that the NLR is a useful marker in estimating nosocomial sepsis especially when considered together with CRP.
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