Göğüs hastalıkları servisinde izlenmekte iken yoğun bakım ünitesine sevk edilen hastaların genel özelliklerinin irdelenmesi

Abstract

This study aimed to identify the overall characteristics of patients who were found as in need of intensive care while being monitored by chest diseases service in a training hospital. Material and Methodology: This study covered patients at Antalya Training and research Hospital who were referred from the chest diseases service to 3rd step intensive care in the period January-December 2017. The study covered all patients referred with the exception of those whose case files were yet incomplete. Findings: It was found that there were 697 inpatients in the chest diseases service in this period. 56 of these inpatients (8.03%) were referred to intensive care. The study covered 38 male (67.9%) and 18 female (32.1%) impatiens whose average age was 69.8±14.4. The leading causes of referral to intensive care include pneumonia by 55.3% (31), chronic obstructive lung disease by 21.4% (12) and tracheitis by 8.9% (5). The most common comorbidity is related to cardiovascular system. It was found that 37 patients (66.1%) used to smoke in their past. While the average period of stay in the chest diseases service is 5.2±5.9 days it is 6.6±10.7 days in intensive care. Follow-up in intensive care showed that 24 patients (42.9%) were in exitus. Conclusion:Patients with emerging urgent care need while monitored by chest diseases service are mostly elderly people with comorbidity.

Solunumsal Yoğun Bakım Ünitesinde İzole Edilen Mikroorganizmalar ve Antibiyotik Direnç Durumlarının Yıllara Göre Değişimi ve Mortaliteye Etkisi

“…Uzun et al reported the meropenem resistance to be 63.3% and piperacillin-tazobactam resistance to be 83.3%. (10). Although several studies have identified P. aeruginosa as one of the most common pathogens of the lower respiratory tract, this microorganism was detected in only 10 tracheal aspirate and 5 phlegm samples, which varied from the findings of relevant studies.…”

“…As expected, the prevalence of lower respiratory tract infections was higher in the present study than in other studies as the present study was conducted in the respiratory ICU of the chest diseases department. A Turkish study conducted by Uzun et al reported that microbial growth was most frequent in the cultures of the respiratory tract samples (45.9%) in a respiratory ICU, followed by in those of blood samples (37.6%) (10)(11). Dundar et al elucidated that the culture samples taken in the ICU that showed the most frequent microorganism growth were obtained from the respiratory system (40%), blood-catheter (23%), urogenital system (15%), and skinsoft tissue samples (14%) (12).…”