Microorganisms Isolated from Blood Cultures of Febrile Neutropenic Patients in ‹bn-i Sina HospitalÖzay Arıkan AkanAnkara University Medical Faculty, Ibn-i Sina Hospital Central Laboratory, Ankara, Turkey
Patients with profound neutropenia have increased risk of septicemia associated with significant morbidity. To provide the appropriate broad-spectrum antimicrobial cover, documentation of causative agents and their antimicrobial susceptibilities should be established in each hospital. During 2001 in Ibn-i Sina Hospital Hematology unit, among 125 isolates from blood cultures of febrile neutropenic patients, gram-negative bacteria was prevalent (56.8%). Among the gram-positives (34.4% of isolates) coagulase-negative staphylococci (CNS) were the predominant bacteria (15/43) followed by Staphylococcus aureus (12/43). Escherichia coli (23/71) and Klebsiella spp. (15/71) were the most common species among 71 gram-negative bacteria. Nonfermentative gram-negative bacilli were 21.6% of the isolates. Increase in the isolation rate of Acinetobacter baumannii (7 strains) and Stenotrophomonas maltophilia (6 strains) was noticed. Keywords: Febrile neutropenia, Bacteremia, Stenotrophomonas maltophilia, Gram-negative rod, Nonfermentative.
ibn-i Sina Hastanesi’nde Febril Nötropenik Hastaların Kan Kültürlerinden izole Edilen MikroorganizmalarÖzay Arıkan AkanAnkara University Medical Faculty, Ibn-i Sina Hospital Central Laboratory, Ankara, Turkey
Nötropenik hastalarda septisemi riski yüksek olup, belirgin morbiditeye sahiptir. Bu hastalarda uygun geniş spektrumlu antibiyotik tedavisi için her hastanede etkenlerin gösterilmesi ve bunların antimikrobiyal duyarlı lıklarının belirlenmesi gereklidir. 2001 yılında Ankara Tıp Fakültesi İbn-i Sina Hastanesi’nde febril nötropenik hastalardan elde edilen 125 kan kültürü izolatında gram-negatif bakterilerin ön planda olduğu (%56.8) görüldü. Gram-pozitif izolatlarda (%34.4) ise koagülaz-negatif stafilokoklar hakimken (15/43) bunu Staphylococcus aureus izlemekte idi (12/43). Yetmiş bir gram-negatif izolatta Escherichia coli (23/71) ilk sırada yer alırken Klebsiella spp. (15/71) bunu izlemekte idi. izolatların %21.6’sı nonfermenter gram negatif basildi. Acinetobacter baumannii (7 sufl) ve Stenotrophomonas maltophilia (6 sufl)’da artıfl dikkati çekti. Anahtar Kelimeler: Febril nötropeni, Bakteremi, Stenotrophomonas maltophilia, Nonfermentatif gram-negatif basil.
Özay Arıkan Akan. Microorganisms Isolated from Blood Cultures of Febrile Neutropenic Patients in ‹bn-i Sina Hospital. Turk J Hematol. 2003; 20(4): 227-231
Corresponding Author: Özay Arıkan Akan, Türkiye |
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