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Clinical Manifestations, Complications, And Treatment Of Brucellosis: Evaluation Of 72 Cases, Şükran Köse, Süheyla Seri̇n Senger, Gülgün Akkoçlu, Lütfi̇ye Kuzucu, Yildiz Ulu, Gürsel Ersan, Fi̇li̇z Oğuz
Clinical Manifestations, Complications, And Treatment Of Brucellosis: Evaluation Of 72 Cases, Şükran Köse, Süheyla Seri̇n Senger, Gülgün Akkoçlu, Lütfi̇ye Kuzucu, Yildiz Ulu, Gürsel Ersan, Fi̇li̇z Oğuz
Turkish Journal of Medical Sciences
Brucellosis is an important disease in developing countries. We aimed to determine the epidemiologic, clinical, and laboratory characteristics of brucellosis, which still has a high morbidity in Turkey. Materials and methods: Seventy-two patients with brucellosis, monitored at our clinic from January 2004 to July 2010, were reviewed retrospectively. Results: The average age was determined to be 44.8 ± 18 years, and 40 of the patients were female (55.6%). The most frequent transmission route was the use of raw milk and dairy products, in 45 of the patients (62.5%). The most frequent complaints were joint pain, high fever, weakness, low back …
Thromboelastography In The Evaluation Of Coagulation Disorders In Patients With Sepsis, Yeli̇z Kiliç, İsmet Topçu, Hamza Bambal, Melek Çi̇vi̇
Thromboelastography In The Evaluation Of Coagulation Disorders In Patients With Sepsis, Yeli̇z Kiliç, İsmet Topçu, Hamza Bambal, Melek Çi̇vi̇
Turkish Journal of Medical Sciences
Unbalanced hemostasis and disseminated intravenous coagulopathy serve as key participants in organ dysfunction and disability. In this study we evaluated the coagulation profiles of patients diagnosed with systemic inflammatory syndrome (SIRS)-sepsis and multiple organ dysfunction syndrome. We also researched coagulation in sepsis by comparing thromboelastography (TEG) data with those of nonsepsis patients to determine the usefulness of the TEG device. Materials and methods: Data were collected from 55 anesthesiology and surgery intensive care unit (ICU) patients: 21 with SIRS-sepsis (Group S) and 34 patients without SIRS-sepsis (Group C). Blood samples were taken upon admission to the ICU (t1) and on …
Analysis Of 161 Adult Patients With Brucellosis, Bi̇rcan Kayaaslan, Esragül Akinci, Ali̇ye Baştuğ, Seli̇m Sirri Eren, Pinar Öngürü, Ayşe But, Meltem Arzu Yetki̇n, Hurrem Bodur
Analysis Of 161 Adult Patients With Brucellosis, Bi̇rcan Kayaaslan, Esragül Akinci, Ali̇ye Baştuğ, Seli̇m Sirri Eren, Pinar Öngürü, Ayşe But, Meltem Arzu Yetki̇n, Hurrem Bodur
Turkish Journal of Medical Sciences
To evaluate the epidemiology, clinical features, and complications of brucellosis. Materials and methods: Between January 2005 and December 2008, 161 patients with brucellosis who were admitted to our clinic were evaluated prospectively. Results: Of the patients, 97 (60.2%) were male, and the mean age was 47 ± 17 years (range: 16-79). There were 99 patients (61.5%) classified as acute, 36 (22.4%) classified as subacute, and 6 (3.7%) classified as having a chronic infection. Relapse or reinfection was observed in 20 (12.4%) patients. Blood culture positivity rates were 60.7% and 44.8% among acute and subacute cases, respectively (P = 0.008). In …
Demonstration Of Mutations Conferring Resistance To Lamivudine In Liver Tissue Of Chronic Hepatitis B Patients Under Lamivudine Therapy, İsmai̇l Yaşar Avci, Can Polat Eyi̇gün, Emi̇ne Günal, Ayhan Kubar, Hanefi̇ Cem Gül, Ömer Coşkun, Hakan Erdem, Levent Görenek, Bülent Ahmet Beşi̇rbelli̇oğlu
Demonstration Of Mutations Conferring Resistance To Lamivudine In Liver Tissue Of Chronic Hepatitis B Patients Under Lamivudine Therapy, İsmai̇l Yaşar Avci, Can Polat Eyi̇gün, Emi̇ne Günal, Ayhan Kubar, Hanefi̇ Cem Gül, Ömer Coşkun, Hakan Erdem, Levent Görenek, Bülent Ahmet Beşi̇rbelli̇oğlu
Turkish Journal of Medical Sciences
