Yeni̇doğan Yoğun Bakim Üni̇tesi̇nde İdrar Yolu Enfeksi̇yonu Tanisi İle İzlenen Preterm Bebekleri̇n Retrospekti̇f Değerlendi̇ri̇lmesi̇

Özmen, Esra Beşer; Ceran, Burak; Sari, Fatmanur; Bezirganoğlu, Handan; Dizdar, Evrim Alyamaç; Tayman, Cüneyt; Oğuz, Şerife Suna

doi:10.38136/jgon.677916

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Similar to our study, in some other studies, Klebsiella spp. was determined to be the most common pathogenic agent in the neonatal period [19][20][21] . However, on the contrary, studies reporting that E. coli is the most common etiologic factor in the neonatal period have been published 22,23 .…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Resistance and Bacteria in Urinary Tract Infections in Pediatric Patients

Çağ¹,

Hacıseyitoğlu²,

Özdemir³

et al. 2021

MMJ

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Objective: Antibiotic resistance against bacterial pathogens associated with urinary tract infections (UTI) is rapidly increasing worldwide. In this study, we aimed at determining the causative microorganisms in children under 17 years of age diagnosed with UTI in our hospital and the antibiotic resistance rates of these causes. Methods: We isolated and retrospectively analyzed 4801 urine samples of children under 17 years old who presented with bacterial growth in their urine cultures. The isolated bacteria and their antibiotic resistance profiles were statistically analyzed. Results: Most (2001/77.2%) of 2592 patients included in the study were female and the mean age and median interquartile range (IQR) was 55 (12-98) months. Except for the neonatal period, the female gender was predominant in all age groups (p<0.0001). The most frequently isolated bacteria included Escherichia coli (67.7%), Klebsiella spp. (10.7%), and Enterococcus spp. (8.8%). The most and least resistant antibiotics were ampicillin (66.6%) and meropenem (0.3%) for E. coli, respectively. Although resistance of E. faecalis to ampicillin and ciprofloxacin is at a low level, E. faecium is much more resistant to these antibiotics (p<0.0001). Conclusion: It is important that each center determines its own resistant antibiotics so as to guide empirical treatment. Re-evaluating each antibiotic that is started to be used empirically according to the results of culture and sensitivity in addition to switching to a suitable antibiotic would be very effective in reducing resistance rates.

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Section: Discussionmentioning

confidence: 99%

Antibiotic Resistance and Bacteria in Urinary Tract Infections in Pediatric Patients

Çağ¹,

Hacıseyitoğlu²,

Özdemir³

et al. 2021

MMJ

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“…Almost half of all women will experience one UTI during their lifetime (2). Specific subpopulations at increased risk of UTI include infants, pregnant women, the elderly, patients with spinal cord injuries and/or urinary catheters, patients with diabetes or multiple sclerosis, patients with acquired immunodeficiency disease syndrome/human immunodeficiency virus, patients with underlying urologic abnormalities and women with lower genital tract infections such as Bacterial vaginosis (BV) (3)(4)(5)(6)(7).…”

mentioning

confidence: 99%

Patolojik servikovajinal simirler ve idrar yolu enfeksiyonu arasında bir ilişki var mıdır?

Beksaç

Dönmez

2020

Jinekoloji-Obstetrik Ve Neonatoloji Tıp Dergisi

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Aim: To evaluate the association between pathologic cervicovaginal smears (abnormal cytological findings, fungal infections, bacterial vaginosis, and inflammation) and urinary tract infection (UTI). Materials and Method: We evaluated Pap-stained cervicovaginal smears of 222 patients. Pathologic cervicovaginal smears were accepted as a study group (n = 59, 26.6%) while the remaining 163 (73.8%) patients who had no pathologic smears were accepted as a control group. Study and control groups were compared in terms of the presence of UTI.Results: In this cohort (n = 222), we have demonstrated abnormal cytological findings, bacterial vaginosis, fungal infection, and inflammation with rates of 5.4%, 5.9%, 8.6%, and %6.8, respectively. The rate of UTI was demonstrated to be 5.1% and 3.1% in the study and control groups, respectively (p = 0.441). When the presence of abnormal cytological findings, bacterial vaginosis, fungal infection, and inflammation were considered separately, UTI was found to be significantly more frequent in patients with fungal infection compared to controls (p = 0.039). Conclusion:UTI was found to be more frequent in patients with fungal infection.

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Yenidoğan Yoğun Bakım Ünitesinde İdrar Yolu Enfeksiyonuna Yol Açan Mikroorganizmalar ve Antimikrobiyal Direnç Dağılımı: 5 Yıllık Deneyim

Ataş,

Çelik

2024

Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi

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Yenidoğan döneminde idrar yolu enfeksiyonu önemli bir klinik problemdir. Bu çalışmada, kliniğimizde İYE tanısı alan yenidoğan bebeklerin idrar kültürlerinde üreyen mikroorganizmalar ve antibiyotik direnç paternlerinin belirlenmesi amaçlandı. Ocak 2017-Aralık 2021 tarihleri arasında yenidoğan yoğun bakım ünitemizde İYE tanısı alan 126 hastanın retrospektif olarak demografik verileri, idrar kültüründe üreyen mikroorganizmalar ve antimikrobiyal duyarlılık sonuçları kaydedildi. Hastaların 58’i (%46) kız, gestasyon yaşları ortanca 38 hafta idi. Hastaların %38.1’i prematüre iken sezeryan oranı %68.3 idi. İdrar kültüründe; K. pneumonia (%52.4) en sık üreyen mikroorganizma iken, E. coli (%19) ve Enterococcus spp (%15.9) diğer sık saptanan mikroorganizmalar oldu. Ampisilin direnci; K. pneumoniae’da (%100), Enterococcus spp’de (%85.7) ve E. coli’de (%71.4) amikasin direnci; K. pneumoniae’da %54.7 ve E. coli’de %25 bulundu. K. pneumoniae’da meropenem direnci %61.5 ve imipenem direnci %42.2 oranında görülürken E. coli’de meropenem direnci %11.1 ve imipenem direnci %7.1 oranında görüldü. Çalışmamızda K. pneumoniae ve E. coli en sık görülen bakterilerdi. İzole edilen bakterilerde karbapenemler dahil antimikrobiyallere karşı yüksek direnç görüldü. Özellikle yenidoğanlarda İYE’nin ampirik tedavisinde ampisilin, amoksisilin-klavulonat ve TMP-SMX’in yüksek direnç oranı nedeniyle kullanılmasının uygun olmayacağı düşüncesindeyiz.

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Yeni̇doğan Yoğun Bakim Üni̇tesi̇nde İdrar Yolu Enfeksi̇yonu Tanisi İle İzlenen Preterm Bebekleri̇n Retrospekti̇f Değerlendi̇ri̇lmesi̇

Cited by 3 publications

References 17 publications

Antibiotic Resistance and Bacteria in Urinary Tract Infections in Pediatric Patients

Antibiotic Resistance and Bacteria in Urinary Tract Infections in Pediatric Patients

Patolojik servikovajinal simirler ve idrar yolu enfeksiyonu arasında bir ilişki var mıdır?

Yenidoğan Yoğun Bakım Ünitesinde İdrar Yolu Enfeksiyonuna Yol Açan Mikroorganizmalar ve Antimikrobiyal Direnç Dağılımı: 5 Yıllık Deneyim

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