The infections caused by bacteria that reproduce in blood cultures are important medical problems that cause morbidity and mortality. The infections caused by resistant microorganisms are gradually increasing because of the patient’s long stay in hospital, invasive procedures, and application of multi and parenteral antibiotic treatment. The microorganisms that reproduced in the blood cultures of patients in different cultures between 2010-2015 in Diyarbakır Selahaddin Eyyübi State Hospital and the resistance of these microorganisms to antibiotics were assessed retrospectively. In the study, a total of 196 patients’ blood culture results were examined retrospectively. A total of 66.8% of the growth microorganisms (127) were composed of Gram positive cocci, 26.5% of them (52) were composed of Gram-negative bacilli and 6.7% of them (11) were composed of Candida spp. Among the reproduced microorganisms, coagulase negative staphylococci (CNS) were found to be 52.5% (103), Staphylococcus aureus to be 4.9% (9), Acinetobacter spp to be 7.3% (14), Escherichia coli to be 4.7% (9), Klebsiella spp to be 8.4% (16), Candida spp. to be 6.7% (11), Pseudomonas spp. to be 4.7% (9), Enterococcus faecalis to be 2% (4), Micrococcus luteus to be 2% (4), Kocuria kristinae to be 2.5% (5), Rhizobium radiobacter to be 0.5% (1), Leuconostoc mesenteroides subsp. cremoris to be 1% (1), Sphingomonas paucimobilis 0.5% (1), Pantoea spp. to be 0.5% (1), and Stenotrophomonas maltophilia to be 0.5% (1). The highest rate of resistance was found to be against meropenem, imipenem and ceftazidime in Acinetobacter spp with 80%, against ceftazidime in Klebsiella spp with 73.4%, against imipenem with 75%, against meropenem and ciprofloxacin with 62.5% in Pseudomonas aeruginosa, and against ceftriaxon, cefuroxime and cefuroxime axetil in Escherichia coli with 60%. Penicillin with 100% and tetracycline with 33.3% in S. aureus; penicillin with 97.6% and erythromycin with 82.1% were the antibiotics to which the highest resistance developed. While no resistance was determined against fusidic acid, trimethoprim sulfamethoxazole, linezolid, vancomycin, teicoplanin, and tigecycline in S. aureus, the resistance was not determined only against tigecycline and vancomycin in CNS. Fifty seven % of S. aureus strains and 83.8% of CNS strains were found to be resistant to methicillin. In our study, it is aimed to determine the mostly reproduced bacteria in blood samples as the result of blood circulation infections of patients staying in different clinics and to research their resistance profiles that developed against antibiotics retrospectively.
Published in | Journal of Family Medicine and Health Care (Volume 2, Issue 4) |
DOI | 10.11648/j.jfmhc.20160204.14 |
Page(s) | 43-50 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Blood Cultures, Antibiotic Sensitivity, S. aureus, Coagulase Negative Staphylococcus
[1] | Mehli M., Gayyurhan E.D, Zer Y, Akgün S, Özgür Akın FE, Balcı İ. Microorganism isolated in blood cultures in the Gaziantep University hospital and their susceptibility to antibiotics. Infection Journal. 2007; 21: 141-5. |
[2] | Enoch DA, Birkett CI, Ludlam HA. Non-fermentative Gram-negative bacteria. Int J Antimicrob. Agents. 2007; 29: 33-1. |
[3] | Tang PC, Lee CC, Li CW, Li MC, Ko WC, Lee NY. Time-to-positivity of blood culture: An independent prognostic factor of monomicrobial Pseudomonas aeruginosa bacteremia. J Microbiol Immunol Infect. 2015; 15: 1684-182. |
[4] | Weinstein MP. Current blood culture methods and systems: clinical concepts, technology, and interpretation of results. Clin Infect Dis. 1996; 23: 40-6. |
