EVALUATION OF INFECTION AGENT AND ANTIBIOTIC RESISTANCE DISTRIBUTION IN PALLIATIVE CARE PATIENTS WITH PRESSURE ULCERS

Abstract

Objectives: In our study, it was aimed to examine the distribution of infectious microorganisms, and antibiotic\rresistance status in palliative care patients with pressure ulcers followed in Ankara Polatlı Duatepe State\rHospital Palliative Care Service in 2019- 2020.\rMaterials and Methods: The sex, age, and detected diseases of a total of 178 palliative care patients included\rin our study were analyzed retrospectively. For determining the causative agents of pressure ulcer infections\rin these patients, Gram staining was performed on the bacterial cultures that developed in the wound samples,\rand the Vitek-2 (bioMérieux, France) automatic test device was used to identify these cultures and determine\rtheir antibiotic susceptibility.\rResults: It was observed that the single-agent microorganism grew in 26 of the cultures. When the 26 active\rmicroorganisms we detected in the wound culture growths were examined; it was observed that Escherichia\rcoli (n=9, 34.62%) and Proteus mirabilis (n=3, 11.54%) grew more frequently in enteric bacteria and\rPseudomonas aeruginosa (n=3, 11.54%) in non-fermentative bacteria. In our study, the absence of antibiotic\rresistance in Pseudomonas aeruginosa isolates was considered remarkable. In our study, 100% resistance was\rfound to antibiotics such as Ampicillin, Cefepime, Ceftriaxone, Ciprofloxacin, Amoxicillin-clavulanate, and\rGentamicin in gram (+) bacteria, while 100% resistance was found against antibiotics such as Ceftriaxone,\rCiprofloxacin, and Trimethoprim/sulfamethoxazole in gram (-) bacteria.\rConclusion: In the treatment of infection pressure ulcers, starting antibiotic therapy at the appropriate time\rand choosing the right antibiotic is one of the most important factors that determine the success of treatment.