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Elvan Tüz A, Tekin D, Ekemen Keleş Y, Şahin A, Üstündağ G, Taşar S, Kara Aksay A, Karadağ Öncel E, Yılmaz D. Clinical Reflections of Acinetobacter Infections in Children in a Quaternary-Care Hospital: A Five-Year Single-Center Experience. Turk Arch Pediatr 2024; 59:38-42. [PMID: 38454258 PMCID: PMC10837592 DOI: 10.5152/turkarchpediatr.2024.23153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 10/20/2023] [Indexed: 03/09/2024]
Abstract
OBJECTIVE This study aimed to determine the epidemiology of Acinetobacter species in the last 5 years, the clinical diseases caused by the pathogen, the possible risk factors for infection, and the resistance pattern of the microorganism in our quaternary-care hospital. MATERIALS AND METHODS In this retrospective cohort study, 67 pediatric cases infected with Acinetobacter species in our hospital between January 2017 and December 2021 were analyzed. Demographic characteristics and clinical and laboratory findings were analyzed. RESULTS In pediatric patients infected with Acinetobacter spp., the median age was 36 (7-114) months, and 64.2% (n = 43) were female. Acinetobacter baumannii was grown in the cultures of 31 (46.3%) cases. When the type of infection was examined, 31 (46.3%) cases were urinary tract infections, and 29 (43.3%) cases were bloodstream infections. Extensively drug-resistant, pandrug-resistant, and multidrug-resistant A. baumannii were found in 10 (14.9%), 3 (4.5%), and 2 (3%) cases, respectively. Health-care-associated infections were found to have a significant rate of Acinetobacter resistance (P = .002). Significant antimicrobial resistance was detected in Acinetobacter-infected cases with intensive care hospitalization within the last month and carbapenem use in the previous 3 months (P < .001, both). CONCLUSION It is necessary to act in accordance with the infection prevention and control program to reduce the incidence of health-care-associated infections with Acinetobacter species and to prevent infection with highly resistant strains. Due to health-care-associated infections and factors contributing to the increase in Acinetobacter resistance, we believe this study will help clinicians to be more cautious in the use of carbapenems. Cite this article as: Elvan-Tüz A, Tekin D, Ekemen-Keleş Y, et al. Clinical reflections of acinetobacter infections in children in a quaternary-care hospital: A five-year single-center experience. Turk Arch Pediatr. 2024;59(1):38-42.
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Affiliation(s)
- Ayşegül Elvan Tüz
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Duygu Tekin
- Department of Clinical Microbiology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Yıldız Ekemen Keleş
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Aslıhan Şahin
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Gülnihan Üstündağ
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Selin Taşar
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Ahu Kara Aksay
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Eda Karadağ Öncel
- Department of Pediatric Infectious Diseases, Dokuz Eylül University, İzmir, Turkey
| | - Dilek Yılmaz
- Department of Pediatric Infectious Diseases, İzmir Katip Çelebi University, İzmir, Turkey
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Yılmaz D, Üstündağ G, Büyükçam A, Salı E, Çelik Ü, Avcu G, Belet N, Çakmak Taşkın E, Öcal Demir S, Birbilen AZ, Kılıç Ö, Metin Akcan Ö, Tekin Yılmaz A, Aldemir Kocabaş B, Hatipoğlu N, Karbuz A, Çakır D, Sütçü M, Aygün FD, Çelik T, Bayturan Şen S, Dalgıç N, Ümit Z, Kara SS, Karadağ Öncel E, Bolat A, Kılıç Çil M, Turan C, Çakıl Güzin A, Topal S, Esen Besli G, Doğan G, Şahin S, Akın F, Bildirici Y, Timurtaş Dayar G, Ergül Sarı E, Kızmaz İşançlı D, Kara M, Önal P, Aylaç H, Lüleci D, Yaşar B, Dede E, Çağlar A, Akova S, Afat Turgut E, Yazıcı Özkaya P, Kandemir Gülmez T, Ulusoy E, Duyu M, Kara Y, Çeliktaş H, Tekeli O, Çağlar F, Gül D, Oral Cebeci S, Battal F, Bal A, Aygün E, Uysalol M, Arslan G, Özkavaklı A, Kızıl MC, Yazar A, Aygün F, Somer A, Kuyucu N, Dinleyici EÇ, Kara A. A snapshot of pediatric inpatients and outpatients with COVID-19: a point prevalence study from Turkey. Eur J Pediatr 2023:10.1007/s00431-023-04982-6. [PMID: 37140703 PMCID: PMC10157577 DOI: 10.1007/s00431-023-04982-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 03/31/2023] [Accepted: 04/13/2023] [Indexed: 05/05/2023]
