2023, Cilt 53, Sayı 3, Sayfa(lar) 188-197 |
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Retrospective Evaluation of Aerobic Bacteria Isolated from Wound Cultures and Their Antimicrobial Resistance Data: Four Years of Experience |
Nurefşan Erdiren, Tuğba Kula Atik, Gülhan Ünlü, Mehmet Ünlü |
Balıkesir Üniversitesi Tıp Fakültesi, Tıbbi Mikrobiyoloji Ana Bilim Dalı, Balıkesir, Türkiye |
Keywords: Antibiotic resistance, wound culture, wound infections |
Objective: In this study, it was aimed to retrospectively evaluate the aerobic bacteria isolated from wound
samples sent to the microbiology laboratory of our hospital and to determine their antibiotic resistance profiles.
Methods: Bacteria isolated from wound samples and received from different clinics to our laboratory between
January 2018 and December 2021 were identified by conventional methods and automated identification
system. Antimicrobial susceptibilities were determined using an automated system according to European
Committee on Antimicrobial Susceptibility Testing (EUCAST, v 12.0) recommendations.
Results: A total of 1839 agents were isolated from 2502 samples in our study; among them, 912 (49.6%)
were gram-negative, and 927 (50.4%) were gram-positive bacteria. The isolated bacteria were determined
respectively as Escherichia coli (17.6%), coagulase-negative staphylococci (CoNS) (16.9%), Staphylococcus
aureus (15.4%) and Pseudomonas spp. (10.1%). While vancomycin, teicoplanin and linezolid resistance were
not found in staphylococci, methicillin resistance rates were %23.7 in S. aureus and %81 in CoNS. ESBL positivity
was detected %55 of E. coli strains and %47 of Klebsiella spp. strains. It has been observed that the resistance
rates of aminoglycoside and carbapenem group antibiotics were low in bacteria in the Enterobacterales order.
In addition, it was determined that Acinetobacter spp. and Pseudomonas spp strains had the lowest resistance
rates against amikacin.
Conclusion: In wound infections, regular determination of the infectious agents and their antimicrobial
resistance profiles will contribute to reducing resistance rates by guiding empirical treatment and guiding
judicious antibiotic use.
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