Abstract

Purpose: The purpose of this retrospective study is to identify early vancomycin-resistant enterococcal colonizations in risky patients in a second-level general intensive care unit in a second-stage state hospital, to ensure that necessary isolation measures are taken and serious infections occur. Material and Methods: A total of 713 perirectal swabs taken from 344 patients between January 2012 and December 2013 were analyzed. Weekly rectal swab samples from the first-line patients were transplanted to the microbiology laboratory, which was agreed on the Stuart transport medium. Blood and enterococci were then seeded onto agar media and evaluated after 24-48 h of incubation. In the analysis of the data, binomical gogistical regression analysis was performed using the SPSS 20.0 package program. Rectal colonization was detected in 4,36% of the patients after admission. Vancomycin-resistant enterococcal colonization was found to be 64.5 ± 21.03 years in patients with vancomycin-resistant enterococcal colonization and vancomycin-resistant enterococcal colonization developed after an average of 22,13 ± 9,59 days in patients. Cardiopulmonary arrest increased the incidence of vancomycin-resistant enterococci in the hospital from hospitalization diagnoses. It was determined that the number of hospital days in the hospital affected the development of vancomycin-resistant enterococci and that the risk of colonization was increased in "11-30 days" when compared with those with days of hospitalization of "0-10 days". Results: As a result, in the study, vancomycin-resistant enterococcal spread in hospitals is thought to be an important factor of environmental contamination and colonized patients. Other factors that are effective in the development of vancomycin-resistant enterococci include long hospital stay, hospital admission, and antibiotic use.