Abstract
This multi-center point prevalence study evaluated children who were diagnosed as having coronavirus disease 2019 (COVID-19). On February 2nd, 2022, inpatients and outpatients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were included in the study from 12 cities and 24 centers in Turkey. Of 8605 patients on February 2nd, 2022, in participating centers, 706 (8.2%) had COVID-19. The median age of the 706 patients was 92.50 months, 53.4% were female, and 76.7% were inpatients. The three most common symptoms of the patients with COVID-19 were fever (56.6%), cough (41.3%), and fatigue (27.5%). The three most common underlying chronic diseases (UCDs) were asthma (3.4%), neurologic disorders (3.3%), and obesity (2.6%). The SARS-CoV-2-related pneumoniae rate was 10.7%. The COVID-19 vaccination rate was 12.5% in all patients. Among patients aged over 12 years with access to the vaccine given by the Republic of Turkey Ministry of Health, the vaccination rate was 38.7%. Patients with UCDs presented with dyspnea and pneumoniae more frequently than those without UCDs (p < 0.001 for both). The rates of fever, diarrhea, and pneumoniae were higher in patients without COVID-19 vaccinations (p = 0.001, p = 0.012, and p = 0.027). Conclusion: To lessen the effects of the disease, all eligible children should receive the COVID-19 vaccine. The illness may specifically endanger children with UCDs. What is Known: • Children with COVID-19 mainly present with fever and cough, as in adults. • COVID-19 may specifically threaten children with underlying chronic diseases. What is New: • Children with obesity have a higher vaccination rate against COVID-19 than children without obesity. • Among unvaccinated children, fever and pneumoniae might be seen at a higher ratio than among vaccinated children.
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Affiliation(s)
- Dilek Yılmaz
- Department of Pediatric Infectious Diseases, İzmir Katip Çelebi University Faculty of Medicine, İzmir, Turkey
| | - Gülnihan Üstündağ
- Pediatric Infectious Disease Clinic, Health Science University İzmir Tepecik Training and Research Hospital, Konak 35020, İzmir, Turkey.
| | - Ayşe Büyükçam
- Pediatric Infectious Disease Clinic, Health Science University Gülhane Training and Research Hospital, Ankara, Turkey
| | - Enes Salı
- Pediatric Infectious Disease Clinic, Health Science University Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Ümit Çelik
- Pediatric Infectious Disease Clinic, Adana City Hospital, Adana, Turkey
| | - Gülhadiye Avcu
- Department of Pediatric Infectious Diseases, Ege University Faculty of Medicine, İzmir, Turkey
| | - Nurşen Belet
- Department of Pediatric Infectious Diseases, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Esra Çakmak Taşkın
- Pediatric Infectious Disease Clinic, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Sevliya Öcal Demir
- Pediatric Infectious Disease Clinic, Medeniyet University Göztepe Süleyman Yalçın City Hospital, Istanbul, Turkey
| | - Ahmet Ziya Birbilen
- Gaziantep Cengiz Gökçek Gynecology and Pediatrics Hospital, Pediatric Emergency Clinic, Gaziantep, Turkey
| | - Ömer Kılıç
- Department of Pediatric Infectious Diseases, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Özge Metin Akcan
- Department of Pediatric Infectious Diseases, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
| | - Ayşe Tekin Yılmaz
- Pediatric Infectious Disease Clinic, Eskişehir City Hospital, Eskişehir, Turkey
| | - Bilge Aldemir Kocabaş
- Pediatric Infectious Disease Clinic, Health Science University Antalya Training and Research Hospital, Antalya, Turkey
| | - Nevin Hatipoğlu
- Pediatric Infectious Disease Clinic, Health Science University İstanbul Bakırköy Doctor Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Adem Karbuz
