- Turkish Journal of Medical Sciences
- Vol: 49 Issue: 4
- Bloodstream infections in pediatric hematology/oncology patients: Six years? experience of a single ...
Bloodstream infections in pediatric hematology/oncology patients: Six years? experience of a single center in Turkey
Authors : Tuğçe Tural Kara, Tuğba Erat, Aysun Yahşi, Halil Özdemir, Dilber Talia Ileri, Elif Ince, Nurdan Taçyildiz, Emel Ünal, Ergin Çiftci, Erdal Ince
Pages : 1157-1164
View : 16 | Download : 3
Publication Date : 9999-12-31
Article Type : Makaleler
Abstract :Background/aim: Bloodstream infections are the major cause of morbidity, increased cost, prolonged hospitalization, and mortality in pediatric patients. Identifying the predominant microorganisms and antimicrobial susceptibilities in centers helps to select effective empirical antimicrobials which leads to positive clinical outcomes. We aimed to identify the causative microorganisms and their antimicrobial susceptibilities in patients with bloodstream infections.Materials and methods: Data belonging to patients with hematological and/or oncological diseases admitted to our hospital with fever between January 2010 and November 2015 were analyzed. Results: In total, 71 patients who had 111 bloodstream infection episodes were included. Responsible pathogens were detected as follows: 35.1% gram-positive microorganisms, 60.5% gram-negative bacteria, and 4.4% fungi. The most common causative gram-negative pathogen was Escherichia coli and the most commonly isolated gram-positive microorganism was coagulase-negative staphylococci.Conclusion: Gram-negative microorganisms were predominant pathogens in bloodstream infections. Escherichia coli and coagulase-negative staphylococci were the most commonly isolated responsible pathogens. Beta-lactam/lactamase inhibitors were suitable for empirical treatment. However, in critical cases, colistin could have been used for empirical treatment until the culture results were available. Routine glycopeptide use was not required. By identifying the causative microorganisms and their antimicrobial resistance patterns, it will be possible to obtain positive clinical results.Keywords : Bloodstream infections, hematology and oncology, microorganisms