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1. A snapshot of geriatric infections in Turkey: ratio of geriatric inpatients in hospitals and evaluation of their infectious diseases: A multicenter point prevalence study

Author

Behice Kurtaran, Ferit Kuscu, Pinar Korkmaz, Burcu Ozdemir, Dilara Inan, Nefise Oztoprak, Duru Mistanoglu Ozatag, Ozgur Daglı, Serhat Birengel, Kevser Ozdemir, Hande Aslaner, Aslıhan Ulu, Emine Sehmen, Serpil Erol, Yeşim Uygun Kızmaz, Gül Durmuş, M Emirhan Işık, Aslı Haykır Solay, Suheyla Komur, Emel Azak, İlknur Yavuz, Ergenekon Karagöz, Merve Sefa Sayar, Hasan Naz, Zehra Demirbaş, Nevin İnce, Fatime Korkmaz, Şule Özdemir Armağan, Ümit Savaşçı, Sabahat Aktaş, Elif Tükenmez Tigen, Buket Ertürk Şengel, Nur Cancan Gürsul, Ali Acar, Sema Sarı, Sema Turan, Uğur Kostakoğlu, Güliz Evik, Kader Arslan, Esra Kaya Kılıç, Aynur Atilla, Canan Ağalar, Selma Ateş, Kenan Uğurlu, Mustafa Doğan, Funda Bilman, Nirgül Kılıçaslan, Gülay Oktay, Nilsun Altunal, Yasemin Balkan, Mevliye Yetik, Serhat Uysal, A İrfan Baran, Nurettin Erben, Hande Aydemir, B Ergüt Sezer, Abdulkadir Daldal, Ayten Kadanalı, Ayşe Sağmak Tartar, Alper Şener, Rezan Harman, M Reşat Ceylan, Hatice Ürgüdücü, İlyas Dökmetaş, Ahmet Hamidi, A Altunçekiç Yıldırım, Sedat Kaygusuz, Esmeray Mutlu Yılmaz, Şaban Esen, Selçuk Nazik, Filiz Koç, Hale Turan Özden, Aslıhan Demirel, Yeşim Kürekçi, Haluk Erdoğan, Emine Fırat Göktaş, Mehmet Uluğ, Hülya Kuşoğlu, Ramazan Gözüküçük, Habibe Tülin Elmaslar Mert, İlknur Erdem, Hüseyin Şahintürk, Işıl Deniz Aliravcı, Rıdvan Kara Ali, Funda Koçak, İE Yıldız, Emel Aslan, Fatma Yılmaz Karadağ, A Seza Inal, and Yesim Tasova

Subjects
Geriatrics, Hospitalization, Infection, Antibiotic, Infectious and parasitic diseases, RC109-216
Abstract

Introduction: The human population is aging at an astonishing rate. The aim of this study is to capture a situation snapshot revealing the proportion of individuals aged 65 years and over among inpatients in healthcare institutions in Turkey and the prevalence and type of infections in this patient group in order to draw a road map. Materials and Methods: Hospitalized patients over 65 years at any of the 62 hospitals in 29 cities across Turkey on February 9, 2017 were included in the study. Web-based SurveyMonkey was used for data recording and evaluation system. Results: Of 17,351 patients 5871 (33.8%) were ≥65 years old. The mean age was 75.1 ± 7.2 years; 3075 (52.4%) patients were male. Infection was reason for admission for 1556 (26.5%) patients. Pneumonia was the most common infection. The median length of hospital stay was 5 days (IQR: 2–11 days). The Antibiotic therapy was initiated for 2917 (49.7%) patients at the time of admission, and 23% of the antibiotics prescribed were inappropriate. Healthcare-associated infections developed in 1059 (18%) patients. Urinary catheters were placed in 2388 (40.7%) patients with 7.5% invalid indication. Conclusion: This study used real data to reveal the proportion of elderly patients in hospital admissions. The interventions done, infections developed during hospitalization, length of hospital stay, and excessive drug load emphasize the significant impact on health costs and illustrate the importance of preventive medicine in this group of patients.

Published
2020
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2. Factors Affecting Inadequate Empirical Antimicrobial Therapy and the Clinical Course of Upper Urinary Tract Infections in Elderly Patients: A Multicenter Study

Author

Pınar KORKMAZ, Behice KURTARAN, Şule ÖZDEMİR ARMAĞAN, Hale TURAN ÖZDEN, Fatma KAÇAR, Selma ATEŞ, Gül DURMUŞ, Fulya BAYINDIR BİLMAN, Yeşim UYGUN KIZMAZ, Aziz Ahmad HAMİDİ, Burcu ÖZDEMİR, Aslıhan BURCU YIKILGAN, Pınar FIRAT, Asuman İNAN, Gülay OKAY, Mehmet Emirhan IŞIK, Ayşe BUT, Kenan UĞURLU, Rezan HARMAN, Büşra ERGÜT SEZER, Elif DOYUK KARTAL, Ferit KUŞÇU, Alper ŞENER, Duru MISTANOĞLU ÖZATAĞ, Elif TÜKENMEZ TİGEN, Özgür DAĞLI, Funda KOÇAK, Hülya KUŞOĞLU, Buket ERTÜRK ŞENGEL, Aslıhan DEMİREL, Hasan NAZ, Canan AĞALAR, Derya ÖZTÜRK ENGİN, İlyas DÖKMETAŞ, Nur CANCAN GÜRSUL, Fatma YILMAZ KARADAĞ, Mehmet Umut ÇAYIRÖZ, Yeşim KÜREKÇİ, Ayten KADANALI, Zeynep Şule ÇAKAR, Ümit SAVAŞÇI, İlknur ERDEM, and Sabahat ÇAĞAN AKTAŞ

