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AKKOYUNLU, YASEMİN

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Author: Akkoyunlu, YASEMİN × Item Type: Publication ×

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Now showing 1 - 10 of 26
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    Recurrent Intracranial Hydatid Cyst in an Adolescent
    (2011-01-01T00:00:00Z) BENBIR, Gulcin; TURSUN, Irfan; Akkoyunlu, YASEMİN; AKKOYUNLU, YASEMİN
    Cerebral hydatid disease is a rare cyclozoonotic infection, being more common in the pediatric population. A previously healthy 18-year-old boy is presented here, who had a surgery for the removal of a giant hydatid cyst in the right fronto-parietal region without rupture. About 10 months after surgery, he was diagnosed as recurrent hydatid cyst deep in the right parieto-occipital region. Medical therapy with albendazole was effective in treatment with a very good outcome. Hydatid cyst is still a common and serious disease especially in rural parts of Turkey, which requires a proper treatment and close follow up for any complications and recurrences.
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    Seroprevalence of Rubella in northeastern Turkey
    (2013-07-01) Akkoyunlu, YASEMİN; Arvas, Gulhan; OZSARI, Tamer; Hakyemez, Ismail Necati; KAYA, Bulent; ASLAN, Turan; AKKOYUNLU, YASEMİN; HAKYEMEZ, İSMAİL NECATİ
    Aim The aim of this study was to search rubella prevalence and compare the results with national and international data.
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    PublicationOpen Access
    Analysis of infectious spondylodiscitis: 7-years data
    (2018-11-01) Koc, Meliha Meric; Okay, GÜLAY; Akkoyunlu, YASEMİN; Bolukcu, SİBEL; Durdu, BÜLENT; Hakyemez, Ismail Necati; OKAY, GÜLAY; AKKOYUNLU, YASEMİN; BOLUKÇU, SİBEL; DURDU, BÜLENT; HAKYEMEZ, İSMAİL NECATİ; MERİÇ KOÇ, MELİHA
    Objective: Infectious spondylodiscitis (SD) is an infectious disease that is rare and difficult to diagnose due to its non-specific clinical features. In this study, we aimed to describe the clinical and diagnostic features of infectious spondylodiscitis. Methods: All patients who were diagnosed with SD at our hospital during a 7-year period from January 1, 2011 through December 31, 2017 were included in the study. Spondylodiscitis is divided into the following three types: pyogenic, tuberculous, and brucellar. Clinical and laboratory data were collected retrospectively from the medical records of the patients. Results: Of the 118 patients, 66 (55.9%) were female, 81 (68.6%) had pyogenic SD (PSD), 21 (17.8%) had tuberculous SD (TSD), and 16 (13.6%) had brucellar SD (BSD). The mean age was 59.3 ± 14.6 years. Leucocytosis was significantly higher in patients with PSD (p=0.01) than in patients with other types of SD. Thoracic involvement (47.6%) was significantly higher in patients with TSD (p=0.005) than in other patients. Sacral involvement (12.5%) was significantly higher in patients with BSD (p=0.01) than in other patients. Paravertebral abscess formation (42.8%) occurred most frequently in patients with TSD. Microbiologic agents were defined in 50% (18/36) of the surgical specimens and in 12.5% of the fine needle aspiration biopsy (FNAB) specimens. Staphylococcus aureus was the most common microbiological agent in patients with PSD. Spinal surgery was defined as a risk factor for PSD (p = 0.0001). Binary logistic regression analysis revealed that female gender, thoracic involvement and night sweats were the predictive markers for TSD (OR 4.5 [95% CI 1.3-15.3] and OR 5 [95% CI 1.7-14.6]). Conclusion: PSD is the most frequent form of SD. Leucocytosis is most common in patients with PSD. Thoracic involvement and paraspinal abscess were prominent in patients with TSD. Sacral involvement was most common in patients with BSD. Thoracic involvement, female gender and night sweats were the predictive markers for TSD. The microbiological culture positivity rate was higher in surgical specimens compared to FNAB specimens. The need for surgical treatment was most common in patients with TSD.
