PMID- 29156865 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1303-6165 (Electronic) IS - 1300-0144 (Linking) VI - 47 IP - 4 DP - 2017 Aug 23 TI - Antibacterial resistance patterns and incidence of hospital-acquired Staphylococcus aureus bacteremia in a tertiary care educational hospital in Turkey: a perspective from 2001 to 2013. PG - 1210-1215 LID - 10.3906/sag-1607-63 [doi] AB - Background/aim: Staphylococcus aureus is an important nosocomial pathogen and a successful antimicrobial-resistance developer. In this study we retrospectively evaluated the resistance patterns and incidence of microbiologically confirmed nosocomial bacteremia (MCNB) related S. aureus strains between 2001 and 2013. Materials and methods: Any patient in whom S. aureus was isolated in at least one set of blood cultures (sent to the bacteriology laboratory 72 h after hospital admission) was considered to have MCNB. Results: The methicillin-resistant S. aureus (MRSA) rate in 2001 was 73.8% whereas it was 36.2% in 2013. When the 2001-2003 and 2011?2013 periods were compared, resistance to oxacillin, levofloxacin, gentamicin, erythromycin, and clindamycin decreased significantly (P < 0.05). When we evaluated the total S. aureus, MRSA, and methicillin-sensitive S. aureus (MSSA) bacteremia rates per 1000 days and 1000 patients, there was an increase in the 2004?2005 period, which was followed by a slight decrease until 2013 (P < 0.05). There was a plateau in MCNB-related S. aureus rates between 2008 and 2011. Conclusion: There was a decrease in overall S. aureus and MRSA bacteremia incidence as well as MRSA rates except for a plateau between 2008 and 2011. This steady decrease in the resistance rates is most probably due to the 2003 budget application and application of antimicrobial stewardship. FAU - Sipahi, Oguz Resat AU - Sipahi OR FAU - Uysal, Serhat AU - Uysal S FAU - Aydemir, Sabire Sohret AU - Aydemir SS FAU - Pullukcu, Husnu AU - Pullukcu H FAU - Tasbakan, Meltem AU - Tasbakan M FAU - Tunger, Alper AU - Tunger A FAU - Cilli, Fatma Feriha AU - Cilli FF FAU - Yamazhan, Tansu AU - Yamazhan T FAU - Arda, Bilgin AU - Arda B FAU - Sipahi, Hilal AU - Sipahi H FAU - Ulusoy, Sercan AU - Ulusoy S LA - eng PT - Journal Article DEP - 20170823 PL - Turkey TA - Turk J Med Sci JT - Turkish journal of medical sciences JID - 9441758 OTO - NOTNLM OT - Antimicrobial resistance epidemiology OT - bacteremia OT - Staphylococcus aureus OT - MRSA OT - infectious diseases OT - erythromycin OT - glycopeptides OT - vancomycin OT - teicoplanin OT - incidence EDAT- 2017/11/22 06:00 MHDA- 2017/11/22 06:01 CRDT- 2017/11/22 06:00 PHST- 2017/11/22 06:00 [pubmed] PHST- 2017/11/22 06:01 [medline] PHST- 2017/11/22 06:00 [entrez] AID - 10.3906/sag-1607-63 [doi] PST - epublish SO - Turk J Med Sci. 2017 Aug 23;47(4):1210-1215. doi: 10.3906/sag-1607-63.