[5] | Hall MJ, Williams SN, DeFrances CJ, Golosinskiy A. Inpatient care for septicemia or sepsis: A challenge for patients and hospitals. NCHS Data Brief. 2011; 62: 1-8. |
[6] | Negussie A, Mulugeta G, Bedru A, Ali I, Shimeles D, Lema T, Aseffa A. Bacteriological profile and antimicrobial susceptibility pattern of blood culture isolates among septicemia suspected children in selected hospitals Addis Ababa, Ethiopia. Int J Biol Med Re. 2015; 6: 4709-717. |
[7] | Karakoç AE, Ayyorgun Ş, Yücel M, Gündüz E. Microbiological Evaluation of an annual blood culture results. Dahili Tıp Bilimleri Dergisi. 2006; 13: 2-6. |
[8] | Yüce P, Demirda K, Kalkan A, Özden M, Denk A, Kılıç SS. The Microorganisms Isolated from Blood Samples and their Susceptibility to Antibiotics. ANKEM Derg. 2005; 19(1): 17-1. |
[9] | Ç. Çiçek AŞ. Köksal Z, Ertürk A, Köksal E. Microorganisms isolated from blood cultures during the period of one year at the 82nd Year Rize State Hospital and their susceptibility to antibiotics. Turk Hij Den Biyol Derg. 2011; 68: 175-184. |
[10] | A.Altıntop Y, Karagöz S. Kayseri Traınıng Research Hospital Blood Culture Evaluation Results: Two-Year Results. 3. National Clinical Microbiology Congress.18-22 November 2015, Antalya, Turkey. |
[11] | Kuvat N, Nasuhbeyoğlu N, Özdemir B, Özdalgıçoğlu C, Esen A.B. Blood culture microorganisms are breeding in the intensive care unit at the inpatient and antibiotic sensitivity. 3. National Clinical Microbiology Congress, 18-22 November. 2015, Antalya, Turkey. |
[12] | Öksüz Ş, Yavuz T, Şahin I, Yıldırım M, Akgüno¤lu M, Kaya D, Öztürk E. Microorganisms Isolated from Blood Cultures and Susceptibility to antibiotics. Türk Mikrobiyol Cem Derg (2008) 38 (3-4): 117-121. |
[13] | Duman Y, Kuzucu Ç, Çuğlan SS. And antimicrobial susceptibility of bacteria isolated from blood cultures. Erciyes Tıp Dergisi 2011; 33: 189-96. |
[14] | Ece G. The Evaluation of the Distribution and Antimicrobial Susceptibility Profile of the Strains Isolated from Blood Cultures. Med Bull Haseki 2013; 51: 151-56 |
[15] | Çilli F, Soylu M, Aydemir Ş, Tünger A. Anesthesiology and Reanimation Clinic Intensive Care Unit at the hospital-acquired infections DISEASE Tagged: 2014 Year of Active Distribution and a variety of microorganisms are the antibiotic susceptibilities. 3. National Clinical Microbiology Congress. 18-22 November 2015. Antalya, Turkey. |
[16] | Wasihun AG, Wlekidan LN, Gebremariam SA, Dejene TA, Welderufael AL, et al. Bacteriological profile and antimicrobial susceptibility patterns of blood culture isolates among febrile patients in Mekelle Hospital, Northern Ethiopia. Springerplus. 2015; 4: 314-17. |
[17] | Nwadioha SI, Kashibu E, Alao OO, Aliyu I. Bacterial isolates in blood cultures of children with suspected septicaemia in Kano: a two-year study. Niger Postgrad Med J. 2011; 18: 130-33. |
[18] | Er H, Aşık G, Yoldaş Ö, Demir C, Keşli R. Determination of the Microorganisms Isolated from Blood Cultures and Their Antibiotic Susceptibility Rates Aim: Sepsis is a serious, life-threatening condition that progresses. Türk Mikrobiyol Cem Derg. 2015;45:48-4. |
[19] | Willke A, Azak E. Reproductive microorganisms from blood cultures and antibiotic sensitivity: Three-Year Results. ANKEM Derg. 2011;25 (Ek 1). |
[20] | Dokutan A, Hacıseyitoğlu D, Çağ Y, P.Yıldırım E, Batırel A, Özer S, Gönüllü N. The isolated from a clinical sample in Staphylococcus resistance to linezolid and Antibiotic Sensitivity. 3. Ulusal Klinik Mikrobiyoloji Congress. 18-22 Kasım 2015, Antalya, Turkey. |
[21] | Mootsikapun P, Trakulsomboon S, Sawanpanyalert P, Aswapokee N, Suankratay C. An overview of antimicrobial susceptibility patterns of Gram-positive bacteria from National Antimicrobial Resistance Surveillance Thailand (NARST) proGram from 2000 to 2005. J Med Assoc Thai. 2009; 92: 87-90. |