- Pediatric Infectious Disease Clinic, Cemil Taşçıoğlu City Hospital, İstanbul Prof. Dr, Istanbul, Turkey
| | - Deniz Çakır
- Pediatric Infectious Disease Clinic, Health Science University Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Murat Sütçü
- Department of Pediatric Infectious Diseases, İstinye University Faculty of Medicine, Istanbul, Turkey
| | - Fatma Deniz Aygün
- Department of Pediatric Infectious Diseases, Cerrahpaşa University Faculty of Medicine, Istanbul, Turkey
| | - Taylan Çelik
- Department of Pediatric Infectious Diseases, Çanakkale 18 Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Semra Bayturan Şen
- Department of Pediatric Infectious Diseases, Celal Bayar University Faculty of Medicine, Manisa, Turkey
| | - Nazan Dalgıç
- Pediatric Infectious Disease Clinic, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Zühal Ümit
- Pediatric Infectious Disease Clinic, Manisa City Hospital, Manisa, Turkey
| | - Soner Sertan Kara
- Department of Pediatric Infectious Diseases, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Eda Karadağ Öncel
- Pediatric Infectious Disease Clinic, Health Science University İzmir Tepecik Training and Research Hospital, Konak 35020, İzmir, Turkey
| | - Ahmet Bolat
- Pediatrics Clinic, Health Science University Gülhane Training and Research Hospital, Ankara, Turkey
| | - Merve Kılıç Çil
- Pediatric Infectious Disease Clinic, Adana City Hospital, Adana, Turkey
| | - Caner Turan
- Department of Pediatric Emergency Medicine, Ege University Faculty of Medicine, İzmir, Turkey
| | - Ayşe Çakıl Güzin
- Department of Pediatric Infectious Diseases, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Sevgi Topal
- Pediatric Intensive Care Unit, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Gülser Esen Besli
- Pediatric Emergency Clinic, Medeniyet University Göztepe Süleyman Yalçın City Hospital, Istanbul, Turkey
| | - Gizem Doğan
- Gaziantep Cengiz Gökçek Gynecology and Pediatrics Hospital, Pediatrics Clinic, Gaziantep, Turkey
| | - Sabiha Şahin
- Department of Pediatric Emergency Medicine, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Fatih Akın
- Department of Pediatrics, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
| | - Yaşar Bildirici
- Pediatrics Clinic, Eskişehir City Hospital, Eskişehir, Turkey
| | - Gülperi Timurtaş Dayar
- Pediatric Infectious Disease Clinic, Health Science University Antalya Training and Research Hospital, Antalya, Turkey
| | - Emine Ergül Sarı
- Pediatrics Clinic, Health Science University İstanbul Bakırköy Doctor Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Didem Kızmaz İşançlı
- Pediatric Infectious Disease Clinic, Cemil Taşçıoğlu City Hospital, İstanbul Prof. Dr, Istanbul, Turkey
| | - Manolya Kara
- Department of Pediatric Infectious Diseases, İstinye University Faculty of Medicine, Istanbul, Turkey
| | - Pınar Önal
- Department of Pediatric Infectious Diseases, Cerrahpaşa University Faculty of Medicine, Istanbul, Turkey
| | - Hakan Aylaç
- Department of Pediatrics, Çanakkale 18 Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Duygu Lüleci
- Department of Pediatrics, Celal Bayar University Faculty of Medicine, Manisa, Turkey
| | - Belma Yaşar
- Pediatric Infectious Disease Clinic, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Elif Dede
- Department of Pediatric Infectious Diseases, İstanbul University Faculty of Medicine, Istanbul, Turkey
| | - Aykut Çağlar
- Department of Pediatric Emergency Medicine , Adnan Menderes University Faculty of Medicine, Aydın, Turkey
| | - Sevgi Akova
- Pediatric Emergency Clinic, Health Science University Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Elif Afat Turgut
- Pediatric Infectious Disease Clinic, Adana City Hospital, Adana, Turkey
| | - Pınar Yazıcı Özkaya
- Department of Pediatric Intensive Care, Ege University Faculty of Medicine, İzmir, Turkey
| | | | - Emel Ulusoy
- Department of Pediatric Emergency Medicine, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Muhterem Duyu