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    PublicationOpen Access
    Mortality indicators in pneumococcal meningitis: therapeutic implications
    (2014-02-01) ERDEM, Hakan; ELALDI, NAZİF; OZTOPRAK, Nefise; SENGOZ, Gonul; AK, Oznur; KAYA, SELÇUK; INAN, Asuman; Nayman-Alpat, Saygin; Ulu-Kilic, Aysegul; PEKOK, Abdullah Umut; GUNDUZ, Alper; Gozel, Mustafa G.; PEHLIVANOGLU, Filiz; YASAR, Kadriye; Yilmaz, Hava; CICEK-SENTURK, Gonul; Akcam, Fusun Z.; Inkaya, Ahmet C.; Kazak, Esra; Sagmak-Tartar, Ayse; Tekin, Recep; OZTURK-ENGIN, Derya; Ersoy, Yasemin; Sipahi, Oguz Resat; GUVEN, Tumer; TUNCER-ERTEM, Gunay; Alabay, Selma; HATIPOGLU, Mustafa; Balkan, Ilker I.; ONCUL, Oral; Cetin, Birsen; Dayan, Saim; Ersoz, Gulden; KARAKAS, Ahmet; OZGUNES, Nail; Sener, Alper; Yesilkaya, Aysegul; ERTURK, Ayse; Gundes, Sibel; Karabay, Oguz; Sirmatel, Fatma; TOSUN, Selma; TURHAN, Vedat; Yalci, Aysun; Akkoyunlu, YASEMİN; Aydin, Emsal; DIKTAS, Husrev; KOSE, Sukran; ULCAY, Asim; SEYMAN, Derya; SAVASCI, Umit; Leblebicioglu, Hakan; VAHABOGLU, Haluk; HATİBOĞLU, MUSTAFA AZİZ; AKKOYUNLU, YASEMİN
    Background: The aim of this study was to delineate mortality indicators in pneumococcal meningitis with special emphasis on therapeutic implications.
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    Streptococcus dysgalactiae Subspecies Equisimilis; An Agent Rarely Encountered in the Etiology of Septic Arthritis
    (2013-01-01) IRAZ, Meryem; Bilsel, Kerem; CEYLAN, Hasan; Akkoyunlu, YASEMİN; BİLSEL, İSMAIL KEREM; AKKOYUNLU, YASEMİN
    Streptococcus dysgalactiae subspecies equisimilis is one of the pyogenic group C and G streptococcus, which may be found in the normal gastrointestinal and genitourinary flora of a healthy human. Many cases have been reported in literature; however, reports of septic arthritis due to this agent without predisposing factors are extremely rare. Diagnosis of this agent is possible in advanced laboratories. Appropriate treatment for septic arthritis caused this agent is made by parenteral antibiotherapy without debridement following accurate diagnosis.
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    PublicationOpen Access
    Domestic electric drills in the service of orthopaedic surgery: a potential and preventable source of surgical site infections
    (2012-11-01) Kucukdurmaz, FATİH; IMREN, Yunus; Akkoyunlu, YASEMİN; Tuncay, Ibrahim; SEN, Cengiz; KÜÇÜKDURMAZ, FATİH; AKKOYUNLU, YASEMİN; TUNCAY, İBRAHİM
    Objective: We aimed to assess the contamination potential of the exhaust air from venting ports of running domestic electric drills which are commonly used in orthopaedic surgeries by means of both microbiological sampling and particle counting. Methods: In an empty operating room, the exhaust air from five running sterile domestic electric drills measured using a particle counter and microbiological sampling was made via aspirating isolator with colony formations noted for a 2-week period. International Organization for Standardization (ISO) 14644 criteria were implemented with respect to the sterility standards. Results: All of the drills produced statistically significantly higher levels of particles than the ambient air (p<0.01). There was no statistically significant difference in the number of collected particles among drills (p>0.05). No bacterial growth was detected in microbiological sampling via blood agar medium in the ambient air. Conversely, Staphylococcus epidermidis, Micrococcus luteus, and Staphylococcus capitis were isolated from the exhaust air of all running drills. There was no correlation between the number of particles produced by drills and the microbiological sampling. Conclusion: Domestic electric drills are not safe and may be a direct source of surgical site infection, as the use or re-use of these drills during orthopaedic surgery increases the risk of infection with contaminated aerosols that are produced by these devices.
