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Amaç: Basınç yaraları, yoğun bakım ünitelerinde sık görülen, hastane yatış süresini uzatan, mortaliteyi arttıran ve tedavi giderlerini yükselten önemli bir bakım sorunudur. Yenidoğan dönemine göre geliştirilmiş olan Neonatal Braden Q Basınç Risk Değerlendirme Ölçeği’nin (NBQBRD) ise ülkemizde henüz güvenilirlik ve geçerlilik çalışması bulunmamaktadır. Konu hakkında, yenidoğan dönemine ait ülkemizde tek geçerlilik ve güvenirlilik çalışması yapılmış ve halen kullanılmakta olan Yenidoğan Cilt Risk Değerlendirme (YCRD) Ölçeğidir. Çalışmamızın amacı Türkiye’de ilk defa yenidoğan yoğun bakım ünitesinde yatarak tedavi gören bebeklerde Türkçe NBQBRD Ölçeği’nin ülkemiz için geçerlilik ve güvenirliğini değerlendirmektir. Yöntem: Yenidoğan yoğun bakım ünitesinde yatarak tedavi gören 114 olguda toplam 201 değerlendirme yapılmıştır. Verilerin toplanmasında; hasta özelliklerine ve çalışmayı sürdüren hemşirelerin bireysel özelliklerine ilişkin soru formu ve Türkçe NBQBRD Ölçeği ile birlikte paralel form testi olarak Türkçe YCRD Ölçeği kullanılmıştır. Aynı vaka eş-zamanlı olarak bakım veren hemşiresi ve araştırmacı tarafından değerlendirilmiştir. Bulgular: Çalışmada Türkçe NBQBRD Ölçeği’nin geçerli ve güvenilir olduğu, Türkçe YCRD Ölçeği ile karşılaştırıldığında klinik hemşireleri ve araştırmacı ölçümlerinin iki ölçek arasındaki korelasyon katsayısının yüksek ve aralarındaki ilişkinin ileri düzeyde anlamlı olduğu görülmüştür. Sonuç: Bu sonuçlar yenidoğan yoğun bakım ünitesinde yatmakta olan bebeklerde basınç ülseri risk değerlendirmesinde Türkçe NBQBRD Ölçeği’nin ülkemizde güvenle kullanılabileceğini göstermiştir., Objective: Pressure sore is a common care problem in intensive care units which prolongs hospital stay, increases mortality and treatment costs. Validity and reliability study of neonatal Braden Q scale, which is developed for the neonatal period, has yet not performed in our country. the only validity and reliability study for the neonatal period in Turkey was performed for the Newborn Skin Risk Assessment Scale which is currently in use. the aim of this study was to assess the validity and reliability of Turkish Neonatal Braden Q Scale in infants hospitalized firstly in the neonatal intensive care unit. Method: A total of 201 assessments were made for 114 patients who were hospitalized in the Neonatal Intensive Care Unit of Ege University Faculty of Medicine, Department of Pediatrics. in the collection of data; a questionnaire form concerning characteristics of patients and individual features of study nurses; and Neonatal Braden Q Scale together with Turkish version of Newborn Skin Risk Assessment Scale were used. the same case was evaluated simultaneously by the patient’s nurse and the investigator. Results: in this study, it was found that the Turkish verison of Neonatal Braden Q Scale is reliable and valid. the correlation coefficient was high between the two scales when clinical nurse’s and responsible investigator’s measurements was compared. Conclusion: in conclusion, Turkish version of Neonatal Braden Q Pressure Ulcer Risk Assessment Scale is reliable for the evaluation of pressure ulcer risk in infants hospitalized in the neonatal intensive care units in our country.

Background To evaluate the prevalence, risk factors and treatment of retinopathy of prematurity (ROP) in Turkey and to establish screening criteria for this condition., Methods A prospective cohort study (TR-ROP) was performed between 1 April 2016 and 30 April 2017 in 69 neonatal intensive care units (NICUs). Infants with a birth weight (BW)=1500 g or gestational age (GA) 1500 g or GA> 32 weeks with an unstable clinical course were included in the study. Predictors for the development of ROP were determined by logistic regression analyses., Results The TR-ROP study included 6115 infants: 4964 (81%) with a GA 32 weeks. Overall, 27% had any stage of ROP and 6.7% had severe ROP. A lower BW, smaller GA, total days on oxygen, late-onset sepsis, frequency of red blood cell transfusions and relative weight gain were identified as independent risk factors for severe ROP in infants with a BW=1500 g. Of all infants, 414 needed treatment and 395 (95.4%) of the treated infants had a BW, Conclusions Screening of infants with a GA

Sağlıklı term bebeklerde olduğu gibi preterm ve hasta term bebeklerde de en idealbesin anne sütüdür. Mümkün olan en kısa sürede anne sütü verilmesi amaçlanmalıdır.Yenidoğan yoğun bakım ünitelerinde beslenme desteğinin uygun şekilde sağlanabilmesihem kısa hem de uzun dönemde morbidite ve mortalite üzerine önemlietkilere sahiptir. Birçok çalışmada erken enteral veya oral beslenmenin kısa ve uzundönem gelişmedeki önemi vurgulanmıştır. Ancak tüm çabalara karşın intrauterin dönemdekibüyümeye erişecek büyüme hızını yakalamak her zaman mümkün olmamaktadır.Yenidoğan bebekler için en uygun beslenme şekli kendi annesi tarafındanemzirilmesi iken bunu sağılmış anne sütünün yapay bir yöntemle verilmesi (kaşık,kap veya biberon), donör anne sütü ve formula kullanımı izlemektedir. Preterm bebeklerdebazen anne sütü yetersiz kalmakta mineralizasyon ve yeterli büyüme içingüçlendirme yapılması gerekmektedir.