- Pediatric Intensive Care Unit, Medeniyet University Göztepe Süleyman Yalçın City Hospital, Istanbul, Turkey
| | - Yalçın Kara
- Department of Pediatric Infectious Diseases, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Hüseyin Çeliktaş
- Department of Pediatrics, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
| | - Onur Tekeli
- Pediatric Infectious Disease Clinic, Health Science University Antalya Training and Research Hospital, Antalya, Turkey
| | - Fatma Çağlar
- Pediatric Emergency Clinic, Health Science University İstanbul Bakırköy Doctor Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Doruk Gül
- Department of Pediatrics, İstinye University Faculty of Medicine, Istanbul, Turkey
| | - Sinem Oral Cebeci
- Department of Pediatric Emergency Medicine, Cerrahpaşa University Faculty of Medicine, Istanbul, Turkey
| | - Fatih Battal
- Department of Pediatrics, Çanakkale 18 Mart University Faculty of Medicine, Çanakkale, Turkey
| | - Alkan Bal
- Department of Pediatric Emergency Medicine, Celal Bayar University Faculty of Medicine, Manisa, Turkey
| | - Emre Aygün
- Pediatrics Clinic, Health Science University Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Metin Uysalol
- Department of Pediatric Emergency Medicine, İstanbul University Faculty of Medicine, Istanbul, Turkey
| | - Gazi Arslan
- Department of Pediatric Intensive Care, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey
| | - Ayberk Özkavaklı
- Pediatrics Clinic, Medeniyet University Göztepe Süleyman Yalçın City Hospital, Istanbul, Turkey
| | - Mahmut Can Kızıl
- Department of Pediatric Infectious Diseases, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Abdullah Yazar
- Department of Pediatrics, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
| | - Fatih Aygün
- Department of Pediatric Intensive Care, Cerrahpaşa University Faculty of Medicine, Istanbul, Turkey
| | - Ayper Somer
- Department of Pediatric Infectious Diseases, İstanbul University Faculty of Medicine, Istanbul, Turkey
| | - Necdet Kuyucu
- Department of Pediatric Infectious Diseases, Mersin University Faculty of Medicine, Mersin, Turkey
| | - Ener Çağrı Dinleyici
- Department of Pediatric Intensive Care, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Turkey
| | - Ateş Kara
- Department of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Arıkan K, Karadağ Öncel E, Kara A, Cengiz AB, Ceyhan M. Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. J Pediatr Inf 2023. [DOI: 10.5578/ced.20239903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Arıkan K, Karadağ Öncel E, Kara A, Cengiz AB, Ceyhan M. Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. J Pediatr Inf 2023. [DOI: 10.5578/ced.20239917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
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Berksoy E, Karadağ Öncel E, Bardak Ş, Demir Ş, Bozkaya Yılmaz S, Demir G, Çiçek A, Yılmaz N, Gökalp G, Anıl M, Yılmaz Çiftdoğan D. True Bacteremia or Contamination? Predictive Factors for Contamination in Blood Cultures Obtained in the Pediatric Emergency Room. Eurasian J Emerg Med 2023. [DOI: 10.4274/eajem.galenos.2022.90582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
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Şahin A, Aksay AK, Aşcı B, Keleş YE, Üstündağ G, Tüz AE, Taşar S, Maden AA, İnce G, Kanık A, Öncel EK, Elmalı F, Yılmaz D. Attitudes of parents with children aged 12-18 to COVID-19 vaccines for themselves and their children. Turk J Pediatr 2023; 65:194-204. [PMID: 37114685 DOI: 10.24953/turkjped.2022.762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
