8 results on '"Yenidoğanlar"'
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2. Multidrug-Resistant Gram-Negative Bacteria Rate and Risk Factors in the Neonatal Intensive Care Unit: A Single-Center Ten-Year Experience.
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Cakmak, Hatice Mine, Yekenkurul, Dilek, Sengun, Zehra, Yener, Selvi, Duran, Pelin Kamuran, Davran, Fatih, and Kocabay, Kenan
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BACTERIAL disease risk factors , *ACADEMIC medical centers , *NEONATAL intensive care , *GRAM-negative bacteria , *MULTIVARIATE analysis , *BLOOD transfusion , *DRUG resistance , *RETROSPECTIVE studies , *NEONATAL intensive care units , *GESTATIONAL age , *RISK assessment , *SEPSIS , *ARTIFICIAL respiration , *BIRTH weight , *LOGISTIC regression analysis , *DATA analysis software , *BRONCHOPULMONARY dysplasia , *PARENTERAL feeding , *CHILDREN - Abstract
Objective: Multidrug resistance (MDR) in gram-negative neonatal infections is difficult to manage, and the risk factors differ among different studies. Therefore, we aim to investigate the demographics, mortality, MDR status of gram-negative isolates, and risk factors for MDR gram-negative infections. Methods: We conducted a retrospective single-center study about MDR gram-negative infections in neonates between January 2012-January 2022 at Duzce University Hospital in Turkey. This study evaluates neonates with MDR gram-negative infections' risk factors and clinical features. All analyses were performed using IBM SPSS V23. In addition, univariate analyses and multivariate logistic regression models were studied to determine MDR's risk factors. Results: Of 107 gram-negative bacteria, 41 (38.3%) accounted for Enterobacter, 30 (28%) for Klebsiella pneumonia, and 22 (20.6%) for Escherichia coli. Additionally, 61 (56.5%) were MDR microorganisms. Among the susceptibility tests performed for selected isolates, 41 (77.4%) had resistance to piperacillin, 57 (75%) showed resistance to amoxiclav, and 16 (72.7%) had cefoxitin resistance. In addition, carbapenemase resistance was found in 24 (43.6%) and meropenem resistance in 13 (36.1%). Colistin, aztreonam, and tigecycline resistances were the least frequent. In addition, the following dependent risk factors increased the multidrug resistance risk in gram-negative infections; late-onset sepsis 3.547 fold (p=0.005), use of mechanical ventilation 3.143 fold (p=0.007), blood transfusion 3.587 fold (p=0.013), bronchopulmonary dysplasia 6.702 fold, (p= 0.015) and total parenteral nutrition 5.591 fold (p=0.001), lower gestational age 1.122 (1/0.891) fold (p=0.026), and birth weight 1.001 (1/0.999) fold, (p=0.013). Similarly, antibiotherapy duration was significantly higher in the MDR group than in the non-MDR group. Conclusions: The reported risk factors for MDR in gram-negative neonatal infections are all dependent risk factors. Hence clinicians must be alert to all potential risk factors. [ABSTRACT FROM AUTHOR]
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- 2023
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3. The Frequency of Vitamin B12 and Folic Acid Deficiency in Mothers and Their Newborn Infants in Şanlıurfa Province.
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ATAS, Nurgul and ÇAKMAK, Alpay
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MOTHERS , *VITAMINS , *MATERNAL health services , *FOLIC acid deficiency , *NEUROLOGICAL disorders , *VEGETARIANISM , *VITAMIN B12 , *MACROCYTIC anemia , *PREGNANT women , *GESTATIONAL age , *RISK assessment , *HOSPITAL maternity services , *PANCYTOPENIA , *PREGNANCY complications , *DESCRIPTIVE statistics , *FOLIC acid , *VITAMIN B12 deficiency , *LONGITUDINAL method , *FAILURE to thrive syndrome , *CHILDREN , *PREGNANCY - Abstract
Background: Vitamin B12 and folic acid deficiency in pregnant women is an important health issue which not only affects mothers but also their infants. The aim of this study is to reveal the frequency of vitamin B12 and folic acid deficiency in pregnant women and their newborn babies, to evaluate the relationship between maternal and neonatal vitamin B12 and folic acid levels, and to determine the risk factors for their deficiencies. Materials and Methods: This prospective study included 600 pregnant women (gestational age: 38-42 weeks) who presented to obstetrics departments in Şanlıurfa Province and their newborn infants without perinatal complication (birth weight>2500 g). The lower limit for vitamin B12 was defined as 200 pg/mL. Also, the lower limit for folic acid was defined as 5 ng/ml. Data regarding age, number of child, medication, comorbid disease or being vegetarian or not were recorded in all mothers. Results: Vitamin B12 level was found below 200 pg/ml in 73.8% (443) of the pregnant women included in the study, and between 200-300 pg/ml in 22.7% (136). Vitamin B12 levels were found to be below 200 pg/ml in 70.5% (423) of newborns, and between 200-300 pg/ml in 23.2% (139). On the other hands, the folic acid level was below 5 ng/ml in 10.3% (62) of the pregnant women, it was observed that the folic acid level was below 5 ng/ml in 3.7% (22) of the newborns. There was a significant positive correlation between the vitamin B12 level of the mothers and the vitamin B12 level of the newborns (r=0.913, p<0.0001). Also, there was a significant positive correlation between the mothers' folic acid level and the newborns' folic acid level (r=0.026, p<0.0001). Conclusions: As a result, it has been shown that a significant portion of newborns in Turkey have vitamin B12 deficiency. Vitamin B12 levels were quite low in mothers who gave birth recently. The deficiency of vitamin B12, which plays a major role in brain development upon intrauterine period, is a preventable cause of neurological deficit. Thus, it is highly important to screen and treat vitamin B12 deficiency before onset of clinical symptoms. We believe that our study is beneficial in this regard. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Comment on “The Effects of Thyroid Hormone Levels on Patent Ductus Arteriosus Closure in Newborns”.