To demonstrate the genotypic lamivudine resistance in liver tissue of patients with negative serum hepatitis B virus (HBV) DNA under long-term lamivudine therapy. Materials and methods: Fourteen patients (10 patients with elevated alanine aminotransferase and 4 patients under long-term lamivudine therapy for severe liver disease) with undetected serum HBV DNA were included in the study. A liver biopsy was performed for each patient, and HBV DNA extracted from liver tissue was analyzed with TaqMan real-time polymerase chain reaction. Results: Mutations conferring lamivudine resistance were shown for all 14 patients in their liver tissue-extracted HBV DNA. One patient had rtM204V, 4 …
Clinical Manifestations Of 16 Oropharyngeal Tularemia Patients: Experience Of A Referral Hospital In The City Of Konya, Turkey, Mesut Sabri̇ Tezer, Gülteki̇n Övet, Necat Alataş, Mehmet Hakan Görgülü, Ersen Koç, Mehmet Aki̇f Öztürk
Clinical Manifestations Of 16 Oropharyngeal Tularemia Patients: Experience Of A Referral Hospital In The City Of Konya, Turkey, Mesut Sabri̇ Tezer, Gülteki̇n Övet, Necat Alataş, Mehmet Hakan Görgülü, Ersen Koç, Mehmet Aki̇f Öztürk
Turkish Journal of Medical Sciences
In recent years, tularemia's importance has been reemerging in Turkey. However, the majority of tularemia cases were reported in the northern cities of Turkey. In this study, we report 16 oropharyngeal tularemia patients living in rural areas of the city of Konya, which is located in the southern zone of the Central Anatolia Region of Turkey. Materials and methods: Sixteen patients (12 males, 4 females; mean age: 33.7 years, range: 10–73 years) were included in this study. All patients were admitted to our clinic for the evaluation of intractable cervical mass lesions. The diagnosis of tularemia was made after exclusion …
Lung Abscess: Analysis Of The Results As Community-Acquired Or Nosocomial, Nuri̇ Tutar, Fatma Sema Oymak, Asi̇ye Kanbay, Hakan Büyükoğlan, Afra Yildirim, İnsu Yilmaz, Suat Ali̇ Doğan, İnci̇ Gülmez, Ramazan Demi̇r
Lung Abscess: Analysis Of The Results As Community-Acquired Or Nosocomial, Nuri̇ Tutar, Fatma Sema Oymak, Asi̇ye Kanbay, Hakan Büyükoğlan, Afra Yildirim, İnsu Yilmaz, Suat Ali̇ Doğan, İnci̇ Gülmez, Ramazan Demi̇r
Turkish Journal of Medical Sciences
To assess the etiology, underlying disease, treatment procedures, and mortality rate of lung abscesses by dividing the patients into community-acquired lung abscess (CALA) and nosocomial lung abscess (NLA) subgroups. Materials and methods: We reviewed and analyzed data on 62 adult cases of CALA and NLA treated during 2000-2011 at a tertiary university hospital in Turkey. Results: Of these 62 patients, 44 had CALA and 18 had NLA. Etiologic microorganisms were isolated in 20 of the 44 patients (45.4%) in the CALA group and in 15 of the 18 patients (83.3%) in the NLA group. Among these patients, Staphylococcus aureus (20.0%) …
Evaluation Of Nonneoplastic Findings On Vaginal Smears With Comparison Of Intrauterine Devices And Oral Contraceptive Pill Effects, Rahi̇me Bedi̇r Findik, Servet Güreşci̇, Ayşe Nurcan Ünlüer, Jale Karakaya
Evaluation Of Nonneoplastic Findings On Vaginal Smears With Comparison Of Intrauterine Devices And Oral Contraceptive Pill Effects, Rahi̇me Bedi̇r Findik, Servet Güreşci̇, Ayşe Nurcan Ünlüer, Jale Karakaya
Turkish Journal of Medical Sciences
Although the Pap smear is a common screening test for cervical cancer and its precursors, it can detect some benign conditions as well. In this study, the aim was to evaluate smear results with regard to nonneoplastic findings and to compare them to the detectable effects of intrauterine devices (IUDs) and oral contraceptive pills (OPs). Materials and methods: In this retrospective study, the hospital records and cytopathology reports of 4248 patients were recorded. Smear results were evaluated according to the 2001 Bethesda System and were evaluated according to age groups, menopausal/menstrual status, physical examination findings, and contraceptive method usage. Results: …
