Klimik Journal最新文献

{"title":"Antimicrobial Resistance in Enterococcus faecalis and Enterococcus faecium Bacteria Isolated from Bloodstream Infections: A Single-Center Evaluation","authors":"C. Çelik, Ayşe Hümeyra Taşkın-Kafa, M. Hasbek, Seyit Ali Büyüktuna","doi":"10.36519/KD.2021.07","DOIUrl":"https://doi.org/10.36519/KD.2021.07","url":null,"abstract":"Objective: Enterococci are an important cause of healthcare-related bloodstream infections. The present study aimed to contribute to form empirical treatment models that can be used in the treatment of Enterococcus faecalis and Enterococcus faecium bacteria isolated from bloodstream infections in our hospital by reviewing their resistance status against antibiotics, requently used in the treatment of these bacteria. Methods: In our study, the resistance status of E. faecalis and E. faecium bacteria isolated from bloodstream infections in Sivas Cumhuriyet University, Health Services Practice and Research Hospital between January 2015 and June 2020 against ampicillin, amoxicillin, clavulanic acid, high-level gentamicin, linezolid, teicoplanin, and vancomycin was examined retrospectively. The diagnosis of healthcare-related bloodstream infections was made using the diagnostic criteria of “Centers for Diseases Control and Prevention (CDC).” Results: A total of 227 enterococcal isolates were evaluated within the scope of our study between the specified dates. The percentage of patients with Enterococcus bacteria isolated in their blood cultures were 44.5% male, and 55.5% female. Of the isolates, 60.8% were identified as E. faecalis and 39.2%as E. faecium. High-level gentamicin resistance was found to be 25.3% in E. faecalis isolates, and no resistance was found against vancomycin, teicoplanin, and linezolid. In E. faecium isolates, while the highest resistance was observed against amoxicillin-clavulanic acid and ampicillin with 87.6%, vancomycin resistance was determined to be 3.3%. No resistance to linezolid was identified. Conclusions: Enterococci cause life-threatening infections and there are some difficulties in the treatment. Especially since E. faecium has higher resistance against antibiotics, the agents to be chosen in the treatment of infections caused by these bacteria are limited. Therefore, the current local resistance data will be useful in developing rapid and appropriate treatment models, especially in cases when empirical treatment is required. We think that our study will contribute to the literature in this regard.","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69624855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Health Care Workers With COVID-19","authors":"E. Eren, I. Çelik, Merve Yıldız, U. Topaloğlu, Aysin Kilinc Toker, Emine Fırat, Abdullah Gur, Elif Bolat, A. Kılıc","doi":"10.5152/kd.2020.48","DOIUrl":"https://doi.org/10.5152/kd.2020.48","url":null,"abstract":"Objective: In this study, we aimed to determine the contact risk levels of infected health care workers for patients with COVID- 19 and to evaluate their disease status Methods: Health care workers with COVID-19 were analyzed, retrospectively Close contact with patients was classified as high, medium, low-risk or risk-free contact according to the use of personal protective equipment, and transmission levels were evaluated Symptoms and disease severity after infection were determined Results: A total of 82 health care workers were infected during the study period, and only 2% had high-risk contact status There was risk-free contact in 71% of the patients Community/ family-borne contaminations were detected as the main source of transmission 82% of the infected health care workers have developed at least one symptom Fever (65%) and dry cough 54%) were more common symptoms According to their clinical severity, 66% of them had mild illness Only one had severe illness All the health care workers with COVID-19 recovered and were discharged Conclusions: Health care workers are at increased risk of COVID- 19 transmission In addition to the use of appropriate personal protective equipment, masks and social distance rules should be followed in social settings (English) [ABSTRACT FROM AUTHOR] Amaç: Bu çalışmada COVID-19 hastalarına bakan infekte sağlık çalışanlarının temas risk durumlarının belirlenmesi ve hastalık durumlarının değerlendirilmesi amaçlanmıştır Yöntemler: COVID-19 geçiren sağlık çalışanları retrospektif olarak değerlendirilmiştir Hastalarla olan yakın temasları, kişisel koruyucu ekipman kullanımlarına göre yüksek, orta, düşük riskli veya risksiz temas olarak sınıflandırılmış ve bulaşma düzeyleri değerlendirilmiştir Ínfekte olduktan sonra gelişen semptomlar ve hastalığın ağırlığı belirlenmiştir Bulgular: Çalışma süresi boyunca toplam 82 sağlık çalışanı infekte olmuştur ve sadece %2'sinde yüksek riskli temas vardı Risksiz temas ise %71'inde saptanmıştır Başlıca bulaşma kaynağı olarak ise toplum/aile kaynaklı bulaşma saptanmıştır Ínfekte sağlık çalışanlarının %82'sinde en az bir semptom gelişmiştir Ateş (%65) ve kuru öksürük (%54) en sık görülen semptomlardı Klinik ağırlıklarına göre %66'sı, hastalığı hafif şekilde atlatmıştı Yalnızca bir sağlık çalışanı ağır hastalık tablosu gösterdi COVID-19 saptanan sağlık çalışanlarının tamamı iyileşerek taburcu edilmiştir Sonuçlar: Sağlık çalışanlarına COVID-19 bulaşması riski artmıştır Uygun kişisel