BACKGROUND The incidence of vaccine hesitancy is increasing in many countries. This study aims to determine parents` attitudes and related factors regarding COVID-19 vaccine acceptance for themselves and their children aged 12-18. METHODS A cross-sectional survey was conducted on parents between 16th November and 31st December 2021, after COVID-19 vaccines were initiated for children in Türkiye. In the survey, the sociodemographic characteristics of the parents, whether they and their children were vaccinated against COVID-19, and if not, the reasons for this were asked. Multivariate binary logistic regression analysis was used to evaluate the factors affecting parents` refusal to vaccinate their children for COVID-19. RESULTS Three hundred and ninety-six mothers and fathers were included in the final analysis. Overall, 41.7% of parents reported vaccine refusal for their children. COVID-19 vaccine refusal was higher in mothers younger than 35 (β = 6.5, p = 0.002, 95% CI: 2.0-23.1), children aged 15 and younger (β = 2.3, p = 0.001, 95% CI: 1.4-3.7). Concerns about the side effects of the COVID-19 vaccine (29.7%) and their children not wanting to be vaccinated (29.0%) were the most common causes of COVID-19 vaccine refusal. CONCLUSIONS In the present study, the rate of children not vaccinated due to COVID-19 vaccine refusal was relatively high. Parents` concerns about vaccine side effects, as well as their children`s unwillingness to be vaccinated, suggest that both parents and adolescents should be informed about the importance of COVID-19 vaccines.
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Affiliation(s)
- Aslıhan Şahin
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Ahu Kara Aksay
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Bahri Aşcı
- Department of Pediatrics, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Yıldız Ekemen Keleş
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Gülnihan Üstündağ
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Ayşegül Elvan Tüz
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Selin Taşar
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Aslıhan Arslan Maden
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Gülberat İnce
- Department of Pediatrics, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | | | - Eda Karadağ Öncel
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir
| | - Ferhan Elmalı
- Department of Biostatistics, İzmir Katip Celebi University Faculty of Medicine, İzmir
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Öncel EK, Tüz AE, Keleş YE, Şahin A, Üstündağ G, Taşar S, Altan TK, Karakoyun İ, İşbilen Başok B, Neşelioğlu S, Kara Aksay A, Yılmaz D, Erel Ö. Evaluation of ischemia-modified albumin in the diagnosis and the clinical severity of COVID-19 in children. Turk J Pediatr 2023; 65:425-432. [PMID: 37395962 DOI: 10.24953/turkjped.2022.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/04/2023]
Abstract
BACKGROUND There is no specific biomarker used in the diagnosis of COVID-19 and predicting its clinical severity. This study aimed to investigate the utility of ischemia-modified albumin (IMA) in diagnosing and predicting clinical severity in children with COVID-19. METHODS Between October 2020 and March 2021, 41 cases constituted the COVID-19 group and 41 cases constituted the healthy control group. IMA levels were measured at admission (IMA-1) and 48-72 hours (IMA- 2) in the COVID-19 group. In the control group, it was measured at admission. COVID-19 clinical severity was classified as asymptomatic infection, mild, moderate, severe, or critical disease. Patients were divided into two groups (asymptomatic/mild and moderate/severe) to evaluate IMA levels in terms of clinical severity. RESULTS In the COVID-19 group, the mean IMA-1 level was 0.901±0.099, and the mean IMA-2 level was 0.866±0.090. The mean level of IMA-1 in the control group was 0.787±0.051. When IMA-1 levels of COVID-19 and control cases were compared, the difference was statistically significant (p < 0.001). When clinical severity and laboratory data are compared, C-reactive protein, ferritin and ischemia-modified albumin ratio (IMAR) were statistically significantly higher in moderate-severe clinical cases (p=0.034, p=0.034, p=0.037 respectively). However, IMA-1 and IMA-2 levels were similar between the groups (p=0.134, p=0.922, respectively). CONCLUSIONS To date, no study has been conducted on IMA levels in children with COVID-19. The IMA level may be a new marker for the diagnosis of COVID-19 in children. Studies with a larger number of cases are needed to predict clinical severity.