A Small Outbreak Of Tularemia In A Rural Area, İbak Gönen
A Small Outbreak Of Tularemia In A Rural Area, İbak Gönen
Turkish Journal of Medical Sciences
To assess clinically and epidemiologically an outbreak of tularemia detected in a small village in Tokat Province in Turkey. Materials and methods: Recorded clinical and laboratory data of 15 serologically confirmed patients, who either presented to hospital or were diagnosed during family medicine visits to the village during the outbreak, were assessed. Forms including a questionnaire about the symptomatology and previously given treatments were filled out by the patients. In addition, the entire village was investigated to establish the origin of the outbreak. Results: Ages of the 15 individuals (9 females) ranged between 10 and 75, and the mean was …
Orthophenylphenol In Healthcare Environments: A Trial Related To A New Administration Method And A Review Of The Literature, Ali̇cem Teki̇n, Tuba Dal, Caferi̇ Tayyar Selçuk, Özcan Deveci̇, Recep Teki̇n, Mahmut Mete, Sai̇m Dayan, Sali̇h Hoşoğlu
Orthophenylphenol In Healthcare Environments: A Trial Related To A New Administration Method And A Review Of The Literature, Ali̇cem Teki̇n, Tuba Dal, Caferi̇ Tayyar Selçuk, Özcan Deveci̇, Recep Teki̇n, Mahmut Mete, Sai̇m Dayan, Sali̇h Hoşoğlu
Turkish Journal of Medical Sciences
To investigate antibacterial and antifungal effectiveness of orthophenylphenol (Fumispore, LCB, La Salle, France) with a new administration method in healthcare environments. Materials and methods: This study was performed in 3 units of the Dicle University Hospital. Surface swab and ambient air samples were collected just before the application of Fumispore and 6 h later. All samples were inoculated onto plate count agar and Sabouraud dextrose agar. The total aerobic colony count (ACC) was determined by using the standard method based on quantitative bacterial measurement. Results: In total, 30 surface swabs and 6 ambient air samples were collected. The mean values …
Investigations Of Als1 And Hwp1 Genes In Clinical Isolates Of Candida Albicans, Melek İnci̇, Mustafa Altay Atalay, Burçi̇n Özer, Ömer Evi̇rgen, Ni̇zami̇ Duran, Vi̇cdan Köksaldi Motor, Ayşe Nedret Koç, Yüsüf Önlen, Çeti̇n Kilinç, Süleyman Durmaz
Investigations Of Als1 And Hwp1 Genes In Clinical Isolates Of Candida Albicans, Melek İnci̇, Mustafa Altay Atalay, Burçi̇n Özer, Ömer Evi̇rgen, Ni̇zami̇ Duran, Vi̇cdan Köksaldi Motor, Ayşe Nedret Koç, Yüsüf Önlen, Çeti̇n Kilinç, Süleyman Durmaz
Turkish Journal of Medical Sciences
To explore the presence of ALS1 and HWP1 genes by multiplex polymerase chain reaction (PCR) in Candida albicans strains. Materials and methods: By using the multiplex PCR method, the presence of agglutinin-like sequence 1 (ALS1) and hyphal wall protein 1 (HWP1) genes were investigated in 206 C. albicans strains that were isolated from various clinical samples. Phenotypic identification of slime formation by microplate and tube adherence tests was performed. Results: The presence of the ALS1 gene was detected in 53.9% of all strains, while the HWP1 gene was present in 5.3%. Slime formation was phenotypically detected in the 62.2% of …
Preliminary Data From A Surveillance Study On Surgical Site Infections And Assessment Of Risk Factors In A University Hospital, Mustafa Namiduru, İlkay Karaoğlan, Riza Çam, Vuslat Boşnak, Ayşe Özlem Mete
Preliminary Data From A Surveillance Study On Surgical Site Infections And Assessment Of Risk Factors In A University Hospital, Mustafa Namiduru, İlkay Karaoğlan, Riza Çam, Vuslat Boşnak, Ayşe Özlem Mete
Turkish Journal of Medical Sciences
Surgical site infections (SSIs) lead to substantial mortality, morbidity, and socioeconomic loss. To explore the rate of infections and risk factors for the development of infection in surgical units. Materials and methods: All patients (n = 1397) who underwent a surgical intervention and were hospitalized for >48 h in surgical units (except the ophthalmology unit) of Gaziantep University Medical Faculty Hospital between 17 March 2008 and 15 July 2008 were included in the study. The Center for Disease Control and Prevention criteria were used for identifying and diagnosing SSIs. Rate of SSI was calculated as the number of SSIs observed …