EgeUn###, Cytomegalovirus (CMV), is the most common cause among congenital infections and is the most seen etiology in long-term sensorineural hearing loss (SNHL) and neurological impairment. Congenital CMV infection (CCMV) was reported in 0.15-2.2% of live-borne neonates in studies from different countries. A significant proportion of infected infants are asymptomatic after birth and might only be detected by routine screening methods during the new born period. The aim of this study was to screen the saliva of live-born neonates with areal-time PCR based method for the detection of CCMV in our hospital. Saliva samples collected in half an hour after birth by dry dacron swabs and were evaluated for CMV DNA (Rt-PCR, Abbott Molecular USA) from 1000 babies born in Ege University Faculty of Medicine Hospital Obstetrics Clinic between October 2015-October 2017. For the confirmation of CCMV, saliva positive newborns were evaluated with the same method for CMV DNA from their urine or blood within 21 days. All newborns were screened for sensorineural hearing tests. Subjects were 497 girls (49.7%) and 503 boys (50.3%), with a mean weight of 3116.8 g and mean of 37.61 birth week. CMV DNA was positive in the saliva of 16 newborns (1.6%). Fourteen newborns were weakly positive for CMV DNA in their saliva and were not confirmed for CCMV infection. Congenital CMV was confirmed in only two (0.2%) with the CMV DNA results in urine and/or blood samples. One of the two newborns with CCMV was symptomatic and had a neurosensorial hearing loss. The other one was asymptomatic. Saliva samples, taken immediately after birth with a noninvasive and easy method for the detection of CMV DNA is very important for diagnosis of CCMV. Positive samples should be confirmed with CMV DNA in urine or blood samples of these newborns. In this study, detection of positivity in saliva samples that were confirmed with other samples of our newborn population for CCMV was 0.2%. The specific diagnosis for CCMV in newborns with a noninvasive and easy collecting sample is important to avoid sequelae and for public health concerns.

Üre döngüsü bozukluğu hiperamonyemi ile seyreden ve ciddi nörolojik sekeller, nöbetler, psikomotor retardasyona neden olabilen bir grup hastalıktır. Bu çalışmada 2010-2014 yıllarında yenidoğan döneminde tanı alan dördü sitrülinemi Tip I, ikisi argininosüksinik asidüri olmak üzere altı üre döngü bozukluğu olgusunun klinik seyri ve tedavi yanıtları sunulmuştur., Urea cycle disorders are a group of diseases associated with hyperammonemia, which causes severe neurological sequelae, seizures and psychomotor retardation. in this study, six newborn cases diagnosed between 2010-2014 as citrullinemia Type I (four cases) and argininosuccinic aciduria (two cases) are presented in terms of clinical course and treatment responses.

Amaç: Bu çalışma nekrotizan enterokolit (NEK) tanısı ile izlenen olgularda hastalığın risk faktörleri, karakteristik özellikleri, klinik, laboratuvar bulguları ve mortalite oranının değerlendirilmesi amacıyla yapılmıştır.Gereç ve Yöntemler: Çalışmaya 2010-2011 yıllarında kliniğimizde izlenen 488 hasta yenidoğan içinde NEK tanısı alan 37 bebek dahil edilmiştir.Bulgular: NEK sıklığı tüm yatan hasta popülasyonunda %7,5 olarak bulundu. NEK olgularında ortalama gebelik yaşı, 27,5±2,5 hafta, ortalama doğum ağırlığı, 1044±485 gram idi ve NEK'li olguların %90'ı, Aim: the aim of this study was to evaluate the risk factors, characteristic features, clinical and laboratory findings and mortality rates of necrotizing enterocolitis (NEC) patients.Materials and Methods: Thirty seven patients diagnosed with NEC among the 488 cases followed up in our clinic between 2010-2011 were included into this study.Results: the incidence of NEC was found as 7.5% among the total patient population. Mean gestational age and birth weight of NEC patients were 27.5±2.5 weeks and 1044±485 grams. Ninety percent of NEC patients were born under 1500 grams and 30 weeks. Twenty-four cases were classified as stage 1, and 13 cases were classified as stage 2-3. Stage 2-3 NEC was diagnosed in 9.8% of very low birth weight infants. the mean gestational age, birth weight, gender, delivery type, Apgar scores and the incidence of intrauterine growth restriction, diagnosis and/or treatment of patent ductus arteriosus, retinopathy of prematurity, respiratory distress syndrome, intracranial hemorrhage were similar between patients with different stages of NEC. Gastrointestinal perforation developed in six of the stage 2-3 cases. Platelet count and hematocrit levels were lower (p