GKD Anest Yoð Bak Dern Derg. 2021; 27(3): 210-215 | DOI: 10.5222/GKDAD.2021.46704

Eriþkin Yoðun Bakým Ünitesinde Myroides Spp'ye Baðlý Ýdrar Yolu Enfeksiyonu Salgýný: Risk Faktörleri ve Kontrol Yöntemleri

Þerife Gökbulut Bektaþ¹, Ayhaným Tümtürk², Ahmet Gökhan Akdað¹, Seval Ýzdeþ^1
1Ankara Þehir Hastanesi, Yoðun Bakým Kliniði, Ankara, Türkiye
²Ankara Þehir Hastanesi, Enfeksiyon Hastalýklarý Ve Klinik Mirobiyoloji, Ankara, Türkiye

Myroides cinsi mikroorganizmalar baþlýca su olmak üzere doðal ortamda yaygýn olarak bulunur, ama insanda bir enfeksiyon ajaný olarak nadiren görülür. Ýmmünkompetan hastalarda nadir olarak tanýmlanmýþtýr. Bir çok antibiyotiðe direnç nedeniyle tedavisi zordur. Burada üçüncü basamak yoðun bakýmda meydana gelen Myroides spp. ile iliþkili nozokomiyal üriner sistem enfeksiyonu salgýný bildirildi. Temmuz 2019 ile Aralýk 2019 tarihleri arasýnda 7 hastada toplam 9 Myroides spp. üremesi çalýþmaya dahil edildi. Çoklu ilaca dirençli olduðu bilinen Myroides türleri için, 7 hastanýn 5'inde siprofloksasin ve rifampisin kombine tedavisine yanýt alýndý. Biz kötü kontrollü diyabetin salgýnlara neden olabileceðini saptadýk. Ayrýca siprofloksasin ve rifampisin tedavide etkili seçenekler olabileceðini düþünüyoruz.

Anahtar Kelimeler: Myroides, Salgýn, Nozokomiyal enfeksiyon, Ýdrar yolu enfeksiyonu, Flavobakteri.

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An Outbreak of Urinary Tract Infections due to Myroides Spp in Adult Intensive Care Unit: Risk Factors and Control Procedures

Þerife Gökbulut Bektaþ¹, Ayhaným Tümtürk², Ahmet Gökhan Akdað¹, Seval Ýzdeþ^1
1Department Of Intensive Care Unit, Ankara City Hospital,ankara, Turkey
²Department Of Infectious Diseases And Clinical Microbiology, Ankara City Hospital, Ankara, Turkey

Microorganisms of the Myroides genus are common in the environment, especially in water but rarely seen as an infectious agent in humans. It was described uncommonly in immunocompetent patients. Their treatment is challenging due to their resistance to many antibiotics. Herein, we report the Myroides spp-associated nosocomial urinary tract infection outbreak occurring in tertiary intensive care. A total of 9 Myroides spp reproductions in 7 patients were included in the study between July 2019 and December 2019. For Myroides species known to have multi-drug resistance, response to the combined treatment of ciprofloxacin and rifampicin was achieved in 5 out of 7 patients. We would like to point out that poorly controlled diabetes can cause outbreaks. Also, ciprofloxacin and rifampicin may be effective options in treatment.

Keywords: Myroides, Outbreak, Nosocomial infection, Urinary tract infection, Flavobacterium.

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