Withdrawal of <i>Staphylococcus aureus</i> from intensive care units in Turkey
Hakan Erdem, Oral Oncul, Ercan Yenilmez, Levent Gorenek, Asim Ulcay, Murat Dizbay, Omer Karasahin, Selma Karabey, Selcuk Kaya, Iftihar Koksal, Tuna Demirdal, Asuman Inan, Derya Ozturk-Engin, Ibrahim Erayman, Mehmet Bitirgen, Oznur Ak, Aysegul Ulu-Kilic, Salman Shaheer Ahmed, Ayhan Akbulut, Nazif Elaldi, Gulden Yilmaz, Aslihan Candevir, Yesim Tasova, Hanefi Cem Gul, Ibak Gonen, Turan Aslan, Emel Azak, Ayse Willke, Recep Tekin, Saim Dayan, Zeliha Kocak Tufan, Bilgin Arda, Gokay Gungor, Birsen Cetin, Sukran Kose, Hale Turan, Halis Akalin, Oguz Karabay, Aygul Dogan-Celik, Fehmi Tabak, Adem Albayrak, Saban Esen, Hakan Leblebicioglu, Tumer Guven, G Çelebi, Nail Ozgunes, Yasemin Ersoy, Fatma Sirmatel, Nefise Oztoprak, Ilker Inanc Balkan, Fatma Nurhayat Bayazit, Hasan Ucmak, Serkan Oncu, Davut Ozdemir, Begin Altun, Serhat Unal, F Akata
article (Uluslararası, Hakemli) | Yazar(lar): Hakan Erdem, Oral Oncul, Ercan Yenilmez, Levent Gorenek, Asim Ulcay, Murat Dizbay, Omer Karasahin, Selma Karabey, Selcuk Kaya, Iftihar Koksal, Tuna Demirdal, Asuman Inan, Derya Ozturk-Engin, Ibrahim Erayman, Mehmet Bitirgen, Oznur Ak, Aysegul Ulu-Kilic, Salman Shaheer Ahmed
Background: In the past, Staphylococcus aureus infections have displayed various patterns of epidemiologic curves in hospitals, particularly in intensive care units (ICUs). This study aimed to characterize the current trend in a nationwide survey of ICUs in Turkey.
Methods: A total of 88 ICUs from 36 Turkish tertiary hospitals were included in this retrospective study, which was performed during the first 3 months of both 2008 (period [P] 1) and 2011 (P2). A P value <=.01 was considered significant.
Results: Although overall rates of hospital-acquired infection (HAI) and device-associated infection densities were similar in P1 and P2, the densities of HAIs due to S aureus and methicillin-resistant S aureus (MRSA) were significantly lower in P2 (P < .0001). However, the proportion of HAIs due to Acinetobacter was significantly higher in P2 (P < .0001).
Conclusions: The incidence of S aureus infections is declining rapidly in Turkish ICUs, with potential impacts on empirical treatment strategies in these ICUs. Copyright (C) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.