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Full-Text Articles in Medicine and Health Sciences
Survival Benefit Of Resin Cartridge Extracorporeal Blood Purification Therapy In Patients With Septic Shock, Serdar Efe, Pervin Hanci, Volkan İnal
Survival Benefit Of Resin Cartridge Extracorporeal Blood Purification Therapy In Patients With Septic Shock, Serdar Efe, Pervin Hanci, Volkan İnal
Turkish Journal of Medical Sciences
Extracorporeal blood purification (EBP) therapies have shown promise as potential rescue treatments for patientswith septic shock. However, precise evidence regarding their effectiveness is lacking. This case-control study aimed to evaluate the 28-day survival benefit of a resin cartridge-based EBP therapy compared to conventional therapies in patients with septic shock.Materials and methods: The study sample was collected retrospectively from the medical records of patients admitted to the intensivecare unit (ICU) between 2015 and 2020. The study included patients with septic shock aged ≥18 years who had ICU stays >96 h andexcluded those lost to follow-up by 28 days or readmitted. First, …
Diagnostic Value Of Procalcitonin And C Reactive Protein For Infection And Sepsis Inelderly Patients, Çi̇ler Zi̇nci̇rci̇oğlu, Kazim Rollas, Işil Güldoğan, Aykut Saritaş, Hüseyi̇n Özkarakaş, Gürsel Ersan, Ni̇met Şenoğlu
Diagnostic Value Of Procalcitonin And C Reactive Protein For Infection And Sepsis Inelderly Patients, Çi̇ler Zi̇nci̇rci̇oğlu, Kazim Rollas, Işil Güldoğan, Aykut Saritaş, Hüseyi̇n Özkarakaş, Gürsel Ersan, Ni̇met Şenoğlu
Turkish Journal of Medical Sciences
Background/aim: Biomarkers are useful for diagnosing infection and sepsis in adults, but data are limited in elderly patients. Furthermore, clinical symptoms of infection in elderly patients are usually atypical or unclear. We aimed to assess the usefulness of PCT, CRP, and WBC in distinguishing elderly patients infected with sepsis from infected without sepsis and those with no-infection. We also aimed to find a cut-off value for diagnosing sepsis and infection without sepsis in elderly critically ill patients. Materials and methods: In this single-center and prospective observational study, patients older than 65 years were enrolled. Serum levels of PCT, CRP, and …
The Investigation Of Adrenal Involvement In Carbapenem Resistant Acinetobacterbaumannii Sepsis: Experimental Mouse Model, Esma Eryilmaz Eren, Gökçen Di̇nç, Olgun Kontaş, Emi̇ne Alp Meşe, Mehmet Doğanay
The Investigation Of Adrenal Involvement In Carbapenem Resistant Acinetobacterbaumannii Sepsis: Experimental Mouse Model, Esma Eryilmaz Eren, Gökçen Di̇nç, Olgun Kontaş, Emi̇ne Alp Meşe, Mehmet Doğanay
Turkish Journal of Medical Sciences
Background/aim: In the last years, incidence of carbapenem resistant Acinetobacter baumannii sepsis is increasing with high mortality. However, it is not clear whether this is due to inadequate antimicrobial choice or a more severe clinical course. We aimed to evaluate the inflammation and adrenal involvement in the carbapenem resistant A. baumannii by using experimental mouse model sepsis. Materials and methods: Balb/c female mice were randomly put into control and three sepsis groups (A. baumannii susceptible to carbapenem-CSAB-, A. baumannii resistant to carbapenem-CRAB-, Escherichia coli). A total of sixty mice were included in this study with each group having 15 mice. …
Covid-19 And Sepsis, Zeli̇ha Koçak Tufan, Bi̇rcan Kayaaslan, Mervyn Mer
Covid-19 And Sepsis, Zeli̇ha Koçak Tufan, Bi̇rcan Kayaaslan, Mervyn Mer
Turkish Journal of Medical Sciences
The COVID-19 pandemic has created a major alteration in the medical literature including the sepsis discussion. From the outset of the pandemic, various reports have indicated that although there are some unique features pertinent to COVID-19, many of its acute manifestations are similar to sepsis caused by other pathogens. As a consequence, the old definitions now require consideration of this new etiologic agent, namely SARS-CoV-2. Although the pathogenesis of COVID-19 has not been fully explained, the data obtained so far in hospitalized patients has revealed that serum cytokine and chemokine levels are high in severe COVID-19 patients, similar to those …
