Microbial colonization and antimicrobial susceptibility of the nose and external ear canal in hemodialysis patients
Abstract
Aim: The effect of normal bacterial flora on the immune system is to make it more effective against harmful micro-organisms and to maintain it in readiness for a more rapid response. The purpose of this study was to determine the bacterial flora in the external ear canal and nasal cavities in hemodialysis patients, to compare this with the normal population and to show the microorganisms’ antibiotic susceptibilities.
Materials and Methods: Patients receiving hemodialysis therapy for at least 3 years were included in the study. A control group (n=62) was established consisting of patients with no immune-suppressive condition and presenting to hospital with non-ear symptoms. Swab specimens were taken from all subjects’ external ear canals and nasal cavities. Results of the cultures were recorded and antimicrobial susceptibility test was performed.
Results: The most commonly isolated micro-organisms in the study group were MRCoNS (41%), followed by MSCoNS (15.5%) and diphtheroids (9.8%). The micro-organism most commonly isolated from the nasal cavity in the study group was CoNS (52.7%), of which MRCoNS constituted 69.2%.
Conclusion: We think that infections that play a major role in mortality and morbidity in hemodialysis patients may originate from the external ear canal as much as the nasal cavity, for this reason it is important for micro-organisms colonizing these regions to be eliminated with appropriate treatment on the basis of antibiotic susceptibility tests.
Keywords
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Korhan Kılıç
*
0000-0001-6048-034X
Türkiye
Eylül Derman
0000-0002-4533-0308
Türkiye
Muhammed Sedat Sakat
0000-0001-9588-1725
Türkiye
Mustafa Sıtkı Gözeler
0000-0002-9716-9579
Türkiye
Hakan Uslu
0000-0003-1478-7441
Türkiye
Furkan Şengöz
0000-0001-9109-2681
Türkiye
Yayımlanma Tarihi
28 Haziran 2019
Gönderilme Tarihi
5 Ocak 2018
Kabul Tarihi
9 Mayıs 2018
Yayımlandığı Sayı
Yıl 1970 Cilt: 58 Sayı: 2