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  1. Article ; Online: The antibiotic sensitivity of bacteria isolated from urine cultures

    Kemal Tolga Saraçoğlu / Vural Fidan / Özgür Pekel / Ayten Saraçoğlu / Sadettin Kalkandelen / Emre Arpalı

    Journal of Clinical and Experimental Investigations, Vol 4, Iss 3, Pp 356-

    2013  Volume 359

    Abstract: Objective: Urinary tract infections (UTI) come upon acommon infection disease in hospital. Empiric antibiotictherapy for patients with suspected UTI is commonly usedbecause obtaining antibiogram result is usually time consuming.Aim of the study was to ... ...

    Abstract Objective: Urinary tract infections (UTI) come upon acommon infection disease in hospital. Empiric antibiotictherapy for patients with suspected UTI is commonly usedbecause obtaining antibiogram result is usually time consuming.Aim of the study was to investigate urine cultureand antibiogram results of patients who were admitted toour hospital.Methods: Urine cultures were investigated between November2008 and June 2010 in database of laboratoryinformation system. Samples of isolated microorganismand antibiogram results were evaluated.Results: Microorganisms were isolated in 691 of 1342urine cultures. Polymicrobial infection was determined in46 patients. Most common identified microorganism wasE. coli (71.3%). If all samples considered, bacteria resistancewas detected against to ampicilline, trimethoprim/sulfamethoxazole (TMP/SMX) ampicilline/sulbactam(AMS) and ciprofloxacin (CIP) (52.1%, 39.5%, 22.7%and 19.6%). Lower bacterial resistance was determinedagainst amicasin, gentamicine, tobramicine and nitrofurantoin(7.9%, 3.3%, 17.5% and 12.6%). As E. coli isolatedsamples were investigated, bacterial resistance wasdetected against ampicilline, CIP, levofloxacin and TMP/SMX (58.1%, 40.8%, 36.1% ve 39.5%). Nitrofurantoin,amicasin, gentamicine and tobramicine were found assensitive antibiotics (90.3%, 88.9%, 79.4% and 69.9%).Conclusion: High bacterial resistance was determinedagainst to most preferred empiric antibiotics which areTMP/SMX, AMS and also CIP. J Clin Exp Invest 2013; 4(3): 356-359Key words: antibiogram; drug resistance; urine culture
    Keywords antibiogram ; drug resistance ; urine culture ; Medicine ; R
    Language English
    Publishing date 2013-09-01T00:00:00Z
    Publisher Modestum Publishing LTD
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Evaluation of diagnosis and surgical therapy in cases with acute mechanical bowel obstruction due to colon carcinoma

    Mustafa Uygar Kalaycı / Halil Alış / Selin Kapan / Ahmet Nuray Turhan / Kemal Dolay / Özgür Pekel / Hakan Yiğitbaş / Erşan Aygün

    Medical Journal of Bakirköy , Vol 2, Iss 1, Pp 60-

    2005  Volume 63

    Abstract: Objective: Acute mechanical large bowel obstructions comprise 15% of colorectal emergencies as well as 30% of hospital admittance due to colon carcinoma. Surgical therapy options are still debatable. Morbidity and mortality rates are high in elderly ... ...

    Abstract Objective: Acute mechanical large bowel obstructions comprise 15% of colorectal emergencies as well as 30% of hospital admittance due to colon carcinoma. Surgical therapy options are still debatable. Morbidity and mortality rates are high in elderly cases with comorbid diseases. The aim of this study is to evaluate the surgical therapy options in cases presenting with mechanical large bowel obstructions due to colon carcinoma. Material and Methods: Thirty-two cases with acute mechanical large bowel obstruction presenting with abdominal pain, nausea and vomiting among 184 cases operated for colon carcinoma between March 2003 and November 2005 were included in this retrospective study. Age, gender, presenting symptoms on admittance, presence of comorbid diseases, diagnosis, adjuvant treatment options, type of surgical and endoscopic therapy, and results were evaluated. Results: Female to male ratio was 12/20 with a mean age of 58 (48-85). Twenty-one cases had (65.6%) comorbid diseases. Emergency colonoscopy was performed in 19 cases (59.3%) to confirm the diagnosis. Type of surgical procedure performed was sigmoid resection in 14 cases (43.7%), right hemicolectomy in 7 cases (21.8%), and subtotal colectomy in 5 cases (15.6%). In 11 of these cases (34.3%) primary anastomosis was performed whereas either colostomy or ileostomy was performed in the remaining 15 cases (46.8%). Stent placement was applied to 6 cases (18.7%). The morbidity rate was 37.5% (12 cases) with 6 of them being major complications occurring in the abdomen. Mean hospital stay was 11.9 (3-25) days. The mortality rate was 15.6% (5 cases). Conclusion: There are several treatment options in the therapy of acute mechanical large bowel obstructions. Emergency colonoscopy is beneficial in diagnosis and selection of the appropriate treatment. Primary anastomosis, colostomy or stent placements are the favorite options according to the condition of the cases.
    Keywords Colon carcinoma ; obstruction ; resection ; stent ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610 ; 616
    Language English
    Publishing date 2005-01-01T00:00:00Z
    Publisher Yerkure Tanitim ve Yayincilik
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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