Browsing by Subject "infection control"
Now showing 1 - 10 of 10
Results Per Page
Sort Options
Item A province-based study using sampling method to investigate the prevalence of cystic echinococcosis among primary school children in Manisa, Turkey(2007) Ok U.Z.; Özkol M.; Kilimcioǧlu A.A.; Dinç G.; Bayindir P.; Östan I.; Pabuşçu Y.; Özcan C.; Korkmaz M.; Coşkun S.; Yüksel H.; Girginkardeşler N.A province-based field study using a portable ultrasound scanner (US) was performed for the first time using sampling method to investigate the prevalence of cystic echinococcosis (CE) in primary school children in Manisa, Turkey. A total of 6093 children from 37 primary schools was selected as the representative sample of the total number of 166,766 primary school children, and examined by the US. Prevalence was found to be 0.15%, as nine children were diagnosed with CE, seven new and two previously operated. A questionnaire applied to the children revealed no significant relationship between the risk factors and the infection (P > 0.05). In conclusion, it would be advisable to repeat the study at the same schools in eight years' time, in order to evaluate the efficacy of the control programs, since nearly all students involved in this study will have graduated by then. Besides, it is recommended to choose a sampling group to find the prevalence of an infection in a defined region. © 2007 Elsevier B.V. All rights reserved.Item Diagnostic value of stool antigen and antibody tests for Helicobacter pylori infection in Turkish children with upper gastrointestinal complaints before and after eradication(2010) Tiryaki Z.; Yilmaz-Çiftdoǧan D.; Kasirga E.The aim of this study was to evaluate the diagnostic value of Helicobacter pylori stool antigen (HpSA) and serologic tests before and after eradication therapy for H. pylori in Turkish children in our region with upper gastrointestinal complaints. In this study, 87 children with upper gastrointestinal complaints and 95 children with various symptoms without gastrointestinal complaints were enrolled. H. pylori infection was detected by urea breath test (UBT). HpSA and H. pylori immunoglobulin G (HpIgG) tests were applied to all the children. Eradication treatment was given to the 34 H.pyfon'-positive children. The UBT was positive in 43 of 87 children (49.4%) with upper gastrointestinal complaints. The sensitivity and specificity of the HpSA in children with upper gastrointestinal complaints were 86% and 84.1%, respectively, and those for the HpIgG were 76.7% and 90.9%, respectively. After eradication, the overall HpSA test sensitivity and specificity values were detected as 88.9% and 84%, respectively, and those for the HpIgG were 77.8% and 36%, respectively. The HpSA test is highly sensitive and specific for the diagnosis of H. pylori and for confirming eradication in Turkish children with upper gastrointestinal complaints. However, serology is not a reliable method for the diagnosis of H. pylori infection or for confirming eradication in children.Item Ultrasound-assisted vitrectomy for late stage infectious endophthalmitis(2011) Kaykçoǧlu Ö.; Emre S.; Seymenoǧlu G.We described an ultrasound-assisted technique of pars plana vitrectomy in endophthalmitis cases with visualization problems of the retina related to the loss of ocular media clarity.We performed pars plana vitrectomy, assisted with a B-mode ultrasonography, on 5 eyes of 5 patients who were referred for late-stage postcataract endophthalmitis. After the implantation of a 6.0-mm infusion port and creation of another pars plana sclerostomy, a 20-gauge vitrectomy tip was visualized in the midvitreus cavity. Core vitrectomy was performed followed by intravitreal antibiotic injection at the end of the surgery without complication in all cases.The study group of 5 patients had a mean age of 73.6 ± 7.9 years. Preoperative visual acuity was light perception positive in 2 eyes and light perception negative in 3 eyes. We obtained satisfactory cosmetic results in all patients, controlled intraocular infection, and prevented evisceration; however, there was no change in visual acuity after surgery.In this preliminary study, we obtained acceptable results with ultrasound-assisted vitrectomy, which may help retinal surgeons to operate on cases with ocular media opacity. Copyright © 2011 by Lippincott Williams & Wilkins.Item Education of healthcare personnel working with pediatric patients during covid-19 pandemic within the framework of infection control; [Covid-19 pandemisinde enfeksiyon kontrol çalışmaları çerçevesinde çocuk hastalarla çalışan sağlık personeli eğitimi](AVES, 2020) Oygar P.D.; Büyükçam A.; Bal Z.Ş.; Dalgıç N.; Bozdemir Ş.E.; Karbuz A.; Çetin B.Ş.; Kara Y.; Çetin C.; Hatipoğlu N.; Uygun H.; Aygün F.D.; Törün S.H.; Okur D.Ş.; Çiftdoğan D.Y.; Kara T.T.; Yahşi A.; Özer A.; Demir S.