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AL-MENDALAWI, Mahmood Dhahir
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PATENT ductus arteriosus , *THYROID hormones , *NEWBORN infants , *DELIVERY (Obstetrics) - Published
- 2023
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5. Non-Ketotik Hiperglisinemi
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Murat ŞAN, Eren ÇAĞAN, Sedat IŞIKAY, Emine ŞAN, and Havva ÇAĞAN
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hiperglisinemi ,ketotik olmayan ,yenidoğanlar ,ensefalopatiler ,metabolik ,doğuştan ,Medicine (General) ,R5-920 - Abstract
Yenidoğan döneminde bazı metabolik hastalıklar hayatı tehdit eden ensefalopati tablosu olarak ortaya çıkar. Bu durum bazı metabolizma ara ürünlerinin beyinde birikerek toksik etkiler göstermesi ile ilişkilidir. Bebekler doğumda genelde asemptomatiktir. Yaşamın ilk günlerinde toksik metabolitlerin birikimi ile hastalarda yaygın hipotoni veya hipertoni, konvülzyonlar ve letarji gibi ensefalopati bulguları ortaya çıkar. Bu yazıda emmede azalma, yaygın hipotoni, miyoklonik nöbet ve hıçkırık nedeni ile gelen ve non-ketotik hiperglisinemi tanısı koyduğumuz bir infant sunulmuştur.
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- 2015
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6. Kan grubu uyuşmazlığı bulunmayan yenidoğanlarda kan değişimi sonuçları.
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Yel, Servet, Kelekçi, Selvi, Konca, Çapan, Yolbaş, İlyas, Şen, Velat, and Katar, Selahattin
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NEWBORN infants , *INFANTS , *BLOOD groups , *BLOOD testing , *HYPERBILIRUBINEMIA - Abstract
Objective: Hyperbilirubinemia is a common problem of neonatal period that has high morbidity and mortality. Blood exchange is the most effective and urgent treatment modality for very high bilirubin levels that can lead to neurotoxicity called as kernicterus. The aim of this study was to compare 90 minutes exchange transfusion with that of 120 minutes. Methods: This study was performed at Dicle University Medical Faculty, Neonatal Unit between July 2007 and June 2008. A total of 36 term newborn (38 - 42 gestational week) without blood group incompatibility and with total serum bilirubin levels over 25 mg/dl were included. Newborns were randomly assigned in two groups each of them comprise 18 babies as Group 1 underwent 90 minute-exchange and Group 2 120 minute. Effectiveness and complications of exchange transfusion were recorded. Newborns with Rh, ABO or subgroup incompatibilities, prematurity or small for gestational age, septicemia, hypothyroidism, G6PD enzyme deficiency, intrauterine infections, diabetic mother's baby, hemolytic disease or metabolic diseases were excluded. Results: There were no significant differences in the body weight, gestational age, postnatal age, age of mother, total bilirubin and albumin levels, the number of blood exchange, hospital stay days and complications between two groups (p>0.05). However, mean phototherapy duration was significantly shorter in 120 minutes transfusion group compared with 90 minutes group (p<0.001). Conclusion: Our results indicated that 90 minutes was sufficient for an effective exchange transfusion in severe hyperbilirubinemic newborn infants. However longer exchange transfusion durations may shorten the duration of phototherapy. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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7. 34 hafta ve üzeri yenidoğanlarda fincanla beslemenin bebeklerin beslenme çıktı ve konforuna etkisi
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Zengi Kaya, Setenay, Yardımcı, Figen, Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı, and Sağlık Bilimleri Enstitüsü
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Infant care ,Emzirme ,Breastfeeding ,Infant ,Nursing care ,Nursing ,Breast feeding ,Fincanla Besleme ,Baby-Friendly Hospital Initiative ,Yenidoğanlar ,Bebek Dostu Hastane Programı ,Infant nutrition ,Alternative Feeding Methods ,"null" ,Cup Feeding ,Hemşirelik ,Nutritional methods ,Alternatif Beslenme Yöntemleri ,Infants ,Infant-newborn ,Nutrition - Abstract