[22] | Rhee Y, Aroutcheva A, Hota B, Weinstein RA, Popovich KJ. Evolving Epidemiology of Staphylococcus aureus Bacteremia. Infect Control Hosp Epidemiol. 2015; 36: 1417-422. |
[23] | Yılmaz N, Köse Ş, Ağuş N, Ece G, Akkoçlu G, Kıraklı C. Microorganisms Isolated from Blood Cultures of Intensive Care Unit Patients, their Antimicrobial Susceptibility and Etiological Agents in Nosocomial Bacteremia. ANKEM Derg 2010; 24: 12-9. |
[24] | Khorshed A, Özbal Y. Identification of Coagulase Negative Stphylococci Isolated From Blood Cultures and Determination and Investigation of Antibiotic Susceptibility. Sağlık Bilimleri Dergisi. 2012;21 153-63. |
[25] | F.Olivares M, H.Orozco R, Gutierrez RS, et al. Activity of daptomycin, ciprofloxacin, clindamycin and cotrimoxazole against coagulase-negative Staphylococcus strains with diminished susceptibility to vancomycin. Rev Esp Quimioter. 2010; 23: 81-6. |
[26] | Koksal F, Samastı M: cases of resistance to antibiotics of enteric bacteria isolated from blood cultures. Klimik Derg. 2002; 15: 25-8. |
[27] | Fındık D, Tuncer, Ural O, Arslan U: Antibiotic Susceptibility of Gram-Negative Bacteria which are the causative agents of hospital infection. İnfeksiyon Derg. 2001; 15: 489-93. |
[28] | Bektöre B, Selek B M, Kula Atik T, Karakaş Ü, Sezer O, Baylan O.et al. A Training Research Features of the Isolated from Clinical Specimens Factors in Intensive Care in Hospital. 3. National Clinical Microbiology Congress. 18-22 November 2015. Antalya, Turkey. |
[29] | Al-Dorzi HM, Asiri AM, Shimemri A, Tamim HM, Al Johani SM, Al Dabbagh T, Arabi YM. Impact of empirical antimicrobial therapy on the outcome of critically ill patients with Acinetobacter bacteremia. Ann Thorac Med. 2015; 10: 256-62. |
[30] | K. Uzun B, Güngör SŞ, İlgün M, Özdemir R, Baran N, Ergin Ö.Y. The Frequency of Extended-spectrum Beta-lactamases and In-vitro Antibiotic Resistance in Escherichia coli and Klebsiella pneumoniae Strains Isolated from Blood Cultures. ANKEM Derg. 2012; 26: 181-86. |
[31] | Gür D, Gülay Z, Akan OA, Aktaş Z, Kayacan C.B.et ol, Cakici O, Eraç B, Gültekin M, Oğünç D, Söyletir G, Unal N, Uysal S. Resistance to newer beta-lactams and related ESBL types in Gram-negative nosocomial isolates in Turkish hospitals: results of the multicentre HITIT study. Mikrobiyol Bul. 2008; 42: 537-44. |
[32] | Uzun B, Güngör S, Yurtsever S G, Afşar İ, Demirci M. Evalution of Resistance to Various Antibiotics in Pseudomonas aeruginosa and Acinetobacter baumannii Strains Isolated from Blood Cultures of Intensive Care Patients. ANKEM Derg 2012;26: 55-0. |
[33] | Ekincioğlu P, Perçin D. Antibiotic Susceptibilities of Clinical Pseudomonas aeruginosa Isolates. Journal of Health Sciences. 2013; 22: 141-49. |
[34] | Türk Dağı H, Arslan U, Fındık D, Tuncer İ. Antibiotic Resistance Rates in Pseudomonas aeruginosa Strains Isolated from Blood Cultures. ANKEM Derg. 2011; 25: 107-10. |
[35] | Pitout JD, Laupland KB. Extended-spectrum beta- lactamase-producing enterobacteriaceae: an emerging public health concern. Lancet Infect Dis. 2008; 8: 159-66. |
[36] | Ruppé E, Hem S, Lath S et al. CTX-M b-lactamases in Escherichia coli from community-acquired urinary tract infections Cambodia. Emerg Infect Dis. 2009; 15: 741-8. |
[37] | Etiz Z P, Kibar F, Ekenoğlu Y, Yaman A. Retrospective Evaluation of Distribution and Antifungal Susceptibilities of Candida Species Isolated from Blood Cultures. ANKEM Derg. 2015; 29: 105-13. |
[38] | Gültekin B, Eyigör M, Telli M, Aksoy M, Aydın N. Retrospective Investigation of Candida Species Isolated from Blood Cultures during a Seven-year Period. ANKEM Derg. 2010; 24: 202-08. |