The Role Of Vitamin D Deficiency In Parathyroid Hormone Levels, Alpaslan Kiliçarslan, Alma Cenoli̇ Aslan, Gamze Gezgen
The Role Of Vitamin D Deficiency In Parathyroid Hormone Levels, Alpaslan Kiliçarslan, Alma Cenoli̇ Aslan, Gamze Gezgen
Turkish Journal of Medical Sciences
Vitamin D deficiency is an important cause of secondary hyperparathyroidism. We aimed to investigate the effect of vitamin D levels on parathyroid hormone (PTH) levels. Materials and methods: We retrospectively chose 2226 patients who were admitted to our hospital’s general internal medicine department for various reasons and had both PTH and vitamin D tests on the same day. Results: It was found that 22.3% of the patients had high levels of PTH and 92% of them had secondary hyperparathyroidism. The average vitamin D level was 16.4 ng/mL. The vitamin D levels of 64% of the patients were below 20 ng/mL …
Effect Of The Presence Of Pneumonia On Noninvasive Ventilation Success In Chronic Obstructive Pulmonary Disease Cases With Acute Hypercapnic Respiratory Failure, Serdar Akpinar, Kazim Rollas, Evri̇m Eylem Akpinar, Ali̇ Alagöz, Nazi̇re Uçar, Yusuf Tuğrul Şi̇pi̇t
Effect Of The Presence Of Pneumonia On Noninvasive Ventilation Success In Chronic Obstructive Pulmonary Disease Cases With Acute Hypercapnic Respiratory Failure, Serdar Akpinar, Kazim Rollas, Evri̇m Eylem Akpinar, Ali̇ Alagöz, Nazi̇re Uçar, Yusuf Tuğrul Şi̇pi̇t
Turkish Journal of Medical Sciences
To investigate the effect of the presence of pneumonia on the success of noninvasive mechanical ventilation (NIMV) in chronic obstructive pulmonary disease (COPD) cases with acute respiratory failure. Materials and methods: Sixty patients admitted to the intensive care unit (ICU) due to COPD exacerbation were included. The patients were divided into 2 groups as those with pneumonia (Group 1) and without pneumonia (Group 2). According to initial pH values, cases were also divided into 3 subgroups based on pH values. C-reactive protein (CRP), APACHE II scores, requirement of endotracheal intubation, mortality, and duration of ICU and hospital stay were also …
Pcr Detection Of Brucella Abortus In Cow Milk Samples Collected From Erzurum, Turkey, Tüli̇n Arasoğlu, Medi̇ne Güllüce, Hakan Özkan, Ahmet Adigüzel, Fi̇kretti̇n Şahi̇n
Pcr Detection Of Brucella Abortus In Cow Milk Samples Collected From Erzurum, Turkey, Tüli̇n Arasoğlu, Medi̇ne Güllüce, Hakan Özkan, Ahmet Adigüzel, Fi̇kretti̇n Şahi̇n
Turkish Journal of Medical Sciences
In this study, we designed and used 2 different type-specific polymerase chain reaction (PCR) methods for the detection of Brucella abortus. Materials and methods: There were 2 different primer sets (B4/B5 and AF/AR) selected and used for the amplification of 2 different genes that are present in all biovars of Brucella species, including bcsp31, encoding 31-kDa immunogenic cell surface proteins, and omp25, which is known to be one of the virulence factors encoding outer membrane proteins of 26–23 kDa. Results: The results showed that 273 (81.7%) and 317 (94.9%) out of 334 milk samples were positive for brucellosis, as detected …
Assessment Of Immune Responses To Hepatitis A Vaccination In Children Aged 1 And 2 Years, Solmaz Çelebi̇, Mustafa Kemal Hacimustafaoğlu, Yücehan Albayrak, Ayşe Melda Sinirtaş
Assessment Of Immune Responses To Hepatitis A Vaccination In Children Aged 1 And 2 Years, Solmaz Çelebi̇, Mustafa Kemal Hacimustafaoğlu, Yücehan Albayrak, Ayşe Melda Sinirtaş
Turkish Journal of Medical Sciences
