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Aim: In this study,we aimed to evaluate the agents and their antibiotic sensitivity which is isolated from intensive care unit. Material and Method: Microorganisms were identified by conventional methods, antibiotic susceptibilities were determined by using Kirby-Bauer disk diffusion method and evaluated according to the Clinical and Laboratory Standards Institute (CLSI) recommendations. Results: Gram-negative isolates accounted for 57.9% of all isolates. The most ferquently isolated bacteria was coagulasae negative Staphylococcus (23.9%), followed by Esherichia coli (18.1%) and Pseudomonas spp. (15.9%) respectively. Methicillin resistance rate of S. aureus was 63%.The most active antibiotics against the majority of gram-negative isolates were carbapenems and amikacin. Discussion:These data can be used to help improve selection of empiric antibiotics for the intensive care unit infections. Source

Ozturk S.,Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi | Ozturk I.,Anesteziyoloji ve Reanimasyon Klinigi | Ilhan S.,Uludag University | Ozgur A.,Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi
Turkish Journal of Thoracic and Cardiovascular Surgery | Year: 2015

Background: In this review, we aimed to analyze the efficacy of C-reactive protein levels measured in preoperative period on detection of postoperative atrial fibrillation developing after cardiac surgery. Methods: Literature screening was performed at Pubmed database without date limitation. The results of trials were evaluated with random or fixed effect model according to the heterogenity. The statistical evaluation was performed by using Comprehensive Meta Analysis version 2 software. Results: Twenty-five articles containing the inclusion criteria and a total of 4,058 patients were included to the meta-analysis. Effect sizes were heterogeneous (Q=135.80, df(Q)=24, p=0.00, I2=82.32%). Results of analysis according to random effect model were OR=1.52, 95% CI 1.11-2.06, Z=4.48 and p<0.05. Conclusion: The analysis results showed that levels of preoperative standard serum C-reactive protein, not high sensitivity C-reactive protein, were associated with postoperative atrial fibrillation developing after cardiac surgery. Source

Objective: Chronic atrial fibrillation (AF) is a frequent arrhythmia in patients undergoing open-heart surgery. In this study, we compared the results of irrigated monopolar and bipolar radiofrequency (RF) ablation in the surgical treatment of AF. Methods: Sixty-three patients with chronic AF, who underwent open cardiac surgery and concomitant irrigated RF ablation between October 2004 and January 2006, were retrospectively studied in two groups. Group 1 included 31 patients (22 female, 9 male), who underwent monopolar RF ablation, and Group 2 included 32 patients (18 female, 14 male), who underwent bipolar RF ablation. All patients received amiodarone during the first 6 months after surgery. Rhythm status of patients after RF ablation was followed-up postoperatively in the intensive care unit, on the day of discharge, and at their follow-ups with electrocardiography. In patients with a documented sinus rhythm (SR) at follow-up, the presence of atrial transport function was assessed with transthoracic echocardiography. Statistical analyses were performed by using t-test for independent samples, Chi-square test and McNemar's test. Complication-free survival during follow-up was evaluated using Kaplan-Meier analysis. Results: There was no hospital mortality in both groups. One patient from Group 1 had non-cardiac mortality (colon carcinoma). While in monopolar ablation group SR was documented in 83.3% of patients at a mean follow-up period of 11.5±4.0 months (between 4-18 months), 68.8% of patients from bipolar ablation group was in SR at a mean follow-up period of 9.3±3.0 months (between 4-15 months). In patients with docu kullamented SR during follow-up visits, atrial transport function was 76.6% in cases undergoing monopolar ablation, whereas it was 72.7% in cases undergoing bipolar ablation (p=0.797). Pacemaker implantation was performed in one (3.4%) patient from Group 1 after hospital discharge and in one (3.1%) patient from Group 2 during hospital stay. Conclusion: Irrigated monopolar and bipolar RF ablation are both safe and effective in terms of restoring SR and atrial transport function in patients with chronic AF, who underwent open cardiac surgery. © 2011 by AVES Yayincilik Ltd. Source

Krbas A.,Kalp Damar Cerrahisi Klinig | Tanrikulu N.,Anesteziyoloji ve Reanimasyon Klinigi | Us M.,Kalp Damar Cerrahisi Klinig | Isk O.,Kalp Damar Cerrahisi Klinig
Journal of Clinical and Analytical Medicine | Year: 2015

Aortopulmonary fistula associated with endocarditis complicating mechanical aortic valve replacement has been reported but very limited reports of aortopul-monary fistula following native aortic valve endocarditis in the literature. A 60 year old female presented to our hospital with high fever, dyspnea symptoms over two days. We suspect the endocarditis that Staphylococcus aureus was isolated from blood cultures. Echocardiogram and cathaterization showed that severe aortic regurgitation, aortopulmonary fistula.We urgently performed the aortic valve replacement and closure of both side of fistula with the Contegra® patch.The patient developed multiorgan failure as a cause of death at postoperative 63.day. © 2015, Journal of Clinical and Analytical Medicine. All rights reserved. Source

Objective: In this study, the demographic data of the patients hospitalized in the Intensive Care Unit (ICU) were evaluated, mortality rates of the older adults (65 years and over) and young adults (below 65 years) were compared. Material and Methods: The files of 2098 patients hospitalized and treated in the Intensive Care Unit between January 1, 2008 and December 2, 2009 were retrospectively reviewed. Results: Of the patients, 51% were above 65 years of age (n=1070), the mean age was 76.27±6.85 years (65-108), 50.47% were males (n=540) and 49.53% were females (n=530). The discharge diagnosis from ICU for patients who were ≥65 years of age included death in 580 (54.20%) patients, total cure in 10 (0.94%) patients, no change in 10 (0.94%) patients, refusal of treatment in 6 (0.56%) patients, referral to other hospitals in 28 (2.62%) patients and transfer to the wards in 436 (40.74%) patients. The mortality rate for patients ≥65 years of age was 54.2% (n=580), while the mortality rate was 37.0% (n=380) in those younger than 65 years of age (p<0.001). Conclusion: The patients hospitalized in the Intensive Care Units need to be evaluated for mortality and morbidity, and a better quality of life can be targeted for the elderly by taking preventive measures. We believe that larger studies are needed to evaluate this issue. © 2013 by Türkiye Klinikleri. Source

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