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The Diagnostic Profile And Clinical Course Of Patients With Rheumatic Diseases In The Medical Intensive Care Unit, Kani̇ye Aydin, İpek Türk
The Diagnostic Profile And Clinical Course Of Patients With Rheumatic Diseases In The Medical Intensive Care Unit, Kani̇ye Aydin, İpek Türk
Turkish Journal of Medical Sciences
Background/aim: Immunosuppressive and immunomodulatory treatments developed in recent years as a result of a better understanding of the pathophysiology of systemic rheumatic diseases (SRDs) improve the prognosis. Despite medical advances, individuals with SRDs at any stage may require intensive care and have a high mortality rate. The aim of this study was to investigate the demographic and clinical characteristics of patients with rheumatic diseases admitted to the intensive care unit (ICU), and the factors associated with the risk of mortality. Materials and methods: This was a retrospective, cross-sectional study that included patients with rheumatic diseases in the medical ICU. Factors …
Risk Factors For Icu Mortality In Patients With Hematological Malignancies: A Singlecenter, Retrospective Cohort Study From Turkey, Şahender Gülbi̇n Aygencel Bikmaz, Onur Gökçe, Meryem Merve Haşi̇moğlu, Nazlihan Boyaci, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Risk Factors For Icu Mortality In Patients With Hematological Malignancies: A Singlecenter, Retrospective Cohort Study From Turkey, Şahender Gülbi̇n Aygencel Bikmaz, Onur Gökçe, Meryem Merve Haşi̇moğlu, Nazlihan Boyaci, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Turkish Journal of Medical Sciences
Background/aim: Patients with hematological malignancies (HM) often require admission to the intensive care unit (ICU) due to organ failure, disease progression or treatment-related complications, and they generally have a poor prognosis. Therefore, understanding the factors affecting ICU mortality in HM patients is important. In this study, we aimed to identify the risk factors for ICU mortality in our critically ill HM patients. Materials and methods: We retrospectively reviewed the medical records of HM patients who were hospitalized in our medical ICU between January 1, 2010 and December 31, 2018. We recorded some parameters of these patients and compared these parameters …
Effect Of Tocilizumab On Intensive Care Patients With Covid-19 Pneumonia, A Retrospective Cohort Study, Mehtap Pehli̇vanlar Küçük, Ahmet Oğuzhan Küçük, Ayşegül Pehli̇vanlar, Emi̇ne Sevi̇l Ayaydin Mürtezaoğlu, Kadi̇r Çoban, Gamze Kiliç, Olcay Ayçi̇çek, Funda Öztuna, Yilmaz Bülbül, Tevfi̇k Özlü
Effect Of Tocilizumab On Intensive Care Patients With Covid-19 Pneumonia, A Retrospective Cohort Study, Mehtap Pehli̇vanlar Küçük, Ahmet Oğuzhan Küçük, Ayşegül Pehli̇vanlar, Emi̇ne Sevi̇l Ayaydin Mürtezaoğlu, Kadi̇r Çoban, Gamze Kiliç, Olcay Ayçi̇çek, Funda Öztuna, Yilmaz Bülbül, Tevfi̇k Özlü
Turkish Journal of Medical Sciences
Backround/aim: In this study, the efficacy of an IL-6 antagonist, Tocilizumab, administered in the early period was studied in intensive care patients with COVID-19 pneumonia followed by hypoxic and systemic inflammation not receiving mechanical ventilation support. Materials and methods: Patients with COVID-19 pneumonia who have signs of hypoxia and systemic inflammation and/or who have acute bilateral infiltrates on chest radiograph and who received tocilizumab treatment were compared with the patients who received standard medical therapy. Patients who were followed up with COVID-19 pneumonia and respiratory failure between March 2020 and March 2021 were retrospectively evaluated in the study. A 400 …
Could Lactate Clearance Be A Marker Of Mortality In Pediatric Intensive Care Unit?, Özlem Saraç Sandal, Gökhan Ceylan, Ferhat Sari, Gülhan Atakul, Mustafa Çolak, Sevgi̇ Topal, Eki̇n Soydan, Ünal Utku Karaarslan, Hasan Ağin