Hepatitis A can be prevented by vaccination. The aim of this study was to determine seropositivity for hepatitis A before vaccination in healthy children 12 and 24 months of age and compare seroconversion rates after vaccination between these 2 groups. Materials and methods: Forty-nine children aged 1 year (Group 1) and 51 children aged 2 years (Group 2) were included in the study. Inactive hepatitis A vaccine (Avaxim, 80 antigenic subtypes, 0.5 mL) were administered to every child in 2 doses, 6 months apart. Anti-hepatitis A virus (HAV) IgG and IgM antibodies were detected by Architect HAVAb-IgG and HAVAb-IgM (Abbott, …
Trends Of Intestinal Parasites Prevalence In The Gaza Strip, 1998-2007: The Use Of Government Health Records, Adnan Ibrahim H. Alhindi, Mervat Al-Louh
Trends Of Intestinal Parasites Prevalence In The Gaza Strip, 1998-2007: The Use Of Government Health Records, Adnan Ibrahim H. Alhindi, Mervat Al-Louh
Turkish Journal of Medical Sciences
To evaluate the amount of intestinal parasite infections over a 10-year period in the Gaza Strip. Materials and methods: Data from the Epidemiology Department, Ministry of Health were collected and analyzed statistically. The prevalence of intestinal parasites was monitored and studied for the period 1998-2007. Results: The present study shows results including the records of 471,688 patients (all ages) who had every provided 1 stool specimen to the laboratories of primary health care centers in one of the 5 governorates of the Gaza Strip. It was found that 116,261 specimens were positive for intestinal parasites, representing an overall prevalence of …
A Case Of Childhood Vaccination Barrier: Migrant And Seasonal Farmworkers, İbrahi̇m Koruk, Zeynep Şi̇mşek, Süda Teki̇n Koruk
A Case Of Childhood Vaccination Barrier: Migrant And Seasonal Farmworkers, İbrahi̇m Koruk, Zeynep Şi̇mşek, Süda Teki̇n Koruk
Turkish Journal of Medical Sciences
The Expanded Program on Immunization has proven to be one of the most effective public health strategies. However, the literature contends that medically disadvantaged groups have been associated with less compliance with vaccination calendars and schedules. The aim of this cross-sectional survey was to investigate the vaccination coverage of the children of migrant and seasonal farmworkers (MSFs) and to identify their specific barriers to vaccination. Materials and methods: A total of 168 children aged 12-23 months were recruited to the study from a primary healthcare center. Data were collected through a structured questionnaire targeting the issues of infant vaccination status, …
Is There A Rise In Resistance Rates To Fosfomycin And Other Commonly Used Antibiotics In Escherichia Coli-Mediated Urinary Tract Infections? A Perspective For 2004 – 2011, Hüsnü Pullukçu, Sabi̇re Şöhret Aydemi̇r, Meltem Işikgöz Taşbakan, Oğuz Reşat Si̇pahi̇, Fatma Feri̇ha Çi̇lli̇ Hall Jr, Alper Tünger
Is There A Rise In Resistance Rates To Fosfomycin And Other Commonly Used Antibiotics In Escherichia Coli-Mediated Urinary Tract Infections? A Perspective For 2004 – 2011, Hüsnü Pullukçu, Sabi̇re Şöhret Aydemi̇r, Meltem Işikgöz Taşbakan, Oğuz Reşat Si̇pahi̇, Fatma Feri̇ha Çi̇lli̇ Hall Jr, Alper Tünger
Turkish Journal of Medical Sciences
Resistance patterns of Escherichia coli to fosfomycin, ciprofloxacin, amikacin, and cotrimoxazole were evaluated in 2 different studies held in 2004 and 2005. In this study, it was aimed to compare the changes in the susceptibility patterns of uropathogenic E. coli strains to the above-mentioned antibiotics after 6 years. Materials and methods: Between February and April 2011, E. coli strains isolated from urine samples were included prospectively in the study. Results: A total of 502 E. coli strains (358 from outpatients and 144 from inpatients) were isolated from urine specimens between February and April 2011. Extended spectrum beta-lactamase (ESBL)-producer E. coli …
Antimicrobial Susceptibilities Of Various Arcobacter Species, Ahmet Ünver, Hali̇l İbrahi̇m Atabay, Mi̇tat Şahi̇n, Özgür Çelebi̇
