Browsing by Subject "hand washing"

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    Relationship of levetiracetam and obsessive-compulsive disorder: A case report
    (Taylor and Francis Ltd., 2017) Çökmüş F.P.; Aşçıbaşı K.; Öztekin S.; Demet M.M.
    Levetiracetam has gained wide acceptance in the treatment of epilepsy due to its broad-spectrum efficacy, the lack of significant drug–drug interactions, and a relatively benign side effect profile. However, in recent years, the treatment of epilepsy using levetiracetam has been associated with psychiatric side effects such as anxiety, irritability, hostility, depression, hallucinations, and, in some rare cases, obsessive-compulsive disorder. In this case report, we present and discuss onset of obsessive-compulsive disorder symptoms in a 55-year-old epileptic female patient, who did not have any previous psychiatric disorder, including obsessive-compulsive disorder, and who received levetiracetam treatment. © 2017 The Author(s).
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    Investigation of hand hygiene knowledge level of physiotherapy and rehabilitation students
    (A. CARBONE Editore, 2018) Ilgin D.; Karaali H.K.; Ozcan O.; Arslan S.; Arslan T.; Gunduz T.; Limoncu M.E.
    Introduction: Increasing health care students' awareness about the hand hygiene (HH) during the pre-graduation period becomes an important requirement for providing both patient's safety and the healthcare student's safety by preventing healthcare associated infections (HCAIs). Although it has been emphasized that rehabilitation clinics are important places to be taken into consideration in the transmission of HCAIs, the number of studies about the students from department of physiotherapy and rehabilitation (DPR) are limited. Thus, our research was done to examine the HH knowledge level of students of DPR. Materials and methods: This cross-sectional study was done by 191 volunteers from a total of 209 first and second-year students. We recorded the sociodemographic characteristics. Based on the suggestions commented in the Center for Disease Control and Prevention Guideline for HH in Health Care Settings, HH knowledge levels were assessed using face to face interview technique. Results: The average correct answer rate to the questions about the HH knowledge level was 69.49%. The level of knowledge about the importance of HH was good, but the correct response rates for terminology and alcohol-based handrub were less than 50%. Conclusions: Since DPR students form an important ring in the therapy chain, so in the development of educational programs for the students of DPR, it is very important to improve their knowledge level especially about terminology and alcohol-based handrub techniques. © 2018 A. CARBONE Editore.
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    Comparison of Glucose Values of Blood Samples Taken in Three Different Ways
    (SAGE Publications Inc., 2019) Sagkal Midilli T.; Ergın E.; Baysal E.; Arı Z.
    The purpose of the study was to determine differences and correlations between the blood glucose values of venous blood and the first and second drops of capillary blood samples taken in three different ways. Blood samples were (a) venous blood, (b) the first and second drops of capillary blood from the middle finger of the right hand (only washed with soap and water), and (c) the first and second drops of capillary blood from the middle finger of the left hand (washed with soap and water and cleaned with alcohol). It was concluded that the fasting capillary blood glucose values could be used in place of venous blood glucose values, that only washing the hands with neutral soap and water for 30 s could be sufficient for capillary blood glucose measurement, and that the first or second blood drop from a clean hand could be used for capillary blood glucose measurement. © The Author(s) 2017.
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    Brief report: International perspectives on the pediatric COVID-19 experience
    (John Wiley and Sons Inc., 2020) Yilmaz O.; Gochicoa-Rangel L.; Blau H.; Epaud R.; Lands L.C.; Lombardi E.; Moore P.E.; Stein R.T.; Wong G.W.K.; Zar H.J.
    The 2019 novel coronavirus (SARS-CoV-2) is endangering human health worldwide; scarcity of published pediatric cases and current literature and the absence of evidence-based guidelines necessitate international sharing of experience and personal communication. On 31 March 2020 the International Committee of the American Thoracic Society Pediatrics Assembly recorded an online podcast, during which pediatric pulmonologists worldwide shared their experience on the novel coronavirus disease (COVID-19) in children. The aim was to share personal experience in organizing pediatric care in different health care settings globally, protecting health care workers, and isolation practices. This manuscript summarizes the common themes of the podcast which centered around three main topics: more benign clinical disease and progression in pediatric cases compared to adults, a strong need for strategies to protect health care workers, and social or economic disparities as a barrier to successful pandemic control. © 2020 Wiley Periodicals, Inc.
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    COVID-19 pandemic: Practical considerations on the organization of an allergy clinic—An EAACI/ARIA Position Paper
    (Blackwell Publishing Ltd, 2021) Pfaar O.; Klimek L.; Jutel M.; Akdis C.A.; Bousquet J.; Breiteneder H.; Chinthrajah S.; Diamant Z.; Eiwegger T.; Fokkens W.J.; Fritsch H.-W.; Nadeau K.C.; O’Hehir R.E.; O’Mahony L.; Rief W.; Sampath V.; Schedlowski M.; Torres M.J.; Traidl-Hoffmann C.; Wang D.Y.; Zhang L.; Bonini M.; Brehler R.; Brough H.A.; Chivato T.; Del Giacco S.R.; Dramburg S.; Gawlik R.; Gelincik A.; Hoffmann-Sommergruber K.; Hox V.; Knol E.F.; Lauerma A.; Matricardi P.M.; Mortz C.G.; Ollert M.; Palomares O.; Riggioni C.; Schwarze J.; Skypala I.; Untersmayr E.; Walusiak-Skorupa J.; Ansotegui I.J.; Bachert C.; Bedbrook A.; Bosnic-Anticevich S.; Brussino L.; Canonica G.W.; Cardona V.; Carreiro-Martins P.; Cruz A.A.; Czarlewski W.; Fonseca J.A.; Gotua M.; Haahtela T.; Ivancevich J.C.; Kuna P.; Kvedariene V.; Larenas-Linnemann D.E.; Abdul Latiff A.H.; Mäkelä M.; Morais-Almeida M.; Mullol J.; Naclerio R.; Ohta K.; Okamoto Y.; Onorato G.L.; Papadopoulos N.G.; Patella V.; Regateiro F.S.; Samoliński B.; Suppli Ulrik C.; Toppila-Salmi S.; Valiulis A.; Ventura M.-T.; Yorgancioglu A.; Zuberbier T.; Agache I.