Subjects
urinary tract infection, empirical, antibiotherapy, mortality, Medicine, Infectious and parasitic diseases, RC109-216
Abstract

Introduction: In this study, we aimed to determine the risk factors associated with inadequate empirical antibiotherapy (IEAT) and hospital-related mortality in elderly patients being treated for upper urinary tract infections (UTI). Materials and Methods: This study included individuals aged 65 years and over who were hospitalized after being diagnosed of communityacquired UTI or community-onset healthcare-associated UTI and followed-up in clinics and/or intensive care units (ICU) of 33 hospitals between March and September 2017. Results: A total of 525 patients (48% males; mean age: 76.46±7.93 years) were included in the study. Overall, 68.2% of the patients were hospitalized through the emergency department and 73.9% of patients were followed-up for pyelonephritis. Gram-negative, Gram-positive, and Gram-negative and positive mix growths were determined in 88%, 9.3%, and 2.7% of urine cultures, respectively. Fifty-six (10.7%) of the patients died. In multivariate analysis, the presence of chronic obstructive pulmonary disease [Odds ratio (OR): 2.278], age 85 years and over (OR: 2.816), admission to the ICU (OR: 14.831), and IEAT (OR: 2.364) were independent factors that significantly affected mortality. The presence of a urinary catheter, being followed-up in the ICU, benign prostate hypertrophy, use of antibiotics other than piperacillin-tazobactam and carbapenem were determined as independent factors that significantly affected IEAT (p

Published
2020
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3. İshal ve Deri Bulguları ile Başvuran Bir Atipik COVID-19 Olgusu

Author

Nur CANCAN GÜRSUL, Sevil ALKAN, and Servan VURUCU

Subjects
General Earth and Planetary Sciences, General Environmental Science
Abstract

Koronavirüs hastalığı 2019 (COVID-19) çok farklı klinik sunumlara neden olabilir. Hastalığın bu akciğer dışı klinik sunumlarına artan vaka sayıları nedeniyle farkındalık ve bildirilen vaka sayıları da artmıştır. Gastrointestinal tutulum (ishal, karın ağrısı, karaciğer ve pankreas tutulumları, gibi) ve deri tutulumu (makülopapüler döküntü, ürtiker, veziküller, gibi) da bunlardandır. Deri bulguları hastalığın çeşitli evrelerinde veya kullanılan ilaçlara bağlı gelişebilir. Bu tutulumlara akciğer bulguları eşlik etmeyebilir. Bu olgular da eğer ayrıcı tanıda COVID-19 akla getirilmezse hastalık atlanabilir. Biz de 77 yaşında, pulmoner semptomları olmayan, ishalle ve yaygın döküntülerle başvuran bir hastada COVID-19 enfeksiyonu tespit ettik ve bu olguyla bilimsel literatüre katkıda bulunmayı amaçladık.

Published
2022
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4. A snapshot of geriatric infections in Turkey: ratio of geriatric inpatients in hospitals and evaluation of their infectious diseases: A multicenter point prevalence study

Author

Ramazan Gözüküçük, Ilyas Dokmetas, Yeşim Taşova, Umit Savasci, Hale Turan Özden, Selma Ateş, Esra Kaya Kılıç, Serhat Birengel, Ali Acar, M Emirhan Işık, Şaban Esen, Fatma Yılmaz Karadağ, Kader Arslan, Rezan Harman, Ahmet Hamidi, Emine Sehmen, Asli Haykir Solay, Ayşe Sağmak Tartar, Sedat Kaygusuz, Funda Kocak, Esmeray Mutlu Yilmaz, Filiz Koc, Ozgur Dagli, Hande Aslaner, Şule Özdemir Armağan, Isil Deniz Aliravci, Serpil Erol, Duru Mıstanoğlu Özatağ, Behice Kurtaran, Canan Agalar, Ilknur Esen Yildiz, Mustafa Dogan, Merve Sefa Sayar, Yeşim Kürekçi, Rıdvan Kara Ali, Ilknur Erdem, Zehra Demirbaş, Yasemin Balkan, Fatime Korkmaz, Funda Bilman, Yesim Uygun Kizmaz, Nur Cancan Gürsul, Hüseyin Şahintürk, Emine Fırat Göktaş, Nefise Oztoprak, Pinar Korkmaz, Hande Aydemir, Aynur Atilla, A İrfan Baran, Nevin Ince, Hülya Kuşoğlu, Sabahat Çağan Aktaş, Ilknur Yavuz, Nilsun Altunal, Abdulkadir Daldal, Ferit Kuşcu, Aslıhan Demirel, Serhat Uysal, Mehmet Ulug, Buket Erturk Sengel, Güliz Evik, Dilara Inan, Gülay Okay, Aslihan Ulu, Nurettin Erben, Selçuk Nazik, A Altunçekiç Yıldırım, Sema Turan, M Reşat Ceylan, Haluk Erdoğan, Hatice Ürgüdücü, Hasan Naz, Kevser Ozdemir, Nirgül Kılıçaslan, Elif Tukenmez Tigen, Süheyla Kömür, Gül Durmuş, Uğur Kostakoğlu, Ayten Kadanali, B Ergüt Sezer, Habibe Tülin Elmaslar Mert, Emel Aslan, Ergenekon Karagoz, Alper Şener, Burcu Ozdemir, Emel Azak, Mevliye Yetik, Kenan Ugurlu, Sema Sarı, A Seza Inal, and OKAY, GÜLAY