Role Of Hepcidin In The Diagnosis Of Sepsis And Septic Shock In Children, Osman Yeşi̇lbaş, Esra Şevketoğlu, Burcu Bursal Duramaz, Hasan Serdar Kihtir, Asuman Gedi̇kbaşi, Mey Tali̇p Petmezci̇, Canan Baydemi̇r
Role Of Hepcidin In The Diagnosis Of Sepsis And Septic Shock In Children, Osman Yeşi̇lbaş, Esra Şevketoğlu, Burcu Bursal Duramaz, Hasan Serdar Kihtir, Asuman Gedi̇kbaşi, Mey Tali̇p Petmezci̇, Canan Baydemi̇r
Turkish Journal of Medical Sciences
Background/aim: The purpose of this study is to compare the diagnostic value of hepcidin level with the white blood cell (WBC), C-reactive protein (CRP), procalcitonin (PCT), and interleukin-6 (IL-6) levels in pediatric sepsis and septic shock. Materials and methods: A cohort of 89 individuals were divided into four groups: a healthy control group (HCG, n = 28), pediatric intensive care unit control group (PICUCG, n = 17), sepsis group (SG, n = 23), and septic shock group (SSG, n = 21). WBC, CRP, PCT, IL-6, and hepcidin levels were studied in the PICUCG, SG, and SSG, while hepcidin and IL-6 …
Expression Changes Of Cd177 And Mpo As Novel Biomarkers In Lung Tissue Ofclp Model Rats, Azadeh Rasooli, Elham Ghafari, Hamed Saeidi, Saba Miri
Expression Changes Of Cd177 And Mpo As Novel Biomarkers In Lung Tissue Ofclp Model Rats, Azadeh Rasooli, Elham Ghafari, Hamed Saeidi, Saba Miri
Turkish Journal of Medical Sciences
Background/aim: Sepsis is an unregulated systemic response to microbial invasion that can lead to multiple organ failure. This study aims at investigating the relationships among myeloperoxidase (MPO) and CD177 in major organ systems including whole blood, liver, and lung tissues in septic rats. Materials and methods: Sepsis was induced by cecal ligation and puncture (CLP) in female Wistar rats. Whole blood, liver, and lung samples were obtained from rats of 3 groups (n = 10 for each group, n total = 30: control as a wild-type group, laparotomy group (LAP), and CLP). Gene expression of MPO and CD177 in targeted …
The Effects Of The Chloride:Sodium Ratio On Acid-Base Statusand Mortality In Septic Patients, Hakan Korkut Atalan, Bülent Güçyetmez
The Effects Of The Chloride:Sodium Ratio On Acid-Base Statusand Mortality In Septic Patients, Hakan Korkut Atalan, Bülent Güçyetmez
Turkish Journal of Medical Sciences
Background/aim: Calculation of the chloride:sodium (Cl-:Na+) ratio is proposed to enable a quick evaluation of the effect of Cl- and Na+ on the acid-base balance in critically ill patients. In the present study, the relationship of the Cl-:Na+ ratio of septic patients with acidbase status and ICU mortality were investigated. Materials and methods: In our two-center study, 434 patients who were diagnosed with sepsis were included. The patients were divided into three groups: low (<0.75), normal (≥0.75, <0.80), and high (≥0.80) Cl-:Na+ ratio groups. Patients' demographic data, blood gas values, length of ICU stay, and ICU mortality were recorded. Results: In the low and high groups, ICU mortality was significantly higher than in the normal group (29.3%, 37.1%) (P = 0.005). There was a negative correlation between the Cl:Na+ ratio and each of HCO3 -, standard base excess, and PaCO2 (r2 = 0.21, r2 = 0.19, and r2 = 0.17) (P < 0.001 for each). In the multivariate analysis, the ICU mortality was increased 2.6-fold (1.2-5.8) by low Cl-:Na+ ratio (P = 0.019). Conclusion: The Cl-:Na+ ratio is a useful parameter for showing the relationship between Cl- and Na+ and their impact on acid-base status. Low Cl-:Na+ ratio at ICU admission can be used as a prognostic indicator for increased ICU mortality in septic patients.
