Hospital-acquired infections following the 1999 Marmara earthquake

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dc.authorid0000-0003-4170-7865en_US
dc.contributor.authorÖncül, Ö.
dc.contributor.authorKeskin, O
dc.contributor.authorAcar, H. V.
dc.contributor.authorKüçükardalı, Yaşar
dc.contributor.authorEvrenkaya, R.
dc.contributor.authorAtasoyu, E M
dc.contributor.authorTop, Cihan
dc.contributor.authorNalbant, Selim
dc.contributor.authorÖzkan, S
dc.contributor.authorEmekdaş, G
dc.contributor.authorÇavuşlu, S
dc.contributor.authorPahsa, A.
dc.contributor.authorGökben, M
dc.contributor.authorUs, M.H.
dc.date.accessioned2024-07-12T21:04:41Z
dc.date.available2024-07-12T21:04:41Z
dc.date.issued2002en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractIn this study, medical records of all casualties admitted to our hospital following the Marmara earthquake, which struck northwest Turkey and resulted in the destruction of several towns in the Marmara region, were evaluated retrospectively. The time buried under the rubble, demographic data, type of medical and surgical therapies performed, type of injury and data on infection were analysed. Between 17 August and 25 September 1999, 630 trauma victims were received at our hospital and 532 (84%) of them were hospitalized. The mean age of hospitalized patients (312 males, 220 females) was 32 years (2-90 years). Two hundred and twenty patients were hospitalized for more than 48 h. Forty-one of them (18.6%) had 43 hospital-acquired infection (HAI) episodes, which were mostly wound infections (46.5%). A total of 143 culture specimens was collected and 48 yielded the following potential pathogens: 15 Acinetobacter baumanii (31.2%), nine Staphylococcus aureus (18.7%), seven Pseudomonas aeruginosa (14.6%), six Escherichia coli (12.5%), six Klebsiella pneumoniae (12.5%), two Stenotrophomonas maltophilia (4.2%) and three various Pseudomonas spp. (6.3%). All S. aureus strains were found to be resistant to methicillin in vitro. Two strains of A. baumannii and one P. aeruginosa were found to be resistant to all antimicrobials including carbapenems. Fifty-three victims died (10%) and 36 of those died during the first 48 h because of severe injuries and multi-organ failure. After 48 h of hospitalization, the mortality rate was significantly higher in those patients with HAI (14/41) than those without (3/179) (34.1% vs. 1.7%, P<0.05). In conclusion, trauma is the significant factor associated with HAI and a high incidence of Acinetobacter strains was responsible for HAI in trauma patients.en_US
dc.identifier.citationÖncül, Ö., Keskin, O, Acar, H. V., Küçükardalı, Y., Evrenkaya, R., Atasoyu, E. M., Top, C., Nalbant, S., Özkan, S., Emekdaş, G, Çavuşlu, S., Pahsa, A., Gökben, M. ve Us., M. H. (2002). Hospital-acquired infections following the 1999 Marmara earthquake. Journal of Hospital Infection, Healthcare Infection Society. 51(1), s. 47-51.en_US
dc.identifier.endpage51en_US
dc.identifier.issn0195-6701
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage47en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/12009820/
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3816
dc.identifier.volume51en_US
dc.language.isoenen_US
dc.publisherHealthcare Infection Societyen_US
dc.relation.ispartofJournal of Hospital Infectionen_US
dc.relation.isversionof10.1053/jhin.2002.1205.en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsCC0 1.0 Universal*
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.snmzKY01914
dc.subjectEarthquakeen_US
dc.subjecthospital-acquired infectionen_US
dc.subjecttraumaen_US
dc.subjectAcinetobacteren_US
dc.titleHospital-acquired infections following the 1999 Marmara earthquakeen_US
dc.typeArticle
dspace.entity.typePublication

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