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2023, Cilt 53, Sayı 3, Sayfa(lar) 182-187
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Species-Specific Distribution and Antimicrobial Resistance Rates of Enterobacter species Isolated from Clinical Specimens
Fatih Çubuk1, Caner Öksüz2, Ertuğrul Keskin2, Ayşe Hümeyra Taşkın Kafa3, Mürşit Hasbek3, Seyit Ali Büyüktuna2
1Halk Sağlığı Genel Müdürlüğü Mikrobiyoloji Referans Laboratuvarları ve Biyolojik Ürünler Dairesi Başkanlığı, Ankara, Türkiye
2Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Sivas, Türkiye
3Sivas Cumhuriyet Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Sivas, Türkiye
Keywords: Enterobacter cloacae, antimicrobial resistance, species distribution, Enterobacter kobei

Objective: The aim of this study is to determine species-level distribution and antimicrobial resistance rates of bacteria of the genus Enterobacter isolated from various clinical specimens in a tertiary hospital.

Methods: In our study, the results of various clinical specimens in which the growth of Enterobacter was detected after culture in a six-year period within 2016-2021 were retrospectively analyzed over the laboratory information system.

Results: A total of 700 Enterobacter isolates were included in the study. Enterobacter cloacae (85%) was this study’s most frequently isolated agent. Bacteria of Enterobacter genus were most frequently produced in urine samples (42%). In E. cloacae, E. asburiae, and E. kobei isolates, 3%, 4%, and 4% resistance against amikacin and 5%, 6%, and 4% resistance against gentamicin were detected, respectively. 4% resistance to ciprofloxacin and trimethoprim-sulfamethoxazole was detected in E. asburiae isolates. E. cloacae, E. asburiae, and E. kobei isolates had 26%, 20%, and 18% resistance rates against ertapenem, respectively; lower rates of resistance were found for imipenem and meropenem.

Conclusion: Antimicrobial resistance data may show regional differences. In our study, low resistance rates were detected against various antibiotics such as aminoglycosides, imipenem, meropenem, ciprofloxacin, and trimethoprim-sulfamethoxazole. However, we recommend seeing the antimicrobial susceptibility results when choosing aztreonam, ertapenem, piperacillin-tazobactam, or third-generation cephalosorins for infections caused by Enterobacter isolates.


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