Could Lactate Clearance Be A Marker Of Mortality In Pediatric Intensive Care Unit?, Özlem Saraç Sandal, Gökhan Ceylan, Ferhat Sari, Gülhan Atakul, Mustafa Çolak, Sevgi̇ Topal, Eki̇n Soydan, Ünal Utku Karaarslan, Hasan Ağin
Turkish Journal of Medical Sciences
Background/aim: Hyperlactatemia is a common finding in critically ill patients and has significant prognostic implications. However, a single lactate measurement has not been correlated to mortality consistently. In this study, we aimed to correlate the clinical efficacy of lactate clearance for the prediction of mortality in pediatric intensive care unit patients. Materials and methods: This retrospective observational study was performed in the pediatric intensive care unit in patients with lactate level >3 mmol/lt. Initial, 6th h, and 24th h lactate levels were recorded and lactate clearance was calculated using these values (lactate level at admission - level 6 h later …
Can Treating Critically-Ill Haematological Malignancy Patients In A Separate Intensive Careunit Decrease Intensive Care Unit Mortality?, Şahender Gülbi̇n Aygencel Bikmaz, Nazlihan Boyaci Dündar, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Can Treating Critically-Ill Haematological Malignancy Patients In A Separate Intensive Careunit Decrease Intensive Care Unit Mortality?, Şahender Gülbi̇n Aygencel Bikmaz, Nazlihan Boyaci Dündar, Melda Türkoğlu, Zeynep Arzu Yegi̇n, Zübeyde Nur Özkurt, Abdullah Münci̇ Yağci
Turkish Journal of Medical Sciences
Background/aim: The aim of the study was to investigate whether treating haematological malignancy (HM) patients in a separate intensive care unit (ICU) would reduce ICU mortality. Materials and methods: HM patients treated by the same ICU team in a general medical ICU (GM-ICU) and a separate haematology ICU (H-ICU) were included in this study. Patients' demographic characteristics and ICU data were recorded retrospectively. Differences in the ICU course and prognosis between these two groups were determined. Results: A total of 251 patients (102 from GM-ICU, 149 from H-ICU) were included in this study. The disease severity and organ failure scores …
The Timing Of Intubation And Principles Of Icu Care In Covid-19, Sema Turan, Sultan Sevi̇m Yakin, Hüseyi̇n Levent Yamanel
The Timing Of Intubation And Principles Of Icu Care In Covid-19, Sema Turan, Sultan Sevi̇m Yakin, Hüseyi̇n Levent Yamanel
Turkish Journal of Medical Sciences
Coronavirus disease-19 (COVID-19) has been a serious health problem since it was first identified in Wuhan, China, in December 2019 and has created a global crisis with its economic, sociological, and psychological aspects. Approximately 15% of cases have a severe clinical presentation, and 5% of patients require admission to the intensive care unit. A significant proportion of patients presents with a rapidly progressing acute respiratory failure and require invasive mechanical ventilation. This article aimed to evaluate how the optimal intubation timing should be determined in cases of acute respiratory failure due to COVID-19 and to offer recommendations for basic intensive …
Do Initial Hematologic Indices Predict The Severity Of Covid-19 Patients?, Ali̇ Asan, Yasemi̇n Üstündağ, Ni̇zameddi̇n Koca, Abdullah Şi̇mşek, Hali̇l Erkan Sayan, Hülya Parildar, Burcu Dalyan Ci̇lo, Kağan Huysal
Do Initial Hematologic Indices Predict The Severity Of Covid-19 Patients?, Ali̇ Asan, Yasemi̇n Üstündağ, Ni̇zameddi̇n Koca, Abdullah Şi̇mşek, Hali̇l Erkan Sayan, Hülya Parildar, Burcu Dalyan Ci̇lo, Kağan Huysal
Turkish Journal of Medical Sciences
