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    Epidemiological and clinical aspects of the COVID-19 pandemic and world common experiences in treatment: Turkey experience
    (Refik Saydam National Public Health Agency (RSNPHA), 2020) Karageçili, Hasan; Yildirim, Zuhal
    The COVID-19 outbreak like SARS and MERS would have been thought to end in China. But it has not been envisaged, spread in Iran then Italy to continental Europe and spread to America in very prevalant and in a very short time. It was thought that looking to China from Turkey was very distant story for us. When it showed that the heavy influence on Italy, gave us the idea to be our next photograph. No matter how slow the World Health Organization behaved, the fact that it declared the disease as a pandemic during this period, increased the seriousness. COVID-19, after confirmation with the PCR test, the detection of spread in the lungs with radiological imaging chest tomography is also done. Commonly presented clinical findings were characterized by fever, cough, headache and muscle weakness. Some person recovered with mild symptoms of this disease contrary to the high level of contagiousness without symptoms of this disease sign both a good and a bad condition. It is very crucial to avoid contact, to protect personal distance, to wear a mask and to pay attention to hand hygiene to prevent disease transmission from human to human. It is important for those with suspected diseases to isolate themselves, to be quarantined and to be kept under the supervision of a doctor. The screening and observation of patients with whom they have been in contact with their families for the last three days is the best way to break the chain of contamination. Teams established to filiation are working hard in our country. The number of patient cases in Turkey as of May 22, 154.500. The number of death was 4.276, with 2.8% ratio. COVID-19 case numbers and mortality rates declined with the curfew of over 65-year old people and younger than 20s. With the drugs that were used in the treatment protocol as hydroxychloroquine, favipiravir and supportive treatments, in Turkey, it is stated that the treatment was good. © 2020 Refik Saydam National Public Health Agency (RSNPHA).
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    Evaluation of Infection Factor and Antibiotic Resistance Distributions in Palliative Care Patients Developed Urinary Tract Infection
    (Gazi Univ, Fac Med, 2023) Yildirim, Filiz; Ozturk, Reyhan; Kaynar, Pinar Mursaloglu; Yildirim, Zuhal; Karagecili, Hasan
    Objectives: In this study, it was aimed to identify the causative bacteria of urinary tract infections, to determine antibiotic susceptibility, and to examine acute phase markers in patients hospitalized in the palliative care service of Ankara Polatli Duatepe State Hospital between January 2019 and December 2020. Materials and Methods: These sex, age and, detected diseases of a total of 72 palliative care patients included in our study were analyzed retrospectively. To determine the causative agents of urinary tract infections in these patients, Gram staining was performed on the bacterial cultures that developed in the urine samples, and the Vitek-2 (bioMerieux, France) automatic test device was used to identify these cultures and determine their antibiotic susceptibility. In the blood sample staken from these patients, leukocyte (WBC), C-reactive protein (CRP), and erythrocyte sedimentation rate (ESR) measurements were also made. Results: The causative agents of urinary tract infections of these patients are Gram-negative bacteria Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Acinetobacter baumannii, Citrobacter koseri, Morganella morganii ssp. morganii, Enterobacter cloacae complex, and Gram-positive bacteria Enterococcus faecium, Enterococcus spp., and Staphylococcus epidermidis were found. Various antibiotics were determined to have different levels of sensitivity. Conclusions: It is important to determine the causative agents of urinary tract infections, which are among the most frequently detected infections in palliative care patients, and to determine antibiotic susceptibility and acute phase response markers fo these agents. Mortality and morbidity will be reduced by determining the causative agents of these infections and applying appropriate antibiotic treatments.