Yenidoğan menenjitinde eş zamanlı alınan beyin omurilik sıvısı ve kan kültür sonuçlarının değerlendirilmesi

Yıl 2019, Cilt: 44 Sayı: 3, 829 - 834, 30.09.2019

Halit Halil Şehribanu Özlüer Işık Sibel Saygan Şerife Suna Oğuz Cüneyt Tayman

https://doi.org/10.17826/cumj.485624

Öz

Amaç:  Bu çalışmanın amacı, yenidoğan yoğun bakım ünitesinde hem kan hem de beyin omurilik sıvısı kültürlerinin eşzamanlı bulgularını araştırmak ve yeni doğan sepsis ve menenjitten sorumlu olan etiyolojik patojenleri saptamatır.

Gereç ve Yöntem: Bu çalışma Kasım 2013 - Ekim 2015 tarihleri arasında yenidoğan bölümümüzde yapıldı. Bu dönemde neonatal sepsis belirtileri ve semptomları olan 732 yenidoğan çalışmaya dahil edildi. Çalışmaya uygun olan hastalardan eş zamanlı kan ve beyin omurilik sıvısı kültürleri alınarak sepsis ve menenjit çalışması yapıldı.

Bulgular: Yüz vakada (%13,7) beyin omurilik sıvısı kültürü pozitifti. Menenjit tanılı 59 yanidoğan hastasında kan kültürü pozitif olarak bulundu. Stafilokok bakterisi (%48) menejitten sorumlu en sık görülen organizmaydı ve bunu klebsilla (%19) ve psodomonas (%10) izledi. Kan kültüründen eş zamanlı olarak izole edilen bakteriler ise stafilokok (%24) , kelbsiella (%13) ve psodomonastı (%8).

Sonuç: Çalışmamızda, ünitemizde neonatal sepsis ve menenjitten sorumlu olan ana etiyolojik ajanlar stafilokok, klebsiella ve psödomonas idi.

Anahtar Kelimeler

Blood culture, cerebrospinal fluid culture, neonatal meningitis, sepsis

Evaluation of simultaneous blood and cerebrospinal fluid culture findings in neonatal meningitis

Öz

Purpose: The aim of our present study was to investigate the simultaneous findings of both blood and cerebrospinal fluid cultures and to determine the etiological pathogens responsible for neonatal sepsis and meningitis in our neonatal intensive care unit.

Materials and Methods: This study was carried out in our newborn department from November 2013 to October 2015. During this period 732 neonates with signs and symptoms of neonatal sepsis were included in our study. Sepsis and meningitis work up were performed and simultaneous blood and cerebrospinal fluid cultures were taken from eligible patients.

Results: Cerebrospinal fluid cultures were positive in100 (13.7%) of cases. Positive blood cultures were found in 59 (8.1%) neonates with meningitis. Staphylococcus bacteria (48%) was the most frequent organism responsible for confirmed meningitis, followed by klebsiella (19%) and pseudomonas (10%). Simultaneous pathogens isolated from blood cultures were Staphylococcus (%24), klebsiella (13%) and pseudomonas (8%).

Conclusion: In our study group staphylococcus, klebsiella and pseudomonas were the main etiological agents that were responsible for  neonatal sepsis and  meningitis in our unit.

Anahtar Kelimeler

Blood culture, cerebrospinal fluid culture, neonatal meningitis, sepsis

Kaynakça

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