., ., .

,
., ., .
,





.

().

,
,

(, , ).

,
,

,
.

()
.

2011.

( Mc Conkey) agar
Maki.

VITEK2 (bioMrieux).

Maki.

(rolling)

3-4
*.
72 .

(15 =

,
).
*

.

2011 127
.

67 (52,8 %) .

53,7 % gram

,
gram

41,8 % 4,5 %

Candida.

28
36

60

Gram (+)
Gram(-)




:
1.


2011.

Staphylococcus
epidermidis

20

Enterobacter cloacae

Acinetobacter
baumannii

10

Morganella morganii

Staphylococcus
haemolyticus

Proteus mirabilis

Klebsiella
pneumoniae

Enterococcus spp.

Staphylococcus
aureus

(-)

Candida spp.

Ralstonia mannitolytica

Pseudomonas
aeruginosa

Rothia mucilaginosa

Escherichia coli

67

20
18
16

Staphylococcus
epidermidis

14

Acinetobacter
baum.

12

Staph.
haemolyticus

10

Klebsiella pneum.

8
6

Staphylococcus
aureus
Pseudomonas aer.
Enterococcus spp
CONS

Candida spp.

2
0

Maki, (52,8 %).

Staphylococcus epidermidis o Staphylococcus haemolyticus

gram .

gram Acinetobacter
baumannii Klebsiella pneumoniae.

:
,
,
, .

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catheter-related bloodstream infections: increasing prevalence of Gram-negative
pathogens-authors' response. J Antimicrob Chemother. 2012 Mar 19.

Newman N, Issa A, Greenberg D, Kapelushnik J, Cohen Z, Leibovitz E. Central venous

catheter-associated bloodstream infections. Pediatr Blood Cancer. 2012 Apr 25. doi:
10.1002/pbc.24135.

Mermel LA. Bacteriology, safety and prevention of infection associated with

continuous intravenous infusions. Blood Coagul Fibrinolysis. 1996 Mar;7 Suppl 1:S4551.

Leonidou L, Gogos CA. Catheter-related bloodstream infections: catheter

management according to pathogen. Int J Antimicrob Agents. 2010 Dec;36 Suppl
2:S26-32. Epub 2010 Dec 3. Review.

Guembe M, Martn-Rabadn P, Echenagusia A, Camez F, Rodrguez-Rosales G, Sim G,

Echenagusia M, Bouza E. How should long-term tunneled central venous catheters
be managed in microbiology laboratories in order to provide an accurate
diagnosis of colonization? J Clin Microbiol. 2012 Mar;50(3):1003-7.

Maki DG, Weise CE, Sarafin HW. A semiquantitative culture method for identifying
intravenous catheterrelatedinfection. N Engl J Med 1977; 296: 1305-9.