Background/aim: In this study, we aimed to evaluate the initial hematological findings analyzed on admission in confirmed COVID-19 patients who were transferred to the intensive care unit (ICU), to predict possible hematological indices. Materials and methods: Initial neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), monocyte to lymphocyte ratio (MLR), red cell distribution width to platelet ratio (RPR), mean platelet volume to platelet ratio, and lymphocyte multiplied by platelet count (LYM × PLT), of 695 patients with laboratory-confirmed COVID-19 were investigated and comparisons were made between the mild/moderate and severe groups. Results: The proportion of COVID-19 cases admitted …
Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem
Characteristics And Outcomes Of Critically Ill Patients With Covid-19 In Sakarya, Turkey: Asingle Centre Cohort Study, Havva Kocayi̇ği̇t, Kezban Özmen Süner, Yakup Tomak, Gürkan Demi̇r, İbrahi̇m Kocayi̇ği̇t, Selçuk Yaylaci, Yusuf Aydemi̇r, Mehmet Köroğlu, Oğuz Karabay, Mehmet Hali̇l Öztürk, Ali̇ Fuat Erdem
Turkish Journal of Medical Sciences
Background/aim: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Turkey on March 10, 2020 and the number of the patients are increasing day by day. Coronavirus disease 2019 (Covid-19) has high mortality rates in intensive care units (ICUs). We aimed to describe the demographic characteristics, comorbidities, treatment protocols, and clinical outcomes among the critically ill patients admitted to the ICU of our hospital. Materials and methods: This cohort study included 103 consecutive patients who had laboratory confirmed Covid-19 and admitted to ICU of Sakarya University Training and Research Hospital between March 19 and April 13, 2020. The …
Assessment Of Psychometric Properties, Cross-Cultural Adaptation, And Translation Of Theturkish Version Of The Icu Mobility Scale, İsmai̇l Özsoy, Buse Özcan Kahraman, Turhan Kahraman, Ayli̇n Tanriverdi̇, Serap Acar, Ebru Özpeli̇t, Bi̇hter Şentürk, Bahri̇ Akdeniz, Sema Savci
Assessment Of Psychometric Properties, Cross-Cultural Adaptation, And Translation Of Theturkish Version Of The Icu Mobility Scale, İsmai̇l Özsoy, Buse Özcan Kahraman, Turhan Kahraman, Ayli̇n Tanriverdi̇, Serap Acar, Ebru Özpeli̇t, Bi̇hter Şentürk, Bahri̇ Akdeniz, Sema Savci
Turkish Journal of Medical Sciences
Background/aim: The aim of the study was to carry out the cultural adaptation and translation of the ICU mobility scale (IMS) into Turkish and research the psychometric properties. Materials and methods: This study was based on methodological design. The IMS was translated from English to the Turkish through a regularised translation process. Two physiotherapists assessed patients independently in the coronary intensive care unit. The measures such as construct validity, intra and interrater reliability, and internal consistency of the IMS Turkish version were assessed. Results: A total of 70 intensive care patients were included in the study. The intrarater and interrater …
Neutrophil To Lymphocyte Ratio As A Predictor Of Treatment Response And Mortality In Septic Shock Patients In The Intensive Care Unit, Rabi̇a Sari, Zühal Karakurt, Mustafa Ay, Muhammed Emi̇n Çeli̇k, Ülgen Yalaz Tekan, Fulya Çi̇yi̇ltepe, Feyza Kargin, Cüneyt Saltürk, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Nalan Adigüzel
Neutrophil To Lymphocyte Ratio As A Predictor Of Treatment Response And Mortality In Septic Shock Patients In The Intensive Care Unit, Rabi̇a Sari, Zühal Karakurt, Mustafa Ay, Muhammed Emi̇n Çeli̇k, Ülgen Yalaz Tekan, Fulya Çi̇yi̇ltepe, Feyza Kargin, Cüneyt Saltürk, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Nalan Adigüzel
Turkish Journal of Medical Sciences
Background/aim: While C-reactive protein (CRP) is a well-studied marker for predicting treatment response and mortality in sepsis, it was aimed to assess the efficacy of the neutrophil lymphocyte ratio (NLR) as a predictor of mortality and treatment response in sepsis patients in the intensive care unit (ICU). Materials and methods: In this retrospective cross-sectional study, sepsis patients were divided according to the presence of septic shock on the 1st day of ICU stay, and then subgrouped according to mortality. Patient demographics, acute physiologic and chronic health evaluation II and sequential organ failure assessment scores, NLR and CRP (on the 1st, …
