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3 results on '"Gamze Tastan"'

1. Microbial Contamination of Nebulizers in Patients With Cystic Fibrosis

Author

Cansu Yilmaz Yegit, Pinar Ergenekon, Nurcan Duman, Hakan Mursaloglu, Muruvvet Cenk, Burcu Suzer Uzunoglu, Gamze Tastan, Yasemin Gokdemir, Ela Erdem Eralp, Aysegul Karahasan Yagci, Fazilet Karakoc, and Bulent Karadag

Subjects
Pediatrics, RJ1-570
Abstract

Objective: Nebulizer contamination has potential harmful effects on the respiratory system. The aim was to investigate the contamination profile of the nebulizers in cystic fibrosis patients and evaluate the relationship between hygiene practices and microbial contamination. Materials and Methods: Microbiological swab samples were taken from 3 different locations of the nebulizers of 102 patients. A questionnaire regarding nebulizer hygiene practices was applied to participants. Results: Contamination rate was 40.2%, while chambers were the most contaminated area. The bacterial contamination rate was 37.3%, with gram-negative bacterial growth being predominant. The organisms identified were mostly environmental or floral. Only 3 of the patients were performing the whole steps correctly. This number was not sufficient to assess the relationship between nebulizer cleaning and disinfection practices and microbial growth from nebulizers. When the relationship between nebulizer cleaning/disinfection frequencies, methods, and storage locations was evaluated separately with microbial growth from nebulizers, no statistically significant relationship was found for all (P > .05 for all). Conclusion: The nebulizer contamination rate with pathogenic microorganisms is low in the present study. Regular educational interventions regarding nebulizer hygiene practices should be implemented in all Cystic Fibrosis Centers.

Published
2025
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2. Improvements in body mass index of children with cystic fibrosis following implementation of a standardized nutritional algorithm: A quality improvement project

Author

Yasemin Gokdemir, Ela Erdem Eralp, Almala Pinar Ergenekon, Cansu Yilmaz Yegit, Muruvvet Yanaz, Hakan Mursaloglu, Burcu Uzunoglu, Damla Kocamaz, Gamze Tastan, Amy Filbrun, Catherine Enochs, Sandra Bouma, Courtney Iwanicki, Fazilet Karakoc, Samya Z. Nasr, Bulent Karadag, and GÖKDEMİR Y., ERDEM ERALP E., ERGENEKON A. P., YILMAZ YEĞİT C., Yanaz M., Mursaloglu H., Uzunoglu B., Kocamaz D., Tastan G., Filbrun A., et al.

Subjects
Pulmonary and Respiratory Medicine, MEDICAL-PRACTICE, body mass index, Sağlık Bilimleri, Pediatrics, Clinical Medicine (MED), Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases, SOLUNUM SİSTEMİ, cystic fibrosis, children, Respiratory Care, Health Sciences, Klinik Tıp (MED), Chest Diseases and Allergy, Pediatri, Perinatoloji ve Çocuk Sağlığı, OUTCOMES, Internal Medicine Sciences, Klinik Tıp, RESPIRATORY SYSTEM, OF-LIFE, Dahili Tıp Bilimleri, Göğüs Hastalıkları ve Allerji, CLINICAL MEDICINE, Tıp, nutrition, Pediatri, HEALTH-CARE, Pediatrics, Perinatology and Child Health, Akciğer ve Solunum Tıbbı, PATTERNS, Medicine, PEDİATRİ, Solunum Bakımı
Abstract

BackgroundA collaboration between the University of Michigan (UM) Cystic Fibrosis Center (CFC) and Marmara University (MU) CFC was initiated in MU through conducting Quality Improvement projects (QIP). The global aim was to improve nutritional status of children with CF (cwCF), with a specific aim to increase the mean BMI percentile (BMIp) for cwCF by 10 percentile points in 12 months. MethodsBody mass index (BMI) percentiles of cwCF were categorized as: nutritionally adequate (BMIp >= 50%); at risk (BMIp 25%-49%); urgently at risk (BMIp 10%-25%); critically at risk (BMIp < 10%). Appropriate interventions were made according to BMIp category every three months. Forced expiratory volume in one-second percent predicted (FEV1pp), and health-related quality of life (HRQoL) were evaluated. ResultsOne hundred and eight-two cwCF with a mean age of 9.1 +/- 4.3 years were included in the project. Baseline BMIp increased from 25.6 to 37.2 at the 12th month (p < 0.001). In the critically at-risk group BMIp increased from 3.6 to 20.5 (p < 0.001), in the urgently at risk group from 15.9 to 30.8 (p < 0.001), in the at risk group from 37.0 to 44.2 (p < 0.079) and in the nutritionally adequate group the increase was from 66.8 to 69.5 (p < 0.301). FEV1pp also improved significantly, from 81.3 +/- 20.6 to 85.9 +/- 20.8 (p < 0.001). Physical functioning, eating problems, and respiratory symptoms domains of the HRQoL evaluation improved (p < 0.05). ConclusionThis project has led to significant improvements in BMIp, FEV1pp and HRQoL of cwCF; similar projects could easily be implemented by centers in other developing countries.

Published
2023
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3. Implementation of standardized cystic fibrosis care algorithm to improve the center data-quality improvement project international collaboration

Author

Yasemin Gokdemir, Ela Erdem Eralp, Almala Pinar Ergenekon, Cansu Yilmaz Yegit, Muruvvet Yanaz, Hakan Mursaloğlu, Burcu Uzunoglu, Damla Kocamaz, Gamze Tastan, Ozge Kenis Coskun, Amy Filbrun, Catherine Enochs, Sandra Bouma, Courtney Iwanicki, Fazilet Karakoc, Samya Z Nasr, Bulent Karadag, and Gokdemir Y., Eralp E., Ergenekon A. P., Yilmaz Yegit C., Yanaz M., Mursaloğlu H., Uzunoglu B., Kocamaz D., Tastan G., Kenis Coskun O., et al.

Subjects
Pulmonary and Respiratory Medicine, Sağlık Bilimleri, Clinical Medicine (MED), Cystic fibrosis, Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases, SOLUNUM SİSTEMİ, PEDIATRICS, Health Sciences, Klinik Tıp (MED), Chest Diseases and Allergy, Pediatri, Perinatoloji ve Çocuk Sağlığı, Quality improvement, Children, Internal Medicine Sciences, Klinik Tıp, RESPIRATORY SYSTEM, Dahili Tıp Bilimleri, Göğüs Hastalıkları ve Allerji, CLINICAL MEDICINE, Lung function, Tıp, Pediatrics, Perinatology and Child Health, Akciğer ve Solunum Tıbbı, Medicine, PEDİATRİ
Abstract

Background: A collaboration between the University of Michigan (U of M) Cystic Fibrosis Center (CFC) and Marmara University (MU) CFC was initiated to improve the health status of people with cystic fibrosis (pwCF) at MU through implementing Quality Improvement (QI) initiatives. The main aim was to improve lung function in children with FEV1pp

Published
2023

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