    Background: The coronavirus disease 2019 (COVID-19) has evolved into a pandemic infectious disease transmitted by the severe acute respiratory syndrome coronavirus (SARS-CoV-2). Allergists and other healthcare providers (HCPs) in the field of allergies and associated airway diseases are on the front line, taking care of patients potentially infected with SARS-CoV-2. Hence, strategies and practices to minimize risks of infection for both HCPs and treated patients have to be developed and followed by allergy clinics. Method: The scientific information on COVID-19 was analysed by a literature search in MEDLINE, PubMed, the National and International Guidelines from the European Academy of Allergy and Clinical Immunology (EAACI), the Cochrane Library, and the internet. Results: Based on the diagnostic and treatment standards developed by EAACI, on international information regarding COVID-19, on guidelines of the World Health Organization (WHO) and other international organizations, and on previous experience, a panel of experts including clinicians, psychologists, IT experts, and basic scientists along with EAACI and the “Allergic Rhinitis and its Impact on Asthma (ARIA)” initiative have developed recommendations for the optimal management of allergy clinics during the current COVID-19 pandemic. These recommendations are grouped into nine sections on different relevant aspects for the care of patients with allergies. Conclusions: This international Position Paper provides recommendations on operational plans and procedures to maintain high standards in the daily clinical care of allergic patients while ensuring the necessary safety measures in the current COVID-19 pandemic. © 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.
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    Evaluation of Children with Ralstonia pickkettii Bacteraemia; [Ralstonia pickettii Bakteriyemili Çocuk Olguların Değerlendirilmesi]
    (AVES, 2023) Yeşil E.; Hacımustafaoğlu M.; Çelebi S.; Özer A.; Düzcan Kilimci D.; Eren H.; Özakın C.
    Objective: Ralstonia pickettii is an opportunistic pathogen that is often considered to be contaminant. It can cause infection due to colonisation in infusion solutions and disinfectants. Although rare, it can lead to noso-comial outbreaks, so this agent should not be ignored. In this study, it was aimed to evaluate the growth of R. pickettii in blood cultures taken in the pediatric wards of our hospital, to analyze the outbreaks by R. pickettii and to discuss the precautions to prevent the outbreaks. Material and Methods: Patients with Ralstonia picketti in blood cultures, who were admitted in the pediatric intensive care unit (PICU; n= 46, 81%), neonatal intensive care unit (n= 7, 12%) and other pediatric wards (n= 4, 7%) between February 2014 and December 2017 were included into the study. Patient’s data, the relation between the outbreaks and culture growths, and the sources and the prevention of potential outbreaks were evaluated. Recurrent growths were defined as a single episode. Results: Ralstonia pickettii detected in 57 different specimens in 38 different episodes in a total of 35 patients. Of the fifty-seven blood samples, 67% (n= 38) were peripheral blood cultures, 33% (n= 19) were catheter blood cultures and 74% of the samples lead to infection. Of the 38 ep-isodes, 63% (n= 24) were considered as infection and 37% (n= 14) was contamination. Median age of the patients were seven (0-180) months, and the major underlying comorbidity was congenital heart disease. Of 57 specimens with Raltstonia pickettii growth, 16 (28%) had only R. pick-ettii growth, and the remaining 41 (71%) cultured growths were polymi-crobial. Among these, the most common accompanying microorganisms were Stenotrophomonas maltophilia and Burkholderia species. Of 38 ep-isodes, 58% (n= 22) had a central venous catheter (CVC), of which 64% (n= 14) developed catheter-related bloodstream infection due to R. picket-tii. Eighty-one percent of the specimens were detected in the pediatric intensive care unit, and the outbreak situation was examined. Twenty-three (61%) of a total of 57 growths were associated with an outbreak of health-care-associated infection in three separate periods. Ralstonia pickettii was not detected in environment scans. Antibiogram features of the growths were similar and they were thought to be of the same isolate, no molec-ular study was applied. Three patients died within the first 30 days after the growth. Conclusion: Our study has the largest case series reported in a pediatric population in Türkiye and the world. The mortality rate due to R. pickettii was low. Eighty-one percent of the specimens were in the pediatric intensive care unit and 61% was associated with the outbreak. The importance of hospital infection control measures in preventing R. pickettii and similar outbreaks were emphasized. A limited number of studies have been conducted on this subject in Türkiye, and we believe that our study will contribute to the literature. © 2023, AVES. All rights reserved.