Predictors Of Mortality In Cancer Patients Who Needintensive Care Unit Support: A Two Center Cohort Study, Özlem Edi̇boğlu, Sami̇ Cenk Kirakli, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Ceyda Anar, Pinar Çi̇men, Nalan Adigüzel, Cüneyt Saltürk, Meri̇h Kalamanoğlu Balci, Zuhal Karakurt, Dursun Ali̇zoroğlu
Predictors Of Mortality In Cancer Patients Who Needintensive Care Unit Support: A Two Center Cohort Study, Özlem Edi̇boğlu, Sami̇ Cenk Kirakli, Özlem Yazicioğlu Moçi̇n, Gökay Güngör, Ceyda Anar, Pinar Çi̇men, Nalan Adigüzel, Cüneyt Saltürk, Meri̇h Kalamanoğlu Balci, Zuhal Karakurt, Dursun Ali̇zoroğlu
Turkish Journal of Medical Sciences
Background/aim: Cancer patients frequently need intensive care support due to respiratory failure. We aimed to evaluate the predictors of mortality in cancer patients who were admitted to the intensive care unit (ICU). Materials and methods: This study was performed in the ICUs of two centers between 1 January 2008 and 31 December 2015. Demographic data, cancer type, causes of respiratory failure, comorbidities, APACHE II scores, treatments, and mortality rates were recorded. Results: A total number of 583 cancer patients (477 males) were enrolled from the two centers. Of those, 472 patients had lung cancer (81%), while 111 had extrapulmonary malignancies …
Usage Of News For Prediction Of Mortality And In-Hospitalcardiac Arrest Rates In A Turkish University Hospital, Özgür Atmaca, Can Turan, Pinar Güven, Hüseyi̇n Arikan, Semi̇ha Emel Eryüksel, Sai̇t Karakurt
Usage Of News For Prediction Of Mortality And In-Hospitalcardiac Arrest Rates In A Turkish University Hospital, Özgür Atmaca, Can Turan, Pinar Güven, Hüseyi̇n Arikan, Semi̇ha Emel Eryüksel, Sai̇t Karakurt
Turkish Journal of Medical Sciences
Background/aim: Early warning scores (EWS), widely used around the world but not yet in Turkey, are composed of physiological parameters designed to determine potentially worsening patients to perform necessary interventions in time. The aim is to determine the national EWS (NEWS) of the patients to assess the relation between this score and length of hospital stay (LOHS), transfer to the ICU, 24-h and 28-day mortality rates, and the frequency of in-hospital cardiac arrest (IHCA). Materials and methods: NEWS of all the patients in the internal medicine clinics were calculated via a point prevalence study. The LOHS, transfer to the ICU, …
Central Line-Associated Blood Stream Infections: Characteristics And Risk Factors Formortality Over A 5.5-Year Period, Aynur Ati̇lla, Zahi̇de Doğanay, Hale Kefeli̇ Çeli̇k, Mehmet Derya Demi̇rağ, Süleyman Sirri Kiliç
Central Line-Associated Blood Stream Infections: Characteristics And Risk Factors Formortality Over A 5.5-Year Period, Aynur Ati̇lla, Zahi̇de Doğanay, Hale Kefeli̇ Çeli̇k, Mehmet Derya Demi̇rağ, Süleyman Sirri Kiliç
Turkish Journal of Medical Sciences
Background/aim: Central line-associated bloodstream infections (CLABSIs) are associated with substantial morbidity and mortality and the infection rates vary in a wide range (high: 62.5%; low: 20%) in developing countries. We aimed to investigate the characteristics and the risk factors for mortality in patients with CLABSIs in intensive care units (ICUs) and provide the relevant data. Materials and methods: The electronic medical records database and file records obtained through active surveillance by an infection control committee of a hospital were screened to identify patients with CLABSIs hospitalized from January 2008 through July 2013. Results: A total of 166 CLABSI episodes in …
Assessment Of Bloodstream Infections And Risk Factors In An Intensive Care Unit, Aynur Süner, İlkay Karaoğlan, Ayşe Özlem Mete, Mustafa Namiduru, Vuslat Boşnak, İbrahi̇m Baydar