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    Perceived differences between intensivists and infectious diseases consultants facing antimicrobial resistance: a global cross-sectional survey
    (2019-07-01T00:00:00Z) Rello, Jordi; Eshwara, Vandana Kalwaje; Conway-Morris, Andrew; Lagunes, Leonel; Alves, Joana; Alp, Emine; Zhang, Zhongheng; Mer, Mervyn; Luna, C. M.; Reina, R.; Dobrevska, R.; Deng, H.; Leiqing, L.; Liu, L.; Wang, D.; Yuetian, Y.; Zhang, G.; Zhang, Zh; Zheng, C.; Del Rio, G.; Rojas, J. N.; Amare, D.; Alfandri, S.; Argemi, X.; Kernies, S.; Lesprit, P.; Arvanitik, K.; Papanikolaou, M.; Tsigou, E.; Soultati, I; Platsouka, E.; Katsiari, M.; Nikolaou, C.; Tsiodras, S.; Antonelli, M.; Cascio, A.; Dellamonica, J.; DiPascale, G.; Garofalo, E.; Girardis, M.; Leone, D.; Vandana, K. E.; Kaniyarakkal, V; Munim, F.; Nath, S.; Patil, S.; Suchitra, U.; Yahav, D.; Misango, D. O.; Gecaj-Gashi, A.; Rotimi, V; Aguilar, D.; Araujo-Melendez, J.; Franco-Zendejas, R.; Lagunes, L.; Lemus, J.; Martinez D E, Perales; Chavez M, Rivera; Schouten, J.; Khamis, F.; Nizamuddin, S.; Santos, L.; Santos-Ribeiro, E.; Alekar, S.; Baker, D.; Ballot, D.; Black, V; Bhamjee, S.; Brannigan, L.; Hunt, I. A.; Kotze, J.; Lowman, W.; Levy, B.; Mer, M.; Morar, R.; Michell, W.; Nana, T.; Pahad, H.; Tsai, M.; Schleicher, G. K.; Shaddock, E.; Shoul, E.; Smith, C.; Richards, G. A.; Van der Merwe, L.; Welkovics, N.; Borges, M.; Diaz, E.; Garnacho-Montero, J.; Maseda, E.; Manez, R.; Rello, J.; Samso, E.; Serrano, R.; Sole-Violan, J.; Vidaur, L.; Zaragoza, R.; Wongsurakiat, P.; Abravci, N.; Akbudak, I; Akkoyunlu, YASEMİN; Altindis, M.; DCelebi, Aydin G.; Emel, A.; Alp, E.; Erdem, H.; Gulden, E.; Guner, R.; Kizmaz, Y.; Yalcin, A.; Kepenek, E.; Sener, A.; Tekin, R.; Tulek, N.; Ulu, Unuvar G.; Miftode, E.; Buckley, J.; Conway-Morris, A.; Dunn, M.; Hall, A.; Hobrok, M.; Felton, T.; Fletcher, S.; Marshall, B.; McConnell, H.; Mckee, R.; McAuley, D.; Mcfie, C.; Morton, B.; Naisbitt, J.; Rooney, K.; Szakmany, T.; Yates, B.; Zochios, V; Wunderink, Richard G.; Von der Osten, J.; AKKOYUNLU, YASEMİN
    To identify differences in perception on multi-drug-resistant (MDR) organisms and their management at intensive care units (ICU). A cross-sectional survey was conducted. A proposal addressing a pathogen priority list (PPL) for ICU, arising from the TOTEM study, was compared with a sample of global experts in infections in critically ill patients. The survey was responded by 129 experts. Globally, ESBL Enterobacteriaceae, followed by carbapenem-resistant Acinetobacter baumannii and carbapenem-resistant Klebsiella pneumoniae, were the main concerns. Some differences in opinion were identified between 63 (49%) ICU physicians (ICU/anesthesiology) and 43 (33%) infectious disease consultants (ID physicians/microbiologists). The pathogens most concerning in the ICU for intensivists were ESBL Enterobacteriaceae (38%) versus carbapenem-resistant A. baumannii (48.3%) for ID consultants, (p70%) regarding emerging resistance. Differences in priorities regarding organisms, infection control practices, and educational priorities were visualized between ID/clinical microbiologists and ICU/anesthesiologists. Multi-disciplinary collaboration is required to achieve best care for ICU patients with severe infections.
