BibTex RIS Kaynak Göster

Evaluation of the Cultures of Patients with Symptoms of Infection Admitted to Emergency Department

Yıl 2010, Cilt: 17 Sayı: 4, 359 - 364, 01.08.2010

Öz

In this study we aimed to investigate a retrospective evaluation of the microbiological information including the number of taken cultures from patients with infection at the emergency department of Inonu University Faculty of Medicine. A total of 2284 cultures from 1485 patients were taken from May 2009 through February 2010; 1062 urine, 985 blood, 56 fecal specimen, 55 cerebrospinal fluid, 44 wound, 30 acid fluid, 28 throat, 10 abscess, seven sputum, six pleural fluid, six joint fluid and four catheter specimens were taken from 1485 patients. Bacterial pathogens were isolated in 392 (17%) specimens, normal flora were isolated in 317 (14%) specimens, contamination were isolated in 151 (7%) specimens and no growth of pathogens in 1433 (62%) specimens. The most frequently isolated bacterias were Esherichia coli (47%), coagulase negative staphylococcus (14%), Klebsiella spp. (6%), Staphylococcus aureus (6%), Pseudomonas aeruginosa (5%), Candida spp (5%) and Streptococcus spp (4%). Key words: Emergency Department; Infection; Microbiological Specimens

Kaynakça

  • Rajagopalan S, Yoshikawa TT. General approach to infectious diseases in emergency medicine. Top Emerg Med 2003;25:98- 100.
  • Bone RC, Balk RA, Cerra FB. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 1992;20:864-874.
  • Hughes WT, Armstrong D, Bodey GP, Bow EJ, Brown AE, Calandra T, Feld R, Pizzo PA, Rolston KVI, Shenep JL, Young LS. 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis 34:730- 751,2002.
  • Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Bolger AF et al. Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America. Circulation. 2005; 111: e394-434.
  • Leman P. Validity of urinalysis and microscopy for detecting urinary tract infection in the emergency department. Eur J Emerg Med 2002;9:141-7.
  • Hans DH, Kelly E, Wilhelmson K, Katz ED. Rapidly fatal infections. Emerg Med Clin N Am 2008;26:259-79.
  • Norris DL, Young JD. Urinary tract infections: Diagnosis and management in the emergency department. . Emerg Med Clin N Am 2008;26:413-30.
  • Mylotte JM. Blood cultures: Clinical aspects and controversies. Eur J Clin Microbiol Infect Dis 2000; 19: 157-63.
  • Catenacci MH, King K. Severe sepsis and septic shock: Improving outcomes in the emergency department. Emerg Med Clin N Am 2008;26:603-23.
  • Reimer LG, Wilson ML, Weinstein MP. Update on detection of bacteremia and fungemia. Clin Microbiol Rev 1997;10:444-65.
  • Hall KK, Lyman JA. Update review of blood culture contamination. Clin Microbiol Rev 2006;19:788-802.
  • Richter SS. Strategies for minimizing the impact of blood culture contaminants. Clin Microbiol Newsletter 2002; 24: 49-53.
  • Archibald LK, Pallangyo K, Kazembe P, Reler LB. Blood culture contamination in Tanzania , Malawi and the United States: a microbiological tale of three cities. J Clin Microbiol 2006; 44: 4425-9.
  • Madeo M, Jackson T, Williams C. Simple measures to reduce the rate of contamination of blood cultures in accident and emergency. Emerg Med J 2005;22:810-1.
  • Gander RM, Byrd L, DeCrescenzo M, Hirany S, Bowen M, Baughman J. Impact of blood cultures drawn by phlebotomy on contamination rates and health care costs in a hospital emergency department. J Clin Microbiol 2009;47:1021-24.
  • Winstead Y, Emmerich H, Manning ML, Winstead D, Bachman PN, Kornecki Z. Clinical management of skin and soft tissue infections in the emergency department of a Suburban Hospital. Adv Emerg Nurs J 2010;32:155-67.
  • Sharp SE, Bowler PG, Church DL. Wound abscess and soft tissue cultures. Garcia LS, Isenberg HD, ed(s). Clinical Microbiology Procedures Handbook Second Edition Update Washington: ASM Pres 2007;3.3.1.1.
  • Achiam CC, Fernandes CM, McLeod SL et al. Methicillin resistant Staphylococcus aureus in skin and soft tissue infections presenting to the emergency department of a Canadian Academic Health Care Center. Eur J Emerg Med 2010;Şubat 17 (Basımda).
  • Center for Disease Control and Prevention. Treatment algorithm for skin and soft tissue infections. 2007; http://www.cdc.gov.
  • York MK, Church DL. Cerebrospinal fluid cultures. Garcia LS, Isenberg HD, ed(s). Clinical Microbiology Procedures Handbook Second Edition Update Washington: ASM Pres 2007;3.7.1.

Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi

Yıl 2010, Cilt: 17 Sayı: 4, 359 - 364, 01.08.2010

Öz

Bu çalışmada, enfeksiyon bulguları ile İnönü Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı'na başvuran hastalardan alınan kültür sonuçları retrospektif olarak değerlendirilmiştir. Acil Tıp Anabilim Dalı'na Mayıs 2009 - Şubat 2010 tarihleri arasında müracaat eden 1485 hastadan mikrobiyoloji laboratuvarına, 1062 idrar, 985 kan, 56 gaita, 55 beyin omurilik sıvısı, 44 yara yeri, 30 asit sıvısı, 28 boğaz, 10 apse, yedi balgam, altı plevral sıvı, altı eklem sıvısı ve dört kateter olmak üzere toplam 2293 örnek gönderilmiştir. Gönderilen bu örneklerin 392'ünde (%17) patojen bakteri, 317'sinde (%14) normal flora elemanı üremiş, 151'ü (%7) kontaminasyon olarak değerlendirilmiştir, örneklerin 1433'ünde (%62) ise hiçbir üreme olmamıştır. En sık üreyen bakteriler Esherichia coli (%47), koagülaz negatif stafilokoklar (%14), Klebsiella spp. (%6), Staphylococcus aureus (%6), Pseudomonas aeruginosa (%5), Candida spp (%5) ve Streptococcus spp (%4) olarak değerlendirilmiştir. Anahtar kelimeler: Acil Servis; Enfeksiyon; Mikrobiyolojik Örnekler

