Evde bakım ve Palyatif Bakım Hastalarının İdrar Kültürlerinin Karşılaştırılması; Kesitsel Çalışma

Background/Aims : Urinary tract infections are an important cause of mortality, especially in geriatric patients. The effectiveness urine culture and appropriate antibiotic use patients followed primary care is unknown. We aimed to compare the cultures susceptibility over age 65 who were treated at home by Home Health Services (ESH) inpatients Palliative Care Service (PBS).
 Methods: Our study retrospectively compared culture-antibiogram results samples aged years older with urinary infection complaints PBS ESH between January 1, 2019 2020.
 Results: Of 60 included study, 30 had PBS, ES a mean 78.0±12.7 years, 80.7±9.8 years. According patients, E.coli was most common microorganism both groups (p=0.003).
 When we look sensitivity group, Amikacin (96.7%), Cefoxitin (83.3%), Fosfomycin (73.3%), Nitrofurantoin (70%) sensitive Ampicillin (76.7%) Cefuroxime (36%) ,7) Ceftazidime(40%) found resistant Ciprofloxacin(33%).
 group Amikacin(60%), Cefoxitin(23.3), Fosfomycin(23.3%), Nitrofurantoin(16.6%) Ampicillin(40%), Cefuroxime(26.7%), Ceftazidime( 33.3% be Ciprofloxacin(53.3%).
 In groups, highest resistance rates Ampicillin, 76.7% 40% Amikacin, 96.7% ESR 60% PBS.
 Conclusion: this conducted 65, empirically system infections; on other hand, it would rational oral or Amikacin; It thought that due high caution should exercised.