Ö.; Akkoç G.; Turan C.; Salı E.; Şen S.; Erdeniz E.H.; Kara S.S.; Emiroğlu M.; Erat T.; Aktürk H.; Gürlevik S.L.; Sütçü M.; Aydın Z.G.G.; Atikan B.Y.; Yeşil E.; Güner G.; Çelebi E.; Efe K.; İşançlı D.K.; Durmuş H.S.; Tekeli S.; Karaarslan A.; Bülbül L.; Almış H.; Kaba Ö.; Keleş Y.E.; Yazıcıoğlu B.; Oğuz Ş.B.; Ovalı H.F.; Doğan H.H.; Çelebi S.; Çakır D.; Karasulu B.; Alkan G.; Yenidoğan İ.; Gül D.; Küçükalioğlu B.P.; Avcu G.; Kukul M.G.; Bilen M.; Yaşar B.; Üstün T.; Kılıç Ö.; Akın Y.; Cebeci S.O.; Turgut M.; Yanartaş M.S.; Şahin A.; Arslanoğlu S.; Elevli M.; Öz Ş.K.T.; Hatipoğlu H.; Erkum İ.T.; Demirbuğa A.; Özçelik T.; Sarı E.E.; Akkuş G.; Hatipoğlu S.S.; Dinleyici E.Ç.; Hacımustafaoğlu M.; Özkınay F.; Kurugöl Z.; Cengiz A.B.; Somer A.; Tezer H.; Kara A.Objective: In the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and Methods: A survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: Among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n= 4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: It is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic. © 2020, AVES. All rights reserved.Item 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.Item Handling of allergen immunotherapy in the COVID-19 pandemic: An ARIA-EAACI statement(Blackwell Publishing Ltd, 2020) Pfaar O.; Klimek L.; Jutel M.; Akdis C.; Bousquet J.; Akdis M.; Bachert C.; Agache I.; Ansotegui I.; Bedbrook A.; Bosnic-Anticevich S.; Canonica G.W.; Chivato T.; Cruz A.A.; Czarlewski W.; Del Giacco S.; Du H.; Fonseca J.A.; Gao Y.; Haahtela T.; Hoffmann-Sommergruber K.; Ivancevich J.-C.; Khaltaev N.; Knol E.F.; Kuna P.; Larenas-Linnemann D.; Melen E.; Mullol J.; Naclerio R.; Ohta K.; Okamoto Y.; O’Mahony L.; Onorato G.L.; Papadopoulos N.G.; Pawankar R.; Samolinski B.; Schwarze J.; Toppila-Salmi S.; Shamji M.H.; Teresa Ventura M.; Valiulis A.; Yorgancioglu A.; Matricardi P.; Zuberbier T.[No abstract available]Item Current situation of covid-19 in northern cyprus; [Situation actuelle de la covid-19 dans la partie nord de chypre](World Health Organization, 2020) Sultanoglu N.; Baddal B.; Suer K.; Sanlidag T.Background: The public health burden of the novel coronavirus disease 2019 (COVID-19) is expected to increase and ur-gent strict measures by decision-makers is critical for the containment of the novel coronavirus (SARS-CoV-2) outbreak worldwide. Aims: This study aimed to give a real-time analysis of COVID-19 presence in northern Cyprus. Methods: All official SARS-CoV-2 positive cases were tracked and reported in terms of the origin, nationality, and transmission routes. Preventive measures taken after the first reported case were analyzed for their effectiveness as control strategies. Results: The index case of SARS-CoV-2 in northern Cyprus was identified as a female German tourist. First local case had travel history from the United Kingdom after which local transmission occurred. Rapid and strict containment measures have currently delayed a peak in observed cases. Conclusions: Rapid implementation of social-distancing measures, good hygiene measures and travel/gathering bans in northern Cyprus has been effective in controlling the outbreak. © World Health Organization (WHO) 2020.Item 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.Item Consensus recommendations for botulinum toxin injections in the spasticity management of children with cerebral palsy during COVID-19 outbreak(Turkiye Klinikleri, 2021) Yilmaz Yalçinkaya E.; Karadağ Saygi E.; Taskiran Ö.Ö.; Çapan N.; Kutlay Ş.; Sonel Tur B.; El Ö.; Akyüz E.Ü.; Tekın S.; Ofluoğlu D.; Zinnuroğlu M.; Akpinar P.; Özeklı Misirlioğlu T.; Hüner B.; Nur H.; Çağlar S.; Sezgın M.; Tikiz C.; Öneş K.; İçağasioğlu A.; Aydin R.Spasticity is the most common motor disturbance in cerebral palsy (CP). Lockdown in the COVID-19 outbreak has profoundly changed daily routines, and similarly caused the suspension of spasticity treatment plans. Besides, the delay in botulinum toxin (BoNT) injection, which is important in the management of focal spasticity, led to some problems in children. This consensus report includes BoNT injection recommendations in the management of spasticity during the COVID-19 pandemic in children with CP. In order to develop the consensus report, physical medicine and rehabilitation (PMR) specialists experienced in the field of pediatric rehabilitation and BoNT injections were invited by Pediatric Rehabilitation Association. Items were prepared and adapted to the Delphi technique by PMR specialists. Then they were asked to the physicians experienced in BoNT injections (PMR specialist, pediatric orthopedists, and pediatric neurologists) or COVID-19 (pediatric infectious disease, adult infectious disease). In conclusion, the experts agree that conservative management approaches for spasticity may be the initial steps before BoNT injections. BoNT injections can be administered to children with CP with appropriate indications and with necessary precautions during the pandemic. © TÜBİTAK.Item 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.