[39] | Keçeli Özcan S, Mutlu B, Dündar D, Willke A. Comparison of broth microdilution and E-test methods for the antifungal susceptibility testing of Candida spp. strains isolated from blood cultures. Mikrobiyol Bul 2010; 44: 263-71. |
APA Style
Mine Turhanoglu, Esra Koyuncu, Fulya Bayındır Bilman, Arzu Onur, Fikret Tekay. (2016). Evaluation of the Results Obtained from Microbiological Analysis of Blood Cultures over 5 Years. Journal of Family Medicine and Health Care, 2(4), 43-50. https://doi.org/10.11648/j.jfmhc.20160204.14
ACS Style
Mine Turhanoglu; Esra Koyuncu; Fulya Bayındır Bilman; Arzu Onur; Fikret Tekay. Evaluation of the Results Obtained from Microbiological Analysis of Blood Cultures over 5 Years. J. Fam. Med. Health Care 2016, 2(4), 43-50. doi: 10.11648/j.jfmhc.20160204.14
AMA Style
Mine Turhanoglu, Esra Koyuncu, Fulya Bayındır Bilman, Arzu Onur, Fikret Tekay. Evaluation of the Results Obtained from Microbiological Analysis of Blood Cultures over 5 Years. J Fam Med Health Care. 2016;2(4):43-50. doi: 10.11648/j.jfmhc.20160204.14
@article{10.11648/j.jfmhc.20160204.14, author = {Mine Turhanoglu and Esra Koyuncu and Fulya Bayındır Bilman and Arzu Onur and Fikret Tekay}, title = {Evaluation of the Results Obtained from Microbiological Analysis of Blood Cultures over 5 Years}, journal = {Journal of Family Medicine and Health Care}, volume = {2}, number = {4}, pages = {43-50}, doi = {10.11648/j.jfmhc.20160204.14}, url = {https://doi.org/10.11648/j.jfmhc.20160204.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160204.14}, abstract = {The infections caused by bacteria that reproduce in blood cultures are important medical problems that cause morbidity and mortality. The infections caused by resistant microorganisms are gradually increasing because of the patient’s long stay in hospital, invasive procedures, and application of multi and parenteral antibiotic treatment. The microorganisms that reproduced in the blood cultures of patients in different cultures between 2010-2015 in Diyarbakır Selahaddin Eyyübi State Hospital and the resistance of these microorganisms to antibiotics were assessed retrospectively. In the study, a total of 196 patients’ blood culture results were examined retrospectively. A total of 66.8% of the growth microorganisms (127) were composed of Gram positive cocci, 26.5% of them (52) were composed of Gram-negative bacilli and 6.7% of them (11) were composed of Candida spp. Among the reproduced microorganisms, coagulase negative staphylococci (CNS) were found to be 52.5% (103), Staphylococcus aureus to be 4.9% (9), Acinetobacter spp to be 7.3% (14), Escherichia coli to be 4.7% (9), Klebsiella spp to be 8.4% (16), Candida spp. to be 6.7% (11), Pseudomonas spp. to be 4.7% (9), Enterococcus faecalis to be 2% (4), Micrococcus luteus to be 2% (4), Kocuria kristinae to be 2.5% (5), Rhizobium radiobacter to be 0.5% (1), Leuconostoc mesenteroides subsp. cremoris to be 1% (1), Sphingomonas paucimobilis 0.5% (1), Pantoea spp. to be 0.5% (1), and Stenotrophomonas maltophilia to be 0.5% (1). The highest rate of resistance was found to be against meropenem, imipenem and ceftazidime in Acinetobacter spp with 80%, against ceftazidime in Klebsiella spp with 73.4%, against imipenem with 75%, against meropenem and ciprofloxacin with 62.5% in Pseudomonas aeruginosa, and against ceftriaxon, cefuroxime and cefuroxime axetil in Escherichia coli with 60%. Penicillin with 100% and tetracycline with 33.3% in S. aureus; penicillin with 97.6% and erythromycin with 82.1% were the antibiotics to which the highest resistance developed. While no resistance was determined against fusidic acid, trimethoprim sulfamethoxazole, linezolid, vancomycin, teicoplanin, and tigecycline in S. aureus, the resistance was not determined only against tigecycline and vancomycin in CNS. Fifty seven % of S. aureus strains and 83.8% of CNS strains were found to be resistant to methicillin. In our study, it is aimed to determine the mostly reproduced bacteria in blood samples as the result of blood circulation infections of patients staying in different clinics and to research their resistance profiles that developed against antibiotics retrospectively.}, year = {2016} }