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Affiliation(s)
- Eda Karadağ Öncel
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Ayşegül Elvan Tüz
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Yıldız Ekemen Keleş
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Aslıhan Şahin
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Gülnihan Üstündağ
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Selin Taşar
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Tuba Kansu Altan
- Department of Medical Biochemistry Clinic, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - İnanç Karakoyun
- Department of Medical Biochemistry Clinic, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Banu İşbilen Başok
- Department of Medical Biochemistry Clinic, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Salim Neşelioğlu
- Department of Medical Biochemistry Clinic, Yıldırım Beyazıt University, Ankara City Hospital, Ankara
| | - Ahu Kara Aksay
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Dilek Yılmaz
- Department of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir
| | - Özcan Erel
- Department of Medical Biochemistry Clinic, Yıldırım Beyazıt University, Ankara City Hospital, Ankara
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Tüz AE, Ekemen Keleş Y, Şahin A, Üstündağ G, Taşar S, Karadağ Öncel E, Kara Aksay A, Öztan MO, Köylüoğlu G, Çapar AE, Yılmaz Çiftdoğan D. Hydatid Disease in Children from Diagnosis to Treatment: A 10-year Single Center Experience. Turkiye Parazitol Derg 2022; 46:189-194. [PMID: 36094119 DOI: 10.4274/tpd.galenos.2022.69885] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Hydatid disease caused by Echinococcus granulosus is a parasitic zoonosis and is endemic in Turkey. Clinical manifestations vary and are related to the anatomical location. In this report, we shared the diagnosis, treatment and follow-up of hydatid disease in children with a 10-year experience. METHODS A total of fifty-seven children diagnosed with hydatid disease were analyzed retrospectively from hospital records. Diagnosis was based on clinical, serological and radiological findings. Treatment response was evaluated with clinical, radiological and serological findings. RESULTS The male/female ratio of 57 cases was 2.4:1 and the mean age was 113.6±45.9 months. The most common presenting complaint was abdominal pain (42.1%). While 22 (38.6%) of the cases had eosinophilia; indirect hemagglutination test positivity was detected in 27 cases (47.4%). Multiple organ involvement was present in 18 cases (31.6%). In patients with multiple organ involvement, the possibility of cysts being located in the abdomen was higher (p=0.005). Of the 50 cases (87.7%), 45 (78.9%) were operated with open surgery and 5 (8.8%) with percutaneous aspiration-injection-reaspiration method for treatment. There were 52 (91.2%) patients who were given albendazole in conservative treatment and the mean duration of treatment was 15.5±17.2 months. There were 10 cases (17.5%) who developed cyst rupture and the symptom duration was shorter than the cases without cyst rupture (p=0.017). Cyst rupture was more common in cases with dyspnea and fluid discharge from the mouth called rock water (p=0.001, p=0.005, respectively). Recurrence was observed in five cases (8.8%) during follow-up. CONCLUSION In areas where the disease is endemic, despite prevention and control programs consisting of personal habits and health education, active transmission of hydatid disease is seen in children and continues to be an important public health problem. Hydatid disease should definitely be considered in the presence of suspicious radiological and clinical findings in endemic areas. Controlled clinical studies are required for diagnosis and treatment procedures.
