Withdrawal of Staphylococcus aureus from intensive care units in Turkey
Erdem, H.; Dizbay, M.; Karabey, S.; Kaya, S.; Demirdal, T.; Koksal, I.; Inan, A.; Erayman, I.; Ak, O.; Ulu-Kilic, A.; Karasahin, O.; Akbulut, A.; Elaldi, N.; Yilmaz, G.; Candevir, A.; Gul, H.C.; Gonen, I.; Oncul, O.; Aslan, T.; Azak, E.; Tekin, R.; Kocak Tufan, Z.; Yenilmez, E.; Arda, B.; Gungor, G.; Cetin, B.; Kose, S.; Turan, H.; Akalin, H.; Karabay, O.; Dogan-Celik, A.; Albayrak, A.; Guven, T.; Celebi, G.; Ozgunes, N.; Ersoy, Y.; Sirmatel, F.; Oztoprak, N.; Balkan, I.I.; Bayazit, F.N.; Ucmak, H.; Oncu, S.; Ozdemir, D.; Ozturk-Engin, D.; Bitirgen, M.; Tabak, F.; Akata, F.; Willke, A.; Gorenek, L.; Ahmed, S.S.; Tasova, Y.; Ulcay, A.; Dayan, S.; Esen, S.; Leblebicioglu, H.; Altun, B.; Unal, S.
Tarih:
2013
Özet:
Background: In the past, Staphylococcus aureus infections have displayed various patterns of epidemiologic curves in hospitals, particularly in intensive care units (ICUs). This study aimed to characterize the current trend in a nationwide survey of ICUs in Turkey. Methods: A total of 88 ICUs from 36 Turkish tertiary hospitals were included in this retrospective study, which was performed during the first 3 months of both 2008 (period [P] 1) and 2011 (P2). A P value ≤.01 was considered significant. Results: Although overall rates of hospital-acquired infection (HAI) and device-associated infection densities were similar in P1 and P2, the densities of HAIs due to S aureus and methicillin-resistant S aureus (MRSA) were significantly lower in P2 (P <.0001). However, the proportion of HAIs due to Acinetobacter was significantly higher in P2 (P <.0001). Conclusions: The incidence of S aureus infections is declining rapidly in Turkish ICUs, with potential impacts on empirical treatment strategies in these ICUs. Copyright © 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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