Comparison Of Endothelin And Nitric Oxide Synthase Blockerson Hemorheological Parameters In Endotoxemic Rats, Nesli̇han Hacer Di̇kmenoğlu Falkmarken, Okan Arihan, Alper Bektaş İski̇t
Comparison Of Endothelin And Nitric Oxide Synthase Blockerson Hemorheological Parameters In Endotoxemic Rats, Nesli̇han Hacer Di̇kmenoğlu Falkmarken, Okan Arihan, Alper Bektaş İski̇t
Turkish Journal of Medical Sciences
Background/aim: Septic shock is an important health problem that vastly alters cardiovascular and hemodynamic status. Increased production of nitric oxide (NO) and endothelin is a counterpart of this endotoxemic state. This study was conducted to test the hypothesis that nonselective NO synthesis blocker (L-NAME), inducible NO synthesis blocker (L-canavanine), or endothelin receptor antagonist (bosentan) will reverse the effects of sepsis on hemorheological parameters. Materials and methods: Forty-eight male Sprague-Dawley rats were used in 8 groups: saline (control), endotoxin, bosentan, L-NAME, L-canavanine, endotoxin + bosentan, endotoxin + L-NAME, and endotoxin + L-canavanine. Blood was withdrawn at the 4th hour of endotoxemic …
Prognostic Value Of Hemostasis-Related Parameters For Prediction Of Organ Dysfunction And Mortality In Sepsis, Dunja Mihajlovic, Dajana Lendak, Gorana Mitic, Tatjana Cebovic, Biljana Draskovic, Aleksandra Novakov, Snezana Brkic
Prognostic Value Of Hemostasis-Related Parameters For Prediction Of Organ Dysfunction And Mortality In Sepsis, Dunja Mihajlovic, Dajana Lendak, Gorana Mitic, Tatjana Cebovic, Biljana Draskovic, Aleksandra Novakov, Snezana Brkic
Turkish Journal of Medical Sciences
Clinical manifestations of sepsis are not caused directly by the invading pathogens, but rather mostly by systemic inflammation that leads to activation of the coagulation system. The aim of this study was to determine whether levels of hemostasis-related parameters measured in intensive care unit admissions are associated with mortality and severity in patients with sepsis. Materials and methods: Eighty-five patients who fulfilled criteria for a diagnosis of sepsis were included in our study. Platelet count, activated partial thromboplastin time (aPTT), prothrombin time (PT), thrombin time, D-dimer, and fibrinogen levels were determined within the first 24 h from sepsis onset. Differences …
Acute Tuberculosis In The Intensive Care Unit, Kazim Rollas, Ati̇la Kara, Nazmi̇ye Ebru Ortaç Ersoy, Kezban Özmen Süner, Mehmet Nezi̇r Güllü, Serpi̇l Öcal, Arzu Topeli̇
Acute Tuberculosis In The Intensive Care Unit, Kazim Rollas, Ati̇la Kara, Nazmi̇ye Ebru Ortaç Ersoy, Kezban Özmen Süner, Mehmet Nezi̇r Güllü, Serpi̇l Öcal, Arzu Topeli̇
Turkish Journal of Medical Sciences
Background/aim: The aim of this study was to determine mortality rates and to evaluate clinical features of patients with active tuberculosis (TB) requiring intensive care unit (ICU) admission. Materials and methods: The medical records of active TB patients requiring ICU admission were retrospectively reviewed over a 5-year period. Results: Sixteen patients with active TB admitted to the ICU were included in the study. Seven (43.8%) patients died in the ICU. The cause of mortality was septic shock in 5 patients and respiratory failure in 2 patients. The Acute Physiology and Chronic Health Evaluation II (APACHE II) and Sequential Organ Failure …
Diagnostic And Prognostic Value Of Procalcitonin And Strem-1 Levels In Sepsis*, Hali̇m Bayram, Özlem Tünger, Melek Çi̇vi̇, Müni̇p Hakan Yüceyar, Cevval Ulman, Gönül Di̇nç Horasan, Çi̇ğdem Banu Çeti̇n
Diagnostic And Prognostic Value Of Procalcitonin And Strem-1 Levels In Sepsis*, Hali̇m Bayram, Özlem Tünger, Melek Çi̇vi̇, Müni̇p Hakan Yüceyar, Cevval Ulman, Gönül Di̇nç Horasan, Çi̇ğdem Banu Çeti̇n
Turkish Journal of Medical Sciences
Background/aim: Sepsis is still a major cause of morbidity and mortality despite the improvements in diagnosis and treatment. The aim of this study was to investigate the values of procalcitonin and soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) in the differential diagnosis of patients with sepsis and noninfectious systemic inflammatory response syndrome (NI-SIRS) and measure their importance in the prognosis of patients with sepsis. Materials and methods: This prospective study included 41 NI-SIRS and 33 sepsis patients hospitalized in Celal Bayar University Hospital, Manisa, Turkey. Blood samples were taken from NI-SIRS patients on days 0 and 3 and from …
