Ulus Travma Acil Cerrahi Derg. 2012; 18(4): 296-300 | DOI: 10.5505/tjtes.2012.26928

Yanýk ünitesi: Yanýk yarasý ve çevresinde kolonizasyon

Touria Essayagh¹, Alban Zohoun², Khalid Tourabi³, Mohamed Amine Ennouhi³, Abdellatif Boumaarouf³, Hsain Ihrai³, Sakina Elhamzaoui^2
1Mohamed V Souissi Üniversitesi, Rabat Týp Fakültesi, Rabat, Fas
²Mohamed V Askeri Eðitim Hastanesi, Mikrobiyoloji Bölümü, Rabat, Fas
³Mohamed V Askeri Eðitim Hastanesi, Yanýk Birimi, Rabat, Fas

AMAÇ
Rabat’daki askeri hastanenin yanýk ünitesine yatýrýlan hastalardan ve bunlarýn çevrelerinden 1,5 yýllýk bir süre içinde (Temmuz 2009-Þubat 2011) elde edilen patolojik materyalden izole edilen suþlarýn direnç profiline ait karþýlaþtýrmalý bir prospektif çalýþmanýn sonuçlarý sunuldu.
GEREÇ VE YÖNTEM
Bu çalýþmada, yanýklarý nedeniyle hastaneye yatýrýlan hastalara (40 erkek, 20 kadýn; ort. yaþ 38±14.8; daðýlým, 2-80 yaþ) ait 125 patolojik ürünle çalýþýldý. Birinci periyot süresinde 86, ikinci periyot süresinde de 50 artýksýz bakteriyel suþ izole edildi.
BULGULAR
Baskýn suþlar sýrasýyla, Acinetobacter baumannii (%15,6), Pseudomonas aeruginosa (%13,8) ve Staphylococcus aureus (%11) oldu. Ýkinci periyot süresinde A. baumannii (%15,5), P. aeruginosa (%11,3) ve Klebsiella pneumoniae (% 8,5) suþlarýnýn çok olduðunu saptandý. Yanýklý hastalardan elde edilen 104 çevresel örnekten 139 mikroorganizma izole edildi. Koagülaz-negatif stafilokok, iki çalýþma periyodunda da en fazla görülen suþ oldu (%69,2 ve %64,6).
SONUÇ
Bütün suþlar, test edilen deðiþik antibiyotiklere karþý hemen hemen özdeþ duyarlýlýk göstermiþtir.

Anahtar Kelimeler: Antibiyotik direnci, bakteriyel ekoloji; yanýk hastasý; yanýk ünitesi.

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Burn unit: colonization of burn wounds and local environment

Touria Essayagh¹, Alban Zohoun², Khalid Tourabi³, Mohamed Amine Ennouhi³, Abdellatif Boumaarouf³, Hsain Ihrai³, Sakina Elhamzaoui^2
1Medecine Collège Of Rabat. University Mohamed V Souissi Rabat Morocco
²Microbiology Laboratory. Military Teaching Mohamed V Hospital, Rabat Morocco
³Burn Unit. Military Teaching Mohamed V Hospital, Rabat Morocco

BACKGROUND
We present the results of a comparative prospective study of the resistance profile of strains isolated from pathological material of patients hospitalized in the burn unit of the military hospital in Rabat and from their environment over a period of one and a half years (July 2009-February 2011).
METHODS
The study concerned 125 pathological products from patients (40 men, 20 women; mean age 38±14.8 years; range 2 to 80 years) hospitalized with burns. This allowed the isolation of 86 non-redundant bacterial strains during the first period and 50 during the second.
RESULTS
The dominant species were Acinetobacter baumannii (15.6%), followed by Pseudomonas aeruginosa (13.8%) and Staphylococcus aureus (11%). During the second period, we noted the abundance of A. baumannii (15.5%), followed by P. aeruginosa (11.3%) and Klebsiella pneumoniae (8.5%). Of the 104 environmental samples of burn patients, 139 microorganisms were isolated. Coagulase-negative staphylococcus was the most abundant strain in the two study periods (69.2% and 64.6%).
CONCLUSION
All species showed an almost identical sensitivity to the various antibiotics tested.

Keywords: Antibiotic resistance, bacterial ecology; burn patient; burn unit.

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ATIF KOPYALA