Amaç; Anneye çeşitli sebeplerle ulaşamayan preterm ve yenidoğan bebekler için emmeyi unutturmayacak fakat emmeyi güçlendirip, yutmayı destekleyecek alternatif beslenme yöntemleri geliştirilmiştir. Bunlardan birisi ise fincanla beslemedir. Araştırmamız; 34 gebelik haftası ve üzerinde bebeklerde fincanla besleme sırasında fizyolojik parametreleri, ağızdan akıtma ve beslenme süresindeki değişiklikleri (beslenme çıktıları) gözlemlemek, beslenme sonrası konforu ve hemşirelerin beslenmeyle ilgili görüşlerini değerlendirmek amacıyla yapılan bir araştırmadır.Gereç ve Yöntem:Araştırma kesitsel, tanımlayıcı ve yarı deneysel bir çalışmadır.Araştırmanın verileri 15.01.2019 ve 15.04.2019 tarihleri arasında, İzmir iliS.B.Ü. Dr. Behçet Uz Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi Yenidoğan Yoğun Bakım Ünitesi'nde uygulanmıştır.34 hafta ve üzeri 43 yenidoğan ve 1 yıldan fazla yenidoğan yoğun bakım ünitesinde görev yapmakta olan 43 hemşire, dahil edilme kriterlerine uygun olarak saptanmıştır. Veriler, "Olgu Rapor Formu", "Hemşirelerin Fincanla Beslemeye İlişkin Görüş Formu", "Gözlem Formu", "Yenidoğan Konfor Davranış Ölçeği" ve "Hemşire Fincanla Besleme Beceri Değerlendirme Kontrol Listesi" ile toplanmıştır. Bulgular: Hemşirelerin %81,4'ü (n=35) daha önce bir bebeği fincanla beslemediklerini belirtmişlerdir. Hemşirelerin fincanla beslemeye ait görüşleri, fincanla besleme eğitimi ve fincanla besleme deneyiminden olumlu yönde etkilenmiştir. Birinci fincanla besleme öncesi/ sırası / 1 dakika sonrası, ikinci fincanla besleme öncesi/ sırası / 1 dakika sonrası, üçüncü fincanla besleme öncesi/ sırası /1 dakika sonrası kalp tepe atımları, solunum sayıları ve oksijen saturasyonu beslenme sayısına göre tekrarlı ANOVA testi ile değerlendirilmiştir. Birinci, ikinci, üçüncü besleme kalp tepe atımları, solunum sayıları ve oksijen saturasyonlarıarasında fark olmadığıancak tüm beslemeler öncesi, sırası ve sonrasındaki kalp tepe atımı, solunum sayısı ve oksijen saturasyonu değişimi istatistiksel olarak anlamlı bulunmuştur. Besleme Öncesi-sırasısonrası ilerleyişi) üç beslenmede de benzerdir. Fincanla besleme sonrası puan ortalamaları, fincanla beslemenin bebekler için konforlu bir işlem olduğunu ortaya çıkarmıştır. Sonuç: Araştırma sonucunda, fincanla beslemenin bebekler için konforlu olduğu, hemşirelerin eğitim ve deneyim sonunda fincanla besleme hakkındaki yargılarının kırıldığı ve bebeğin deneyim artışınınbeslenme çıktılarına etkisinin olmadığı ortaya çıkmıştır., Aim:Alternative feeding methods have been developed for preterm and newborn babies who have not reached the mother for various reasons but will not forget to suck.One of them is feeding with cups.Our research; Observing the physiological parameters, oral flushing and feeding time (feeding outcomes) during the feeding of the cups at 34 weeks of gestation and above infants is a research conducted to evaluate the post feeding comfort and nurses' views about nutrition. Materials and Methods: This is a cross-sectional, descriptive and semi-experimental study.It was administered in the Neonatal Intensive Care Unit of Behçet Uz Children's Diseases and Surgery Training and Research Hospital at between 15.01.2019 – 15.04.2019. 43 newborns who were 34 weeks and over and 43 nurses who were working in the neonatal intensive care unit for more than 1 year were found to comply with the inclusion criteria. The data were collected by "Case Report Form", "Nursing Opinion on Cup Feeding", " Observation Form", "Newborn Comfort Behavior Scale" and "Nurse Cup Feeding Skill Assessment Checklist". Results: 81.4% (n = 35) of the nurses stated that they did not feed a baby before. Nurses' views of feeding the cup were positively influenced by the cup-feeding training and cup-feeding experience. repetitive ANOVA test results according to the number of feeding peaks; There was no difference between the first, second, third feeding heart apnea, respiratory numbers, and oxygen saturation; however, the change in heart rate, respiratory rate and oxygen saturation before, during and after all feeding were found to be statistically significant, and this was similar in all three feeds. The mean score of the cup after feeding was found to be a comfortable process for babies. Conclusion: As a result of our research, it has been revealed that cup feeding is comfortable for babies, the prejudices of nurses about feeding with cup at the end of education and experience are broken and baby's experience increase has no effect on feeding outcomes.
