A Retrospective Analysis of Anaerobic Bacteria Isolated in 236 Cases of Pleural Empyema and their Prevalance of Antimicrobial Resistance in Turkey

Demırci, Mehmet; Gemicioğlu, Bilun; Sarıbaş, Suat; Taner, Zeynep; Mamal-Torun, Muzeyyen; Karatoka, Belma; Asik-Cagli, Linda; Güven, Özlem; Demiryas, Süleyman; Kocazeybek, Bekir; Bahar-Tokman, Hrisi

doi:10.7754/clin.lab.2018.180317

Cited by 2 publications

(2 citation statements)

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“…S. aureus ise toplum kökenli pnömonilerin %2'sinin patojeniyken; erişkinlerde %10, pediatrik yaşlarda %50 oranında PA'ya neden olur [13] . Demirci ve arkadaşlarının yaptıkları çalışmada, PA'lar da %27.9 oranında anaerop kültür üremesi sağlamışlardır [14] . Serimizde anaerop bakteri üremesi olmaması hastanelerimizde rutin anaerop kültür alınmamasına bağlanmıştır.…”

Section: Bulgularunclassified

“…Etkili plevral drenaj, uygun antibiyoterapi, gereğinde cilt/cilt altı dokulara yönelik debridman/drenaj ve hastanın genel durumunun desteklenmesi tedavinin temelleridir. Tuzaklanmış akciğerin serbestlenmesi ve ekspansasyon sağlanması, medikal tedavinin etkisiz kaldığı loküle plevral odakların ortadan kaldırılması majör cerrahi için endikasyonlardır [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] . Serimizde AN hastaları genel ampiyem popülasyonuna göre daha geç opere edilmişti.…”

Section: Bulgularunclassified

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An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

Avcı¹,

Kuşçu²,

Ulu³

et al. 2019

FLORA

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Giriş: Plevral ampiyem (PA), plevra yaprakları arasında infekte mayi bulunmasıdır. Ampiyema nesessitatis (AN) ise PA'nın pariyetal plevra ve endotorasik fasiayı geçerek çevre yumuşak dokular içinde yayılması ve cilt altı yayılımı ile bazen cilde fistülize olmasıyla karakterize, nadir bir komplikasyonudur. Ayırıcı tanıda karmaşıklığa neden olur. Bu çalışmada, AN risk faktörlerinin tespit edilmesi, tanı ve tedavisinde tecrübelerimizin paylaşımı amaçlanmıştır.

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Section: Bulgularunclassified

An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

Avcı¹,

Kuşçu²,

Ulu³

et al. 2019

FLORA

View full text Add to dashboard Cite

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Phenotypic and Genotypic Investigation of the Resistance of Pathogenic Bacteroides fragilis Group Bacteria to Carbapenems

Özkar,

Alpsoy,

Ülger

2024

Clinical and Experimental Health Sciences

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Objective: Bacteroides fragilis, predominantly found in the intestinal microbiota, is one of the most frequently encountered anaerobic pathogens and exhibits resistance to many antimicrobials. The carbapenem-resistant B. fragilis (CR-BF) isolates have been reported in several countries recently with increasing global attention. The high frequency of CR-BF in our hospitalized patients has become an important problem. For this reason, B. fragilis isolated in our hospital need to be closely monitored for carbapenem resistance. Therefore, we aimed to determine carbapenem resistance in B. fragilis isolated from clinical samples and the presence of the cfiA gene, which encodes for carbapenemase. Methods: B. fragilis strains isolated from various clinical samples collected between January 2018 and December 2022 were included in the study. Identification of the isolates was performed using MALDI-TOF MS. The susceptibility testing for meropenem and imipenem was determined by the agar dilution method. The cfiA gene was detected by PCR. Results: A total 89 B. fragilis strains were studied, mostly from intra-abdominal abscesses (31%) and blood cultures (27%). Susceptibility rates for meropenem and imipenem were 85.4% and 89%, respectively. Notably, 12 out of 13 cfiA gene-positive isolates were resistant, suggesting this gene as a marker for carbapenem resistance. However, resistance in one cfiA-negative isolates implies alternative resistance mechanisms. Conclusion: Routine anaerobic culture, determination of antibiotic susceptibility profiles of isolates, and close monitoring are crucial for managing infections. Regular antimicrobial susceptibility testing helps predict the risk of developing carbapenem resistance, assists clinicians in selecting appropriate antibiotics for empirical therapy, and improves treatment success rates.

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A Retrospective Analysis of Anaerobic Bacteria Isolated in 236 Cases of Pleural Empyema and their Prevalance of Antimicrobial Resistance in Turkey

Abstract: The use of antimicrobial agents for thoracic empyema should be based on the isolated pathogens and their resistance profiles. Clinicians should be aware of the wide diversity of anaerobic genera and species in cases of pleural empyema.

Cited by 2 publications

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An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

An Overlooked Complication, Empyema Necessitatis: An Analysis of 766 Empyema Cases

Phenotypic and Genotypic Investigation of the Resistance of Pathogenic Bacteroides fragilis Group Bacteria to Carbapenems

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