Antimicrobial Susceptibilities Of Various Arcobacter Species, Ahmet Ünver, Hali̇l İbrahi̇m Atabay, Mi̇tat Şahi̇n, Özgür Çelebi̇
Turkish Journal of Medical Sciences
To determine the antimicrobial susceptibilities of various Arcobacter strains isolated from domestic geese, which have great potential for the transmission of arcobacters to humans and animals by contamination of water sources. Materials and methods: A total of 16 Arcobacter strains including A. cryaerophilus (7), A. skirrowii (7), and A. butzleri (2) were examined for their susceptibilities to 20 antibiotics using a disk-diffusion method. Results: All Arcobacter isolates tested were resistant to cloxacillin, cefazolin, optochin, vancomycin, and fusidic acid, and most were susceptible to oxytetracycline, chloramphenicol (except for A. butzleri), nitrofurantoin, amikacin, enrofloxacin, ofloxacin, erythromycin, ampicillin sulbactam, and amoxicillin (except for …
Investigation Of Hepatocyte Growth Factor And Proinflammatory Cytokine Levels In Patients With Febrile Neutropenia, Mehmet Özden, Ahmet Gödekmerdan, Nafi̇ye Fulya İlhan, Emi̇n Tamer Elkiran, Hati̇ce Handan Akbulut
Investigation Of Hepatocyte Growth Factor And Proinflammatory Cytokine Levels In Patients With Febrile Neutropenia, Mehmet Özden, Ahmet Gödekmerdan, Nafi̇ye Fulya İlhan, Emi̇n Tamer Elkiran, Hati̇ce Handan Akbulut
Turkish Journal of Medical Sciences
It has been thought that hepatocyte growth factor (HGF) levels increase during acute phases of infectious diseases. The aim of this study was to determine whether HGF, C-reactive protein (CRP), and proinflammatory cytokines have any diagnostic and prognostic value, and to assess HGF as a biomarker in patients with febrile neutropenia. Materials and methods: This study included 20 patients with febrile neutropenia as the study group and 20 healthy individuals as the control group. Serial measurements of serum HGF, CRP, and proinflammatory cytokine levels were performed by enzyme-linked immunosorbent assay (ELISA) at the baseline, after 48 h of treatment, and …
Evaluation Of Genexpert Vana/Vanb Assay For The Detection Of Vancomycin-Resistant Enterococci In Patients Newly Admitted To Intensive Care Units, Server Yağci, Çi̇ğdem Ataman Hati̇poğlu, Şeri̇fe Altun, Cemal Bulut, Zeli̇ha Koçak Tufan, Hati̇ce Uludağ Altun, Günay Ertem, Fatma Şebnem Erdi̇nç
Evaluation Of Genexpert Vana/Vanb Assay For The Detection Of Vancomycin-Resistant Enterococci In Patients Newly Admitted To Intensive Care Units, Server Yağci, Çi̇ğdem Ataman Hati̇poğlu, Şeri̇fe Altun, Cemal Bulut, Zeli̇ha Koçak Tufan, Hati̇ce Uludağ Altun, Günay Ertem, Fatma Şebnem Erdi̇nç
Turkish Journal of Medical Sciences
The automated Cepheid GeneXpert system provides rapid PCR results and can be used for the identification of VRE. We aimed to evaluate the use of the Cepheid Xpert vanA/vanB real-time PCR assay for the detection of VRE from rectal swabs of patients newly admitted to intensive care units in a hospital setting. Materials and methods: Rectal swab samples of patients newly admitted to 6 intensive care units from March 2011 to February 2012 were obtained. The specimens were analyzed by the GeneXpert system. The results were reported for both vanA and vanB as negative or positive. Results: Comparing the number …
Invasive Device-Associated Hospital Infection Rates, Etiological Agents, And Their Antibiotic Susceptibilities In The Medical Intensive Care Unit Of A University Hospital In Turkey, Sali̇ha Çevi̇k, Vuslat Boşnak, Mustafa Namiduru, İlkay Karaoğlan, Ayşe Özlem Mete
Invasive Device-Associated Hospital Infection Rates, Etiological Agents, And Their Antibiotic Susceptibilities In The Medical Intensive Care Unit Of A University Hospital In Turkey, Sali̇ha Çevi̇k, Vuslat Boşnak, Mustafa Namiduru, İlkay Karaoğlan, Ayşe Özlem Mete
Turkish Journal of Medical Sciences