koruyucu ekipman kullanımının yanında, sosyal ortamlarda da maske ve sosyal mesafe kurallarına uyulmalıdır (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Klimik Journal / Klimik Dergisi is the property of Turkish Society of Clinical Microbiology & Infectious Diseases and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract ma","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43512259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Evaluation of Positive Blood Culture of Bacteremic Cases With Fatal Outcome","authors":"Gamze Kalin Unuvar, F. Cetinkaya, Zeynep Ture Yuce, A. Kılıc","doi":"10.5152/kd.2020.57","DOIUrl":"https://doi.org/10.5152/kd.2020.57","url":null,"abstract":"","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43579385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comorbidities, Antiretroviral Therapy Switches, and Drug Side-Effects Among HIV-Infected Patients","authors":"O. Evlice, S. Başaran, S. Yavuz, A. Çağatay, O. Oncul, H. Ozsut, H. Eraksoy","doi":"10.5152/kd.2020.50","DOIUrl":"https://doi.org/10.5152/kd.2020.50","url":null,"abstract":"","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44153181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fosfomycin: Flashback","authors":"Gulsen Hazirolan","doi":"10.5152/kd.2020.46","DOIUrl":"https://doi.org/10.5152/kd.2020.46","url":null,"abstract":"","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46530001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cytomegalovirus Colitis in a Patient With Ulcerative Colitis","authors":"O. Akdogan, D. Yapar, T. Duzenli, Gulcan Kaplan, Pinar Tuncel Ozturk, Tugba Ozcerezci, A. Çelikbaş, N. Baykam","doi":"10.5152/kd.2020.64","DOIUrl":"https://doi.org/10.5152/kd.2020.64","url":null,"abstract":"Cytomegalovirus (CMV) can cause severe, persistent","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70505198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Cases of Orf Complicated With Erythema Multiforme","authors":"Mehmet Yildirim, O. Karaşahin","doi":"10.5152/kd.2020.63","DOIUrl":"https://doi.org/10.5152/kd.2020.63","url":null,"abstract":"Orf, özellikle koyun ve keçilerle ilgilenen çiftçilerde görülen, yüksek düzeyde bulaşıcı ve kendini sınırlayan bir infeksiyon hastalığıdır. Etken, Poxviridae ailesinin Parapoxvirus cinsinden çift iplikli bir DNA virusu olan orf virusudur. Orf, sekonder bakteriyel infeksiyon, lenfadenopati, lenfanjit ve erythema multiforme ile komplike olabilir. Bu yazıda koyun teması sonrası gelişen ve erythema multiforme ile komplike olan iki orf olgusu sunulacaktır. Klimik Dergisi 2020; 33(3): 317-9. Anahtar Sözcükler: Erythema multiforme, orf. Abstract","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45273157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Clinical and Laboratory-Defined Case of COVID-19 Reinfection","authors":"Ismail Turkoz, Mehmet Ali Tuz, E. Gençer, Fadime Ozge Aygun Kas, T. Yıldırmak, Gogus Hastaliklari Klinigi Zonguldak Turkiye Zonguldak Ataturk Devlet Hastanesi","doi":"10.5152/kd.2020.62","DOIUrl":"https://doi.org/10.5152/kd.2020.62","url":null,"abstract":"While the COVID-19 pandemic which emerged in China at the end of 2019 and affected the whole world continues its effect all over the world;there are still questions in our minds regarding reinfection and prolonged infection We report a case of COVID- 19 reinfection detected in a patient presenting with similar symptoms approximately 5 months after the first infection (English) [ABSTRACT FROM AUTHOR] 2019 yılının sonunda Çin'de ortaya çıkan ve tüm dünyayı etkisi altına alan COVID-19 pandemisi tüm dünyada etkisini sürdürürken reinfeksiyon ve uzamış infeksiyonla ilgili soru işaretleri devam etmektedir Bu bildiride ilk infeksiyondan yaklaşık 5 ay sonra benzer semptomlarla başvuran bir hastada saptanmış bir COVID-19 reinfeksiyonu olgusu sunulmuştur (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Klimik Journal / Klimik Dergisi is the property of Turkish Society of Clinical Microbiology & Infectious Diseases and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46956081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Syphilis Coinfection in HIV-Infected Individuals","authors":"H. Dinc, Sena Alkan, Doğukan Özbey, S. Sirekbasan, N. Gareayaghi, Merve Cihan, S. Akkus, B. Mete, F. Tabak, H. B. Tokman, B. Kocazeybek","doi":"10.5152/kd.2020.59","DOIUrl":"https://doi.org/10.5152/kd.2020.59","url":null,"abstract":"","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45076084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Status in Intestinal Parasitic Infections: A Reference Laboratory Results","authors":"S. Usluca, C. Babür, S. Kılıç","doi":"10.5152/kd.2020.61","DOIUrl":"https://doi.org/10.5152/kd.2020.61","url":null,"abstract":"Yazışma Adresi / Address for Correspondence: Selma Usluca, Sağlık Bakanlığı, Halk Sağlığı Genel Müdürlüğü, Mikrobiyoloji Referans Laboratuvarları ve Biyolojik Ürünler Daire Başkanlığı, Sıhhiye, Ankara, Türkiye E-posta / E-mail: selmausluca@gmail.com (Geliş / Received: 28 Kasım / November 2019; Kabul / Accepted: 30 Kasım / November 2020) DOI: 10.5152/kd.2020.61 Barsak Paraziti İnfeksiyonlarında Son Durum: Bir Referans Laboratuvarı Sonuçları","PeriodicalId":44309,"journal":{"name":"Klimik Journal","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46455381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}