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Çocukluk çağı idrar yolu enfeksiyonlarında Escherichia coli ve antibiyotik direnci

SDÜ Tıp Fakültesi Dergisi; Vol 13, No 2 (2006) 01/2006;
Source: OAI

ABSTRACT SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2006 Haziran; 13(2) Çocukluk çağı idrar yolu enfeksiyonlarında Escherichia coli ve antibiyotik direnci Hasan Çetin, Faruk Öktem, Ahmet R. Örmeci, Birdal Yorgancıgil, Güler Yaylı Özet EGb 761.in Mannitol ve U74389F ile karşılaştırmalı olarak serebral iskemi üzerine koruyucu rolü Amaç: Çocukluk çağında idrar yolu enfeksiyonları ve antibiyotik direnci halen önemli bir sağlık sorunudur. Bu çalışmada E. coli ile gelişen idrar yolu enfeksiyonunda antibiyotik direncini ve yıllar içinde antibiyotik direncinde gelişen değişiklikleri ortaya çıkarmayı amaçladık. Yöntem: İdrar yolu enfeksiyonu olan çocukların mikrobiyolojik sonuçlarını retrospektif olarak değerlendirdik. Bulgular: İki yılda E. coli ile gelişen toplumdan kazanılmış idrar yolu enfeksiyonu olan 132 çocuk vardı. Ampisiline %79, ampisilin-sulbaktama %63.2, amoksisilin klavunata %53, ko-trimoksazole %82.2, gentamisine %6.6, netilmisine %10, amikasine %11.5, sefuroksime %21.9 ve seftriaksona %6.8 oranında direnç saptandı. Ko-trimoksazole karşı dirençte 3 yıl içinde anlamlı artış görüldü (p

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