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. 2013 Nov;41(11):1053-8.
doi: 10.1016/j.ajic.2013.01.041. Epub 2013 May 8.

Withdrawal of Staphylococcus aureus from intensive care units in Turkey

Hakan Erdem  1 , Murat Dizbay, Selma Karabey, Selcuk Kaya, Tuna Demirdal, Iftihar Koksal, Asuman Inan, Ibrahim Erayman, Oznur Ak, Aysegul Ulu-Kilic, Omer Karasahin, Ayhan Akbulut, Nazif Elaldi, Gulden Yilmaz, Aslihan Candevir, Hanefi Cem Gul, Ibak Gonen, Oral Oncul, Turan Aslan, Emel Azak, Recep Tekin, Zeliha Kocak Tufan, Ercan Yenilmez, Bilgin Arda, Gokay Gungor, Birsen Cetin, Sukran Kose, Hale Turan, Halis Akalin, Oguz Karabay, Aygul Dogan-Celik, Adem Albayrak, Tumer Guven, Guven Celebi, Nail Ozgunes, Yasemin Ersoy, Fatma Sirmatel, Nefise Oztoprak, Ilker Inanc Balkan, Fatma Nurhayat Bayazit, Hasan Ucmak, Serkan Oncu, Davut Ozdemir, Derya Ozturk-Engin, Mehmet Bitirgen, Fehmi Tabak, Filiz Akata, Ayşe Willke, Levent Gorenek, Salman Shaheer Ahmed, Yesim Tasova, Asim Ulcay, Saim Dayan, Saban Esen, Hakan Leblebicioglu, Begin Altun, Serhat Unal
Affiliations

Withdrawal of Staphylococcus aureus from intensive care units in Turkey

Hakan Erdem et al. Am J Infect Control. 2013 Nov.

Abstract

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.

Keywords: Critical; Epidemiology; Incidence; Staphylococcus.

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