Kaynakça

  • Rajagopalan S, Yoshikawa TT. General approach to infectious diseases in emergency medicine. Top Emerg Med 2003;25:98- 100.
  • Bone RC, Balk RA, Cerra FB. American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 1992;20:864-874.
  • Hughes WT, Armstrong D, Bodey GP, Bow EJ, Brown AE, Calandra T, Feld R, Pizzo PA, Rolston KVI, Shenep JL, Young LS. 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis 34:730- 751,2002.
  • Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Bolger AF et al. Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America. Circulation. 2005; 111: e394-434.
  • Leman P. Validity of urinalysis and microscopy for detecting urinary tract infection in the emergency department. Eur J Emerg Med 2002;9:141-7.
  • Hans DH, Kelly E, Wilhelmson K, Katz ED. Rapidly fatal infections. Emerg Med Clin N Am 2008;26:259-79.
  • Norris DL, Young JD. Urinary tract infections: Diagnosis and management in the emergency department. . Emerg Med Clin N Am 2008;26:413-30.
  • Mylotte JM. Blood cultures: Clinical aspects and controversies. Eur J Clin Microbiol Infect Dis 2000; 19: 157-63.
  • Catenacci MH, King K. Severe sepsis and septic shock: Improving outcomes in the emergency department. Emerg Med Clin N Am 2008;26:603-23.
  • Reimer LG, Wilson ML, Weinstein MP. Update on detection of bacteremia and fungemia. Clin Microbiol Rev 1997;10:444-65.
  • Hall KK, Lyman JA. Update review of blood culture contamination. Clin Microbiol Rev 2006;19:788-802.
  • Richter SS. Strategies for minimizing the impact of blood culture contaminants. Clin Microbiol Newsletter 2002; 24: 49-53.
  • Archibald LK, Pallangyo K, Kazembe P, Reler LB. Blood culture contamination in Tanzania , Malawi and the United States: a microbiological tale of three cities. J Clin Microbiol 2006; 44: 4425-9.
  • Madeo M, Jackson T, Williams C. Simple measures to reduce the rate of contamination of blood cultures in accident and emergency. Emerg Med J 2005;22:810-1.
  • Gander RM, Byrd L, DeCrescenzo M, Hirany S, Bowen M, Baughman J. Impact of blood cultures drawn by phlebotomy on contamination rates and health care costs in a hospital emergency department. J Clin Microbiol 2009;47:1021-24.
  • Winstead Y, Emmerich H, Manning ML, Winstead D, Bachman PN, Kornecki Z. Clinical management of skin and soft tissue infections in the emergency department of a Suburban Hospital. Adv Emerg Nurs J 2010;32:155-67.
  • Sharp SE, Bowler PG, Church DL. Wound abscess and soft tissue cultures. Garcia LS, Isenberg HD, ed(s). Clinical Microbiology Procedures Handbook Second Edition Update Washington: ASM Pres 2007;3.3.1.1.
  • Achiam CC, Fernandes CM, McLeod SL et al. Methicillin resistant Staphylococcus aureus in skin and soft tissue infections presenting to the emergency department of a Canadian Academic Health Care Center. Eur J Emerg Med 2010;Şubat 17 (Basımda).
  • Center for Disease Control and Prevention. Treatment algorithm for skin and soft tissue infections. 2007; http://www.cdc.gov.
  • York MK, Church DL. Cerebrospinal fluid cultures. Garcia LS, Isenberg HD, ed(s). Clinical Microbiology Procedures Handbook Second Edition Update Washington: ASM Pres 2007;3.7.1.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Neslihan Yücel Bu kişi benim

Çiğdem Kuzucu Bu kişi benim

Funda Yetkin Bu kişi benim

Emine Tunç Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 17 Sayı: 4

Kaynak Göster

APA Yücel, N., Kuzucu, Ç., Yetkin, F., Tunç, E. (2010). Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi. Journal of Turgut Ozal Medical Center, 17(4), 359-364.
AMA Yücel N, Kuzucu Ç, Yetkin F, Tunç E. Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi. J Turgut Ozal Med Cent. Ağustos 2010;17(4):359-364.
Chicago Yücel, Neslihan, Çiğdem Kuzucu, Funda Yetkin, ve Emine Tunç. “Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi”. Journal of Turgut Ozal Medical Center 17, sy. 4 (Ağustos 2010): 359-64.
EndNote Yücel N, Kuzucu Ç, Yetkin F, Tunç E (01 Ağustos 2010) Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi. Journal of Turgut Ozal Medical Center 17 4 359–364.
IEEE N. Yücel, Ç. Kuzucu, F. Yetkin, ve E. Tunç, “Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi”, J Turgut Ozal Med Cent, c. 17, sy. 4, ss. 359–364, 2010.
ISNAD Yücel, Neslihan vd. “Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi”. Journal of Turgut Ozal Medical Center 17/4 (Ağustos 2010), 359-364.
JAMA Yücel N, Kuzucu Ç, Yetkin F, Tunç E. Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi. J Turgut Ozal Med Cent. 2010;17:359–364.
MLA Yücel, Neslihan vd. “Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi”. Journal of Turgut Ozal Medical Center, c. 17, sy. 4, 2010, ss. 359-64.
Vancouver Yücel N, Kuzucu Ç, Yetkin F, Tunç E. Enfeksiyon Bulguları İle Acil Servis’e Başvuran Hastaların Kültür Sonuçlarının Değerlendirilmesi. J Turgut Ozal Med Cent. 2010;17(4):359-64.