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    Variables determining the development of colistin-associated renal impairment
    (2016-12-01) CEYLAN, Bahadir; TANIS, Mudur; Akkoyunlu, MUHAMMED EMİN; CINAR, Ahmet; KURT, Ayse Ruhkar; Akkoyunlu, YASEMİN; Ozkan, DİDEM; OZCELIK, Hatice Kutbay; ASLAN, Turan; FINCANCI, Muzaffer; VATANSEVER, Sule; IDIN, Kadir; GULER, Emine; UYSAL, HARUN; AKKOYUNLU, MUHAMMED EMİN; AKKOYUNLU, YASEMİN; ÖZKAN, DİDEM; UYSAL, HARUN
    The aim of this study was to identify the predictors of acute renal injury associated with colistin treatment.
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    Surveillance, control and management of infections in intensive care units in Southern Europe, Turkey and Iran - A prospective multicenter point prevalence study
    (2014-02-01) ERDEM, Hakan; INAN, Asuman; Altindis, Selma; CAREVIC, Biljana; ASKARIAN, Mehrdad; COTTLE, Lucy; BEOVIC, Bojana; Csomos, Akos; METODIEV, Krassimir; AHMETAGIC, Sead; HARXHI, Arjan; RAKA, Lul; GROZDANOVSKI, Krsto; NECHIFOR, Mihai; Alp, Emine; Bozkurt, Fatma; Hosoglu, Salih; Balik, Ismail; Yilmaz, Gulden; JEREB, Matjaz; MORADI, Fatemeh; PETROV, Nikolay; Kaya, Selcuk; Koksal, Iftihar; ASLAN, Turan; Elaldi, Nazif; Akkoyunlu, YASEMİN; MORAVVEJI, Seyyed Alireza; CSATO, Gabor; SZEDLAK, Balazs; Akata, Filiz; Oncu, Serkan; GRGIC, Svjetlana; COSIC, Gorana; STEFANOV, Chavdar; FARROKHNIA, Mehrdad; MUELLER, Maria; LUCA, Catalina; KOLUDER, Nada; Korten, Volkan; PLATIKANOV, Viliyan; IVANOVA, Petja; SOLTANIPOUR, Soheil; VAKILI, Mahmood; FARAHANGIZ, Saman; AFKHAMZADEH, Abdorrahim; BEECHING, Nicholas; Ahmed, Salman Shaheer; CAMI, Alma; SHIRALY, Ramin; JAZBEC, Anja; MIRKOVIC, Tomislav; Leblebicioglu, Hakan; NABER, Kurt; AKKOYUNLU, YASEMİN
    Objective: We aimed to compare the features of intensive care units (ICUs), their antimicrobial resistance patterns, infection control policies, and distribution of infectious diseases from central Europe to Mid-West Asia.
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    PublicationOpen Access
    Muscle Abscess due to Salmonella Enterica
    (2013-07-01) Akkoyunlu, YASEMİN; CEYLAN, Bahadir; IRAZ, Meryem; Elmadag, NUH MEHMET; ASLAN, Turan; AKKOYUNLU, YASEMİN; ELMADAĞ, NUH MEHMET
    Non typhoidal Salmonellae spp. causes clinical symptoms especially in neonates, infants, aged and immunocompromised patients. Hematogenous dissemination may occur in complicated cases whereas the formation of abscess is rare. A 61-year old woman presented to our hospital with pain and a mass in her left arm, without fever and leukocytosis. She was using methotrexate, corticosteroids and quinine for rheumatoid arthritis. She had a history of cervix cancer and was given radiotherapy and chemotherapy 3 years ago. Upon physical examination and magnetic resonance imaging, the mass was considered as an abscess and was surgically drained. Salmonella enterica spp. enterica was yielded in the culture of the drainage material. Ceftriaxon 2g/day was started intramuscularly and continued for 4 weeks. Salmonellosis is usually a self-limited disease, generally restricted to gastrointestinal tract and acquired following food poisoning. Management of Salmonella abscess requires a combination of antibiotherapy, surgical drainage and eradication of primary foci