To determine the rate, etiological agents, antibiotic susceptibilities, and empirical treatment options of etiological agents of invasive device-associated hospital infections (IDAHIs) in the medical intensive care unit of a university hospital. Materials and methods: Between February 2007 and December 2009, 780 IDAHI cases were evaluated in 1650 patients. Results: Ventilator associated pneumonia, catheter-associated urinary tract infection, and central venous catheter-associated blood stream infection were observed in 415, 242, and 143 IDAHI cases, respectively. The most frequently isolated etiological agents were Acinetobacter spp. in ventilator-associated pneumonia, coagulase-negative staphylococci (CoNS) in central venous catheter-associated blood stream infection, and Candida spp. and E. …
Molecular Characterization Of Acanthamoeba Isolated From Kayseri Well Water, Sali̇h Kuk, Süleyman Yazar, Süheyla Doğan, Ülfet Çeti̇nkaya, Çağri Şakalar
Molecular Characterization Of Acanthamoeba Isolated From Kayseri Well Water, Sali̇h Kuk, Süleyman Yazar, Süheyla Doğan, Ülfet Çeti̇nkaya, Çağri Şakalar
Turkish Journal of Medical Sciences
Potentially pathogenic free-living amoebae have a cosmopolitan distribution in soil, dust, air, and water. Generally, environmental free-living amoebae do not threaten human health. This study aimed to investigate the presence of Acanthamoeba in well waters drawn from different locations in Kayseri, Turkey, which are mainly used for drinking or irrigation by the residents in the region. Materials and methods: Twenty-nine samples, including 26 well water sediment samples and 3 tap water samples as the control, were collected from 3 different locations. Melting snow feeds 5, rain water 18, and tap water 3 of these wells. Results: Five of 26 well …
Haematological Changes In Malaria-Infected Children In North-West Nigeria, Momodu Imoru, Umar A. Shehu, Uchechukwu Gabriel Ihesiulor, Aminu Haruna Kwaru
Haematological Changes In Malaria-Infected Children In North-West Nigeria, Momodu Imoru, Umar A. Shehu, Uchechukwu Gabriel Ihesiulor, Aminu Haruna Kwaru
Turkish Journal of Medical Sciences
Malaria is prevalent in the tropical and subtropical regions of the world and has been associated with some haematological changes. This study determined the effect of malaria infection on haematological values amongst children in north-western Nigeria. Materials and methods: Fifty-eight malaria-infected children, aged 1–12 years, and 58 age-matched uninfected children were studied between September and December 2011 at Aminu Kano Teaching Hospital, Kano. Blood samples collected were analysed for full blood count using a Swelab Alfa 3-part analyser and malaria parasite test using the field staining technique. Results: There were significantly lower values of haematocrit, haemoglobin concentration, and platelet count …
Cutaneous Anthrax Patients In Eastern Anatolia, Turkey: A Review Of 44 Adults Cases, Kemaletti̇n Özden, Zülal Özkurt, Serpi̇l Erol, Muhammet Hami̇dullah Uyanik, Mehmet Parlak
Cutaneous Anthrax Patients In Eastern Anatolia, Turkey: A Review Of 44 Adults Cases, Kemaletti̇n Özden, Zülal Özkurt, Serpi̇l Erol, Muhammet Hami̇dullah Uyanik, Mehmet Parlak
Turkish Journal of Medical Sciences
Anthrax is a zoonotic infectious disease caused by B. anthracis. It remains as an important issue in developing countries and it is a potential threat for the world because of its use as a biological weapon. In this study, we evaluated the epidemiological, clinical, and laboratory characteristics of 44 patients with cutaneous anthrax in our region. Materials and methods: The study included 44 cutaneous anthrax patients admitted to our hospital from the Eastern Anatolia Region of Turkey between 2005 and 2008. Results: Out of 44 cases, 24 (54.5%) were male and 20 (45.5%) female. The mean age was 41 ± …
Seroprevalence Of Major Blood-Borne Infections Among Blood Donors In Kano, Nigeria, Emmanuel Nwankwo, Imoru Momodu, Ismaila Umar, Babashani Musa, Solomon Adeleke