TY - JOUR T1 - Evaluation of the Results Obtained from Microbiological Analysis of Blood Cultures over 5 Years AU - Mine Turhanoglu AU - Esra Koyuncu AU - Fulya Bayındır Bilman AU - Arzu Onur AU - Fikret Tekay Y1 - 2016/11/03 PY - 2016 N1 - https://doi.org/10.11648/j.jfmhc.20160204.14 DO - 10.11648/j.jfmhc.20160204.14 T2 - Journal of Family Medicine and Health Care JF - Journal of Family Medicine and Health Care JO - Journal of Family Medicine and Health Care SP - 43 EP - 50 PB - Science Publishing Group SN - 2469-8342 UR - https://doi.org/10.11648/j.jfmhc.20160204.14 AB - The infections caused by bacteria that reproduce in blood cultures are important medical problems that cause morbidity and mortality. The infections caused by resistant microorganisms are gradually increasing because of the patient’s long stay in hospital, invasive procedures, and application of multi and parenteral antibiotic treatment. The microorganisms that reproduced in the blood cultures of patients in different cultures between 2010-2015 in Diyarbakır Selahaddin Eyyübi State Hospital and the resistance of these microorganisms to antibiotics were assessed retrospectively. In the study, a total of 196 patients’ blood culture results were examined retrospectively. A total of 66.8% of the growth microorganisms (127) were composed of Gram positive cocci, 26.5% of them (52) were composed of Gram-negative bacilli and 6.7% of them (11) were composed of Candida spp. Among the reproduced microorganisms, coagulase negative staphylococci (CNS) were found to be 52.5% (103), Staphylococcus aureus to be 4.9% (9), Acinetobacter spp to be 7.3% (14), Escherichia coli to be 4.7% (9), Klebsiella spp to be 8.4% (16), Candida spp. to be 6.7% (11), Pseudomonas spp. to be 4.7% (9), Enterococcus faecalis to be 2% (4), Micrococcus luteus to be 2% (4), Kocuria kristinae to be 2.5% (5), Rhizobium radiobacter to be 0.5% (1), Leuconostoc mesenteroides subsp. cremoris to be 1% (1), Sphingomonas paucimobilis 0.5% (1), Pantoea spp. to be 0.5% (1), and Stenotrophomonas maltophilia to be 0.5% (1). The highest rate of resistance was found to be against meropenem, imipenem and ceftazidime in Acinetobacter spp with 80%, against ceftazidime in Klebsiella spp with 73.4%, against imipenem with 75%, against meropenem and ciprofloxacin with 62.5% in Pseudomonas aeruginosa, and against ceftriaxon, cefuroxime and cefuroxime axetil in Escherichia coli with 60%. Penicillin with 100% and tetracycline with 33.3% in S. aureus; penicillin with 97.6% and erythromycin with 82.1% were the antibiotics to which the highest resistance developed. While no resistance was determined against fusidic acid, trimethoprim sulfamethoxazole, linezolid, vancomycin, teicoplanin, and tigecycline in S. aureus, the resistance was not determined only against tigecycline and vancomycin in CNS. Fifty seven % of S. aureus strains and 83.8% of CNS strains were found to be resistant to methicillin. In our study, it is aimed to determine the mostly reproduced bacteria in blood samples as the result of blood circulation infections of patients staying in different clinics and to research their resistance profiles that developed against antibiotics retrospectively. VL - 2 IS - 4 ER -