Subjects
Male, 0301 basic medicine, Turkey, healthcare associated infection, very elderly, Antibiotics, Psychological intervention, Prevalence, Turkey (republic), 0302 clinical medicine, Health care, antibiotic therapy, antibiotic agent, 030212 general & internal medicine, Aged, 80 and over, Geriatrics, education.field_of_study, inappropriate prescribing, General Medicine, Hospitals, Hospitalization, aged, hospital patient, Infectious Diseases, female, multicenter study (topic), Female, Infection, Microbiology (medical), medicine.medical_specialty, medicine.drug_class, Urinary system, 030106 microbiology, Population, prevalence, Infections, Communicable Diseases, Article, lcsh:Infectious and parasitic diseases, 03 medical and health sciences, length of stay, male, medicine, Humans, pneumonia, lcsh:RC109-216, human, education, Aged, Preventive healthcare, Inpatients, business.industry, Antibiotic, Length of Stay, major clinical study, infection, Emergency medicine, geriatric disorder, business
Abstract

Introduction The human population is aging at an astonishing rate. The aim of this study is to capture a situation snapshot revealing the proportion of individuals aged 65 years and over among inpatients in healthcare institutions in Turkey and the prevalence and type of infections in this patient group in order to draw a road map. Materials and Methods Hospitalized patients over 65 years at any of the 62 hospitals in 29 cities across Turkey on February 9, 2017 were included in the study. Web-based SurveyMonkey was used for data recording and evaluation system. Results Of 17,351 patients 5871 (33.8%) were ≥65 years old. The mean age was 75.1 ± 7.2 years; 3075 (52.4%) patients were male. Infection was reason for admission for 1556 (26.5%) patients. Pneumonia was the most common infection. The median length of hospital stay was 5 days (IQR: 2–11 days). The Antibiotic therapy was initiated for 2917 (49.7%) patients at the time of admission, and 23% of the antibiotics prescribed were inappropriate. Healthcare-associated infections developed in 1059 (18%) patients. Urinary catheters were placed in 2388 (40.7%) patients with 7.5% invalid indication. Conclusion This study used real data to reveal the proportion of elderly patients in hospital admissions. The interventions done, infections developed during hospitalization, length of hospital stay, and excessive drug load emphasize the significant impact on health costs and illustrate the importance of preventive medicine in this group of patients.

Published
2020

5. The factors affecting inadequate empirical antimicrobial therapy and clinical course in upper urinary tract infections of the elderly patients

Author

Derya Ozturk Engin, Pinar Korkmaz, Rezan Harman, Behice Kurtaran, Asuman Inan, Kenan Uğurlu, Mehmet Umut Çayiröz, Umit Savasci, Aslıhan Demirel, Hale Turan Özden, Aslıhan Burcu Yikilgan, Yeşim Kürekçi, Yesim Uygun Kizmaz, Ayten Kadanali, Zeynep Sule Cakar, Alper Şener, Pınar Firat, Fulya Bayindir Bilman, Burcu Ozdemir, Şule Özdemir Armağan, Buket Erturk Sengel, Nur Cancan Gürsul, Gülay Okay, Mehmet Emirhan Işık, Sabahat Çağan Aktaş, Duru Mistanoğlu Özatağ, Canan Ağalar, Fatma Kaçar, Hülya Kuşoğlu, Ayşe But, Ilknur Erdem, Hasan Naz, Özgür Dağli, Gül Durmuş, Fatma Yilmaz Karadağ, Büşra Ergüt Sezer, Ferit Kuşcu, Selma Ateş, Elif Tukenmez Tigen, Ilyas Dokmetas, Elif Doyuk Kartal, Aziz Ahmad Hamidi, and Funda Kocak

Subjects
Microbiology (medical), medicine.medical_specialty, Infectious Diseases, General Immunology and Microbiology, Multicenter study, business.industry, Internal medicine, medicine, Clinical course, Antimicrobial, business, Upper urinary tract
Published
2020
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