Seroprevalence Of Major Blood-Borne Infections Among Blood Donors In Kano, Nigeria, Emmanuel Nwankwo, Imoru Momodu, Ismaila Umar, Babashani Musa, Solomon Adeleke
Turkish Journal of Medical Sciences
To examine the seroprevalence of common blood infections among blood donors, which remains a major concern in transfusion medicine in Nigeria. Blood transfusion is one of the known therapeutic interventions that cut across a number of clinical disciplines. Materials and methods: The seroprevalences of human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B surface antigen (HBsAg), and syphilis among 280 blood donors at the Murtala Mohammed Specialist Hospital (MMSH) were determined. The seroprevalences of the pathogens were determined with regard to age, sex, donor category, and occurrence of association pathogens. Between June and December 2008, 276 males (98.6%) and …
Plasma Lipid Levels In Patients With Acute Bacterial Infections, Mohammad Nassaji, Raheb Ghorbani
Plasma Lipid Levels In Patients With Acute Bacterial Infections, Mohammad Nassaji, Raheb Ghorbani
Turkish Journal of Medical Sciences
To assess the impact of acute bacterial infections on plasma lipid levels and to determine the value of plasma lipid measurements in the diagnosis of acute bacterial infection. Materials and methods: A cross-sectional study was conducted involving 112 patients with acute bacterial infections admitted in hospital and 112 healthy individuals as controls. Levels of total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein, and triglycerides were measured in blood samples of all subjects. Mean levels of serum lipids were compared in both groups. Results: Both groups were matched based on age (P = 0.10), sex (P = 0.789), BMI (P = 0.515), …
Comments On: In Vitro Efficacy Of Hyperbaric Oxygen Therapy Against Leishmania Tropica Promastigotes And Amastigotes, Yalçin Önem, Vedat Turhan
Comments On: In Vitro Efficacy Of Hyperbaric Oxygen Therapy Against Leishmania Tropica Promastigotes And Amastigotes, Yalçin Önem, Vedat Turhan
Turkish Journal of Medical Sciences
No abstract provided.
The Role Of Quantitative D-Dimer Levels In The Follow-Up And Differential Diagnosis Of Pulmonary Thromboembolism And Community-Acquired Pneumonia, Ayhan Varol, Nurdan Köktürk, Hati̇ce Kiliç, Müge Aydoğdu, Numan Nadi̇r Eki̇m
The Role Of Quantitative D-Dimer Levels In The Follow-Up And Differential Diagnosis Of Pulmonary Thromboembolism And Community-Acquired Pneumonia, Ayhan Varol, Nurdan Köktürk, Hati̇ce Kiliç, Müge Aydoğdu, Numan Nadi̇r Eki̇m
Turkish Journal of Medical Sciences
Aim: To identify the quantitative D-dimer levels in pulmonary thromboembolism (PTE) and hospitalized-community acquired pneumonia (CAP) patients, and to determine the alteration of D-dimer levels with anticoagulant or antibacterial therapy. It is not well known that the quantitative analysis of D-dimer has a role in the differential diagnosis of PTE from other diseases. Materials and methods: Serum D-dimer levels were measured and compared prospectively with a latex-enhanced immunoturbidimetric method at admission, before initiating any antibiotic or anticoagulant therapy and then at days 3, 10, and 30 of treatment in PTE and CAP patients. Results: A total of 80 patients (45 …
High Cerebrospinal Fluid Protein Level In West Nile Virus Ncephalitis: Report Of Five Cases, Oğuz Karabay, Nazan Tuna, Mehmet Yahyaoğlu, Gökçen Kayan
High Cerebrospinal Fluid Protein Level In West Nile Virus Ncephalitis: Report Of Five Cases, Oğuz Karabay, Nazan Tuna, Mehmet Yahyaoğlu, Gökçen Kayan
Turkish Journal of Medical Sciences
An outbreak of West Nile virus (WNV) occurred in Greece, Russia, and Turkey in 2010. We diagnosed 5 WNV encephalitis patients, who presented with high cerebrospinal fluid (CSF) protein level and encephalitis relevant symptoms in the last days of summer or in the first days of autumn. Here, we aimed to present a retrospective analysis of 5 WNV encephalitis cases in Turkey in terms of their clinical and laboratory findings.