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 …
Can Plasma-Free Dna Concentration Be A Diagnostic Tool In Critically Ill Septic Patients?, Başak Ceyda Meço, Fatma Handan Cuhruk, Melek Tulunay, Mehmet Oral, Mustafa Necmetti̇n Ünal
Can Plasma-Free Dna Concentration Be A Diagnostic Tool In Critically Ill Septic Patients?, Başak Ceyda Meço, Fatma Handan Cuhruk, Melek Tulunay, Mehmet Oral, Mustafa Necmetti̇n Ünal
Turkish Journal of Medical Sciences
To investigate the diagnostic value of plasma-free DNA concentration (PF-DNA) in septic patients compared to nonseptic patients and to correlate it with clinical outcome. Materials and methods: Forty-two mechanically ventilated consecutive patients (11 septic, 31 nonseptic) admitted to the intensive care unit (ICU) were recruited. On admission, besides PF-DNA concentration, APACHE II and SOFA scores and serum C-reactive protein (CRP), procalcitonin (PCT), and serum lipid concentrations, together with clinical outcome, were assessed. Plasma samples from 11 volunteers were also collected. Appropriate statistics were used for analysis. Results: Median PF-DNA concentrations on admission were significantly higher in septic patients compared to …
Immunomodulatory Role Of Leptin Treatment In Experimental Sepsis Caused By Gram Negative Bacteria, Cemi̇le Koca, Havva Şahi̇n Kavakli, Özlem Alici
Immunomodulatory Role Of Leptin Treatment In Experimental Sepsis Caused By Gram Negative Bacteria, Cemi̇le Koca, Havva Şahi̇n Kavakli, Özlem Alici
Turkish Journal of Medical Sciences
To investigate the effect of leptin treatment on circulating inflammatory cytokines and on tissue damage in experimental rat model of gram-negative sepsis. Materials and methods: Adult male Wistar rats, 28 in total, were randomly divided into 4 groups (n = 7): sham, leptin, sepsis, and sepsis group treated with leptin (sepsis+leptin). Sepsis was induced by intraperitoneal (ip) injection of 2 × 10^{10} CFU of Escherichia coli ATCC 25922. Leptin and sepsis+leptin groups received a single dose ip 0.1 mg/kg leptin, while sham group received 1 mL of ip saline. Rats were sacrificed 24 h after the induction of sepsis. Blood …
The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca
The Effects Of Adjuvant Therapies For Sepsis On Hepatic And Renal Function: A Retrospective Analysis Of 108 Icu Patients, Beri̇t Gökçe Ceylan, Lütfi̇ Yavuz, Füsun Eroğlu, Şenol Gülmen, Ömer Ridvan Tarhan, Adnan Alaca
Turkish Journal of Medical Sciences
As liver and kidney failure have a direct effect on mortality, morbidity, and intensive care unit (ICU) length of stay in sepsis patients, maintaining their functions or minimizing the degree of failure should be one of the most important goals of therapy. In this retrospective study we investigated the effects of recently introduced adjuvant therapies on hepatorenal functions in septic ICU patients. Materials and methods: We conducted comparative and retrospective data analysis of 108 patients with sepsis that were followed-up during a 2-year period in the ICU. We recorded AST, ALT, ALP, albumin, bilirubin, and INR in order to evaluate …
Current Trends And Future Implications In Sepsis Treatment, Bariş Doğu Yildiz, Kaya Yorganci
Current Trends And Future Implications In Sepsis Treatment, Bariş Doğu Yildiz, Kaya Yorganci
Turkish Journal of Medical Sciences
Sepsis is a systemic illness caused by invasion of tissues by pathogens. It is highly lethal, causing circulatory failure and death. There has been extensive research trying to identify possible therapies for sepsis. Apart from source control, and antibiotic and supportive therapy, glucocorticoids, anticoagulant agents, and immunoglobulins have been tried in both the experimental setting and in septic patients. Newer strategies include novel anticoagulant agents like ethyl pyruvate, statins, insulin receptor modulators and Toll-like receptor modulators. This review article summarizes both the current therapies and endeavors for future treatment in sepsis.
