TY  - JOUR
T1  - Yenidoğan Yoğun Bakım Ünitesinde İdrar Yolu Enfeksiyonları:  4 Yıllık Deneyim
TT  - Urinary Tract Infections in Neonatal Intensive Care Unit:  4-Year Experience
AU  - Erol, Sara
AU  - Altuntaş, Nilgün
PY  - 2019
DA  - March
DO  - 10.17098/amj.542422
JF  - Ankara Medical Journal
JO  - Ankara Med J
PB  - Ankara Yildirim Beyazit University
WT  - DergiPark
SN  - 2148-4570
SP  - 115
EP  - 122
VL  - 19
IS  - 1
LA  - tr
AB  - Amaç:Yenidoğan döneminde idrar yolu enfeksiyonu, term ve preterm bebekler içinönemli bir geç sepsis nedenidir. Bu çalışmanın amacı üçüncü düzey bir yenidoğanyoğun bakım ünitesine idrar yolu enfeksiyonu tanısıyla kabul edilen hastalarınklinik, laboratuvar ve radyolojik inceleme sonuçlarını değerlendirmektir. Materyalve Metot: Mesane kateterizasyonu ile alınan idrarkültürüne göre idrar yolu enfeksiyonu tanısı alan ve yenidoğan yoğun bakımünitesine kabul edilen term yenidoğanlara ait klinik, laboratuvar ve radyolojikgörüntüleme sonuçlarına geriye dönük olarak bilgisayar kayıtlarından ulaşıldı.Verilerin farklılıkları ve ilişkileri istatistiksel olarak değerlendirildi. Bulgular:2015-2018 yılları arasında idrar yolu enfeksiyonu tanısıyla yenidoğan yoğunbakımda izlenen 43 hastanın verileri değerlendirildi. Olguların %77 (n=30)’sierkekti ve ortalama tanı günü median 10 (7-28 gün) olarak bulundu. Olguların22(%51,16)’si sarılık, 6(%13,96)’sı kusma, 5(%11,62)’i ateş, 4(%9,30)’übeslenme güçlüğü yakınmaları ile başvururken %13,96’sının başvuru sırasında semptomuyoktu. En sık üreyen mikroorganizmalar %60,46 oranında Escherichia coli ve%20,93 oranında Klebsiella pneumonia idi. Amikasin direncinin Escherichia colive Klebsiella pneumonia üreyen hastalarda gentamisin direncine göre anlamlışekilde düşük olduğu görüldü (sırasıyla p<0,001 ve p=0,046). Sonuç:Neonatal idrar yolu enfeksiyonları klinik olarak asemptomatik olabileceklerigibi sepsis ve renal hasara yol açarak önemli morbidite ve mortalite nedeni deolabilirler. Erken ve etkin tedavi için klinik ve laboratuvar bulgularındeğerlendirilmesi kadar, değişken antibiyotik dirençlerinin dikkate alınarakampirik antibiyotik tedavisinin başlanması önemlidir. 
KW  - Yenidoğan
KW  - idrar yolu enfeksiyonu
KW  - antibiyotik direnci
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UR  - https://doi.org/10.17098/amj.542422
L1  - https://dergipark.org.tr/en/download/article-file/675267
ER  -