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- 2019
8. Yenidoğanlarda 2D:4D parmak uzunlukları oranı ile kordon kanı testosteron ve östrojen hormonu seviyesi arasındaki ilişki
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Çetin, Ramazan, Can, Mehmet, Sağlık Bilimleri Enstitüsü, and Anatomi Anabilim Dalı
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2D:4D ,Cord Blood ,Testosteron ,Infant ,Estrogens ,Anatomi ,Östrojen ,Yenidoğanlar ,Fingers ,Fetal blood ,Oestrogen ,Kordon Kanı ,Testosterone ,Anatomy ,Infant-newborn ,Newborns - Abstract
Balıkesir Üniversitesi, Sağlık Bilimleri Enstitüsü, Anatomi Ana Bilim Dalı, Araştırma, yenidoğanlarda sağ ve sol elin ikinci ve dördüncü parmak uzunlukları oranı ile kordon kanı testosteron ve östrojen hormonu düzeyi arasındaki ilişkiyi araştırmak amacıyla yapılmıştır. Araştırma kapsamına, Eylül 2014 - Ocak 2015 tarihleri arasında, Balıkesir Atatürk Devlet Hastanesi Doğum Kliniğinde normal spontan vajinal doğum ile dünyaya gelen sağlıklı 100 bebek (50 erkek - 50 kız) alınmıştır. Parmak uzunluklarının tespitinde 0,01 mm'ye duyarlı bir dijital kumpas kullanılarak veriler, önceden hazırlanan çalışma formuna kaydedilmiştir. Kordon kanı ise doğum eylemi sonrasında klemplenip kesilen göbek kordonundan miks kan olarak alınmış ve Balıkesir Atatürk Devlet Hastanesi Laboratuvarı'nda santrifüj edilip uygun saklama koşullarında bekletildikten sonra Kemilüminesans Mikropartikül İmmünolojik Test yöntemiyle çalışılmıştır. Verilerin değerlendirilmesinde, SPSS istatistiksel analiz programı kullanılmış ve kordon kanı hormon düzeyleri ile parmak uzunlukları arasındaki korelasyonu tespit etmek için independent sample t-testi uygulanmıştır. Araştırmada; erkek bebeklerde, sol el 2. ve 4. parmak, kız bebeklerden anlamlı derecede daha uzun çıkmıştır (p0,05). Sonuç olarak, yenidoğanlarda kordon kanı testosteron ve östrojen hormonu düzeylerinin, sağ ve sol el ikinci ve dördüncü parmak uzunlukları oranlarının bir göstergesi olmadığı görülmüştür., This study has been conducted to find out the relationship between the second and the fourth fingers of right and left hands and the level of testosterone and oestrogen level among the newborns. 100 normal spontaneous vaginal birth babies (50 boys and 50 girls) and their mothers in the Neonatal Unit of Balıkesir Atatürk State Hospital have been included into this study from September 2014 to January 2015. A digital calliper which is sensitive to 0,01 mm was used to detect the length of fingers and the data were recorded to a pre-prepared form. The cord blood was taken as mixed blood from the umbilical cord which was cut out by clamping just after the delivery. After having been centrifuged in Atatürk State Hospital's Laboratory, the cord blood was kept under appropriate conservation conditions and was applied to Chemiluminescence Microparticle Immunological Test. SPSS statistical analysis programme was exerted in order to evaluate the data, and the independent sample t test was carried to determine the correlation between the cord blood hormone levels with the length of fingers. In the end of the research, the second and the fourth fingers of the left hand of boys were rather longer than those of girls' (p0,05). As a result, the rate of the length of the second and the fourth fingers of the right and the left hand is not an indicator of the testosterone and oestrogen hormones of the cord blood in the newborns.
- Published
- 2016
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