Perioperative Deaths In A Nigerian Tertiary Teaching Hospital, Chibundu E. Ohanaka, Charles O. Imarengiaye
Perioperative Deaths In A Nigerian Tertiary Teaching Hospital, Chibundu E. Ohanaka, Charles O. Imarengiaye
Turkish Journal of Medical Sciences
Aim: Perioperative deaths may be categorized into avoidable and non-avoidable. An audit of such deaths should be carried out periodically with a view to improving the standard of clinical practice. Materials and Methods: The master registry of the main theater of the hospital was examined to identify all deaths that occurred within the main theater environment (reception, operating room, and recovery room) over a five-year period (January 2000- December 2004). Patients’ ages, sex and timing of surgery (elective or emergency), American Society of Anesthesiologists (ASA) status and the diagnosis were noted. The diagnosis was further categorized in relation to the …
Interleukin-6 And Nitric Oxide Levels In Neonatal Sepsis, Anil Aktaş Tapisiz, Ebru Ergenekon, Deni̇z Erbaş, Murat Öktem, Ni̇hal Demi̇rel, Kivilcim Gücüyener, Canan Türkyilmaz, Esra Önal, Yildiz Atalay
Interleukin-6 And Nitric Oxide Levels In Neonatal Sepsis, Anil Aktaş Tapisiz, Ebru Ergenekon, Deni̇z Erbaş, Murat Öktem, Ni̇hal Demi̇rel, Kivilcim Gücüyener, Canan Türkyilmaz, Esra Önal, Yildiz Atalay
Turkish Journal of Medical Sciences
Aim: The objectives of this study were to compare interleukin-6 (IL-6) and nitric oxide (NO) levels in newborns with culture-proven sepsis with levels in age- and gestational age (GA)-matched controls, and to investigate the correlation between mediator levels and circulatory functions in the septic group. Materials and Methods: Samples for IL-6 and NO levels were obtained from newborns with blood culture-proven sepsis before the beginning of antibiotic therapy and on the 3rd day of treatment. Heart rate, blood pressure and other treatment modalities including inotropic support were also recorded. Age- and GA-matched newborns without infection were included as controls. Minitab …
Effects Of Oral L-Glutamine, Insulin And Laxative On Bacterial Translocation In Acute Pancreatitis, Fati̇h Mehmet Avşar, İ. Hakan Özel, Mahmut Baykan, Oral Saygun, Mustafa Şahi̇n, Süleyman Hengi̇rmen, Ömür Ertuğrul, Mehmet Gürbi̇lek, S. Neşe Aydin
Effects Of Oral L-Glutamine, Insulin And Laxative On Bacterial Translocation In Acute Pancreatitis, Fati̇h Mehmet Avşar, İ. Hakan Özel, Mahmut Baykan, Oral Saygun, Mustafa Şahi̇n, Süleyman Hengi̇rmen, Ömür Ertuğrul, Mehmet Gürbi̇lek, S. Neşe Aydin
Turkish Journal of Medical Sciences
Aim: To investigate the effects of oral L-glutamine, insulin and laxative on the bacterial population of intestinal lumen and on bacterial translocation in acute pancreatitis. Materials and Methods: Forty Sprague-Dawley adult male rats were divided into 4 groups. Experimental pancreatitis was induced by ligating the main biliopancreatic duct. All groups were given the standard rat diet and tap water. In addition, Group II was given. 15 mg/kg/day of L-glutamine via a catheter enterally, Group III was given 3 ml of laxative via a catheter enterally, and Group IV was given 3 IU/kg/day of NPH insulin via a catheter enterally. The …