Derleme
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Vankomisine Dirençli Enterococcus faecium: Kısa Bir Derleme

Yıl 2023, Cilt: 32 Sayı: 1, 1 - 9, 31.03.2023
https://doi.org/10.17827/aktd.1246260

Öz

Antimikrobiyal direnç (AMD) ile ilişkili morbidite ve mortalite küresel bir halk sağlığı sorunudur. Sağlık hizmeti ilişkili enfeksiyonlarda sık olarak görülen vankomisine dirençli Enterococcus faecium (VRE), Dünya Sağlık Örgütü’nün AMD’i olan öncelikli patojenler listesinde yüksek öncelik verdiği bir Gram pozitif koktur. Son zamanlarda Türkiye’de invaziv enfeksiyonlarda VRE izolasyon oranı %15.8 bildirilmiştir. Vankomisine direncin ana mekanizması, hedef bölgedeki D-Alanil-D-Alanin terminal molekülünün değişmesi ve ilacın affinitesinin azalmasıdır. Vankomisin direncinden sorumlu olan van geni kromozomal olarak kodlanmakta veya plazmid, transpozon gibi mobil genetik elemanlar ile kazanılmaktadır. Yayılımındaki ana mekanizma, mobil genetik elemanların Enterokoklar veya Staphylococcus aereus gibi farklı tür bakteriler arasında transfer edilebilmeleridir. Bu derlemede PubMed ve Web of Science veritabanlarında “Vankomisin-dirençli Enterococcus faecium”, “Vankomisin direnç mekanizmaları”, “Gram pozitif koklarda vankomisin direnci” terimleri ile arama yapılarak elde edilen literatür verileri özetlenmiş ve önerilerle birlikte kısaca tartışılmıştır.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

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Toplam 45 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Hale Gümüş 0000-0001-9071-9606

Proje Numarası -
Yayımlanma Tarihi 31 Mart 2023
Kabul Tarihi 24 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 32 Sayı: 1

Kaynak Göster

AMA Gümüş H. Vankomisine Dirençli Enterococcus faecium: Kısa Bir Derleme. aktd. Mart 2023;32(1):1-9. doi:10.17827/aktd.1246260