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Affiliation(s)
- Ayşegül Elvan Tüz
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Yıldız Ekemen Keleş
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Aslıhan Şahin
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Gülnihan Üstündağ
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Selin Taşar
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Eda Karadağ Öncel
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Ahu Kara Aksay
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
| | - Mustafa Onur Öztan
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Cerrahi Kliniği, İzmir, Türkiye
| | - Gökhan Köylüoğlu
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Cerrahi Kliniği, İzmir, Türkiye
| | - Ahmet Ergin Çapar
- Sağlık Bilimleri Üniversitesi, İzmir Tepecik Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, İzmir, Türkiye
| | - Dilek Yılmaz Çiftdoğan
- İzmir Katip Çelebi Üniversitesi Tıp Fakültesi, Çocuk Enfeksiyon Hastalıkları Anabilim Dalı, İzmir, Türkiye
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Üzüm Ö, Karadağ Öncel E, Demirçelik Y, Örsdemir Hortu H, Kanık A, Eliaçık K, Yılmaz Çiftdoğan D, Helvacı M. Characteristics and Results of Hospital Admission Caused by Influenza Virus Infections in Children under 5 Years Old. J Trop Pediatr 2022; 68:6617964. [PMID: 35751686 DOI: 10.1093/tropej/fmac049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
AIMS The influenza virus is an infectious disease with acute respiratory tract infections, caused secondary bacterial infections and death. In this study, we aimed to determine which predictors were associated with the need for high-flow nasal cannula oxygen therapy (HFNC) and transition to intensive care for influenza virus and also to compare single viral pathogens with multiple ones. METHODS Inpatients under the age of 5 with influenza virus-related respiratory tract infections between November 2015 and March 2019 were included in the study. Demographic features, comorbidities, symptoms, secondary bacterial infection, need for HFNC and pediatric intensive care unit and respiratory support system, length of hospital stay, polymerase chain reaction tests were recorded. RESULTS A total of 93 patients were included in the study. It was determined that 53.8% of the cases were male and 84.9% were under the age of 2. Comorbidities were present in 50.5% of the cases. Secondary bacterial pneumonia developed in 56.9% of the cases. Patients with secondary bacterial pneumonia had higher PICU need, HFNC need and hospital stay (p = 0.014, p ≤ 0.001 and p ≤ 0.001, respectively). Patients with comorbidity had longer hospital stays and a higher need for HFNC (p ≤ 0.001 and p = 0.001, respectively). CONCLUSIONS In this study, it was determined that especially comorbidity and secondary bacterial infection aggravated the clinical treatment of hospitalized patients. Therefore, it was concluded that patients with comorbidity should be followed closely and secondary bacterial pneumonia should be recognized and treated early.
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Affiliation(s)
- Özlem Üzüm
- Department of Pediatric Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Eda Karadağ Öncel
- Department of Pediatric Infectious Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Yavuz Demirçelik
- Department of Pediatric Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Hacer Örsdemir Hortu
- Department of Pediatric Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Ali Kanık
- Department of Pediatric Diseases, Faculty of Medicine, Katip Çelebi University, Izmir, Turkey
| | - Kayı Eliaçık
- Department of Pediatric Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
| | - Dilek Yılmaz Çiftdoğan
- Department of Pediatric Infectious Diseases, Faculty of Medicine, Katip Çelebi University, Izmir, Turkey
| | - Mehmet Helvacı
- Department of Pediatric Diseases, Tepecik Training and Research Hospital, University of Health Sciences, Izmir, Turkey
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Şahin A, Yüksel NC, Karadağ Öncel E, Kara Aksay A, Yılmaz N, Yılmaz Çiftdoğan D. Clinical and Laboratory Features of Invasive Group A Streptococcal Infections: 8 Years Experience. Turk Arch Pediatr 2022. [PMID: 35110082 PMCID: PMC8867505 DOI: 10.5152/turkarchpediatr.2021.21221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Invasive infections caused by group A streptococci, including bacteremia, pneumonia, sepsis, necrotizing fasciitis, streptococcal toxic shock syndrome, and focal infections, are the significant causes of mortality and morbidity worldwide. This study aimed to assess the clinical and laboratory features and management of children with invasive group A streptococci infections. MATERIALS AND METHODS A descriptive observational study was conducted on children younger than 18 years with invasive group A streptococci infection in a single center between 2012 and 2019. The clinical and laboratory features, treatment options, and patient outcomes were evaluated retrospectively. RESULTS Forty-nine patients diagnosed with an invasive group A streptococci infection were analyzed. Among them, 28 (57.1%) were boys and 21 (42.