Assessment Of Bloodstream Infections And Risk Factors In An Intensive Care Unit, Aynur Süner, İlkay Karaoğlan, Ayşe Özlem Mete, Mustafa Namiduru, Vuslat Boşnak, İbrahi̇m Baydar
Turkish Journal of Medical Sciences
Background/aim: Nosocomial bloodstream infection (BSI) increases mortality rates, duration of stay in hospital, and treatment costs. This study was conducted to determine the rate and the risk factors of BSIs among intensive care unit patients. Materials and methods: Sixty-four patients with BSIs (patient group) and 79 patients without a nosocomial infection (control group) were enrolled in the study. Centers for Disease Control and Prevention criteria were used for diagnosing BSIs. Potential risk factors were evaluated by multivariate logistic regression model. Results: The BSI development rate was 15.7% (64/407), with an incidence rate of 18.2/1000 patient days. Distribution of pathogens among …
Evaluation Of Genexpert Vana/Vanb Assay For The Detection Of Vancomycin-Resistant Enterococci In Patients Newly Admitted To Intensive Care Units, Server Yağci, Çi̇ğdem Ataman Hati̇poğlu, Şeri̇fe Altun, Cemal Bulut, Zeli̇ha Koçak Tufan, Hati̇ce Uludağ Altun, Günay Ertem, Fatma Şebnem Erdi̇nç
Evaluation Of Genexpert Vana/Vanb Assay For The Detection Of Vancomycin-Resistant Enterococci In Patients Newly Admitted To Intensive Care Units, Server Yağci, Çi̇ğdem Ataman Hati̇poğlu, Şeri̇fe Altun, Cemal Bulut, Zeli̇ha Koçak Tufan, Hati̇ce Uludağ Altun, Günay Ertem, Fatma Şebnem Erdi̇nç
Turkish Journal of Medical Sciences
The automated Cepheid GeneXpert system provides rapid PCR results and can be used for the identification of VRE. We aimed to evaluate the use of the Cepheid Xpert vanA/vanB real-time PCR assay for the detection of VRE from rectal swabs of patients newly admitted to intensive care units in a hospital setting. Materials and methods: Rectal swab samples of patients newly admitted to 6 intensive care units from March 2011 to February 2012 were obtained. The specimens were analyzed by the GeneXpert system. The results were reported for both vanA and vanB as negative or positive. Results: Comparing the number …
Invasive Device-Associated Hospital Infection Rates, Etiological Agents, And Their Antibiotic Susceptibilities In The Medical Intensive Care Unit Of A University Hospital In Turkey, Sali̇ha Çevi̇k, Vuslat Boşnak, Mustafa Namiduru, İlkay Karaoğlan, Ayşe Özlem Mete
Invasive Device-Associated Hospital Infection Rates, Etiological Agents, And Their Antibiotic Susceptibilities In The Medical Intensive Care Unit Of A University Hospital In Turkey, Sali̇ha Çevi̇k, Vuslat Boşnak, Mustafa Namiduru, İlkay Karaoğlan, Ayşe Özlem Mete
Turkish Journal of Medical Sciences
To determine the rate, etiological agents, antibiotic susceptibilities, and empirical treatment options of etiological agents of invasive device-associated hospital infections (IDAHIs) in the medical intensive care unit of a university hospital. Materials and methods: Between February 2007 and December 2009, 780 IDAHI cases were evaluated in 1650 patients. Results: Ventilator associated pneumonia, catheter-associated urinary tract infection, and central venous catheter-associated blood stream infection were observed in 415, 242, and 143 IDAHI cases, respectively. The most frequently isolated etiological agents were Acinetobacter spp. in ventilator-associated pneumonia, coagulase-negative staphylococci (CoNS) in central venous catheter-associated blood stream infection, and Candida spp. and E. …
Tetanus In An Intensive Care Unit Of A Turkish Hospital: Patient Analysis Of A 6-Year Period, Behi̇ce Kurtaran, Emre Karakoç, Aslihan Candevi̇r, Süheyla Kömür, Ayşe Seza İnal, Fi̇li̇z Ki̇bar, Yeşi̇m Taşova, Neşe Saltoğlu, Hasan Sali̇h Zeki̇ Aksu
Tetanus In An Intensive Care Unit Of A Turkish Hospital: Patient Analysis Of A 6-Year Period, Behi̇ce Kurtaran, Emre Karakoç, Aslihan Candevi̇r, Süheyla Kömür, Ayşe Seza İnal, Fi̇li̇z Ki̇bar, Yeşi̇m Taşova, Neşe Saltoğlu, Hasan Sali̇h Zeki̇ Aksu
Turkish Journal of Medical Sciences
To retrospectively evaluate the clinical features of patients admitted to the medical intensive care unit (ICU) of our hospital between January 2001 and May 2007 due to tetanus. Materials and methods: Patient vaccination history, incubation period, nosocomial infections, noninfectious conditions, mortality, and length of stay in the ICU and hospital were documented. Results: Fifteen tetanus patients were admitted during the 6-year period. Mean age of the patients (9 male, 6 female) was 60 ± 13 years. Median length of stay was 42 days (range: 30-77 days) for survivors and 7 days (range: 1-59 days) for non-survivors. Mortality was consequent to …
Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand
Predisposing Factors For Serum Sodium Disturbance In Patients With Severe Traumatic Brain Injury (Sbi), Mohammadreza Safavi, Saied Abrishamkar, Poria Tvakoli, Daruosh Moradi, Azim Honarmand
Turkish Journal of Medical Sciences
Disturbances in the plasma sodium level in patients with severe brain injury (SBI) is not a rare phenomenon and may cause adverse effects on prognosis and treatment outcomes. The knowledge of the prevalence of risk factors helps in early detection and good management of the serum sodium level disturbance. Materials and methods: This is a prospective clinical trial double blind study. The target population included patients with SBI who had disturbances in their plasma sodium level and were admitted at the ICU of Kashani Hospital, Isfahan, Iran, between January and October 2006. The patients with renal insufficiency, diuretic therapy, massive …
The Risk Factors And Spread Of Multidrug-Resistant Acinetobacter Baumannii In Intubated Patients In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Sesi̇n Kocagöz, Gökhan Metan, Duygu Esel, Yeşi̇m Gürol, Mehmet Doğanay
The Risk Factors And Spread Of Multidrug-Resistant Acinetobacter Baumannii In Intubated Patients In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Sesi̇n Kocagöz, Gökhan Metan, Duygu Esel, Yeşi̇m Gürol, Mehmet Doğanay
Turkish Journal of Medical Sciences
Aim: Acinetobacter baumannii is one of the most common causes of ventilator-associated pneumonia in intensive care units. The aim of this study was to determine the risk factors for colonization in the respiratory tract and infection with A. baumannii in a medical intensive care unit (MICU), and to examine the genetic link between strains and the spread of isolates. Materials and methods: This study was conducted prospectively between 1 December 2004 and 31 January 2006 in the MICU. Patients (> 16 years old) admitted to the MICU that were mechanically ventilated and/or intubated were enrolled in the study. Results: Ninety-eight …
Risk Factors For Acquisition Of Methicillin-Resistant Staphylococcus Aureus And Clonal Spread Of The Isolates In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Duygu Esel, Gökhan Metan, Mehmet Doğanay
Risk Factors For Acquisition Of Methicillin-Resistant Staphylococcus Aureus And Clonal Spread Of The Isolates In A Medical Intensive Care Unit, Emi̇ne Alp, Mehmet Yerer, Duygu Esel, Gökhan Metan, Mehmet Doğanay
Turkish Journal of Medical Sciences
Aim: Methicillin-resistant Staphylococcus aureus (MRSA) is still the commonest pathogen in hospital-acquired infections with high morbidity and mortality. MRSA colonization usually precedes infection and dissemination of the microorganism. The aim of this study was to determine risk factors for the colonization and infection with MRSA in a medical intensive care unit (MICU) and to show the genetic relation of strains. Materials and methods: This study was conducted prospectively between 1 December 2004 and 31 January 2006 in MICU. Patients (>16 years) admitted to the MICU were screened for MRSA on admission (in the first 48 hours), at the end …