Kan Kültür Şişe Sayısı Uygunluğunun Araştırılması
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Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Kan dolaşımı enfeksiyonlarının saptanabilmesi için, kan kültürü alınması gereklidir. Kan kültürleri şişe sayısı ile üreme oranları arasında kanıtlanmış bir ilişki mevcuttur. Rehberler 24 saatlik süre içinde iki ila dört şişe kan kültürü alınmasını önermişlerdir. Bu çalışmada kan kültür şişelerinin sayılarının uygunluğu araştırılmıştır. Gereç ve Yöntem: Bu çalışma Kırıkkale Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji laboratuarında yürütülmüştür. Mart 2013 ile Mart 2014 tarihleri arasında gelen her hastaya ait kan kültür şişelerinin sayısı değerlendirilmiştir. Rehberlere dayanarak 2 ila 4 kan kültür şişesi uygun olarak düşünülmüştür. Kan kültürleri hastaların Cerrahi veya Dahili kliniklere başvurmasına göre iki gruba ayrılmıştır. Verilerin analizi için SPSS 15.0 programı, grupların karşılaştırılması içinde ki kare testi kullanılmıştır ve P<0.05 değeri anlamlı kabul edilmiştir. Bulgular: Çalışma süresi boyunca laboratuarımıza 621 hastaya ait, toplam 1095 kan kültür şişesi gönderilmiştir. 435 hastanın uygun sayıda (2-4) kan kültür şişesine sahip olduğu bulunmuştur. 185 hastada sadece 1, bir hastada ise 4'ten fazla kan kültür şişesinin gönderildiği saptanmıştır. Uygunsuz alım oranları Cerrahi klinikler için %34.4 (66/192), Dahili klinikler için %27.9 (120/429) olarak saptanmıştır (P= 0.107). Sonuç: Her hastane uygun kan kültür şişesi oranlarını araştırmalı ve buna göre gerekli eğitim programlarını yürütmelidir.
ntroduction: In order to detect blood stream infections, blood cultures are essential. There is a proven relation between the number of blood cultures and growing rates. Guidelines offer that 2 to 4 blood cultures should be obtained over a 24 hours period. The aim of this study was to examine the investigation of suitability of number of blood culture bottles. Material and Methods: The study was conducted in Infectious Diseases and Clinical Microbiology Laboratory of Kirikkale University Faculty of Medicine. The number of blood cultures obtained from each hospitalized and admitted patients to our laboratory were evaluated from March 2013 to March 2014. In accordance with guidelines, 2 to 4 blood cultures were accepted as appropriate. Blood cultures were divided into two groups according to admission from internal diseases clinics or surgical clinics. SPSS 15.0 program was used for data analysis and chisquare test was used to compare the groups. P<0.05 was accepted as significant. Results: During the study period, 1095 blood cultures from 621 patients had been admitted to our laboratory. 192 patients were staying in surgical clinics and 429 were in internal diseases clinics. 435 patients had suitable number (2-4) of blood cultures. While a single blood culture was obtained from 185 patients, more than 4 cultures were obtained from 1patient. Unsuitable number of blood cultures was 66 in surgical clinics and 120 in internal diseases clinics (p=0.107). Conclusion: According to our results all hospitals should detect their suitability of number of blood cultures and education programs should be conducted accordingly.
ntroduction: In order to detect blood stream infections, blood cultures are essential. There is a proven relation between the number of blood cultures and growing rates. Guidelines offer that 2 to 4 blood cultures should be obtained over a 24 hours period. The aim of this study was to examine the investigation of suitability of number of blood culture bottles. Material and Methods: The study was conducted in Infectious Diseases and Clinical Microbiology Laboratory of Kirikkale University Faculty of Medicine. The number of blood cultures obtained from each hospitalized and admitted patients to our laboratory were evaluated from March 2013 to March 2014. In accordance with guidelines, 2 to 4 blood cultures were accepted as appropriate. Blood cultures were divided into two groups according to admission from internal diseases clinics or surgical clinics. SPSS 15.0 program was used for data analysis and chisquare test was used to compare the groups. P<0.05 was accepted as significant. Results: During the study period, 1095 blood cultures from 621 patients had been admitted to our laboratory. 192 patients were staying in surgical clinics and 429 were in internal diseases clinics. 435 patients had suitable number (2-4) of blood cultures. While a single blood culture was obtained from 185 patients, more than 4 cultures were obtained from 1patient. Unsuitable number of blood cultures was 66 in surgical clinics and 120 in internal diseases clinics (p=0.107). Conclusion: According to our results all hospitals should detect their suitability of number of blood cultures and education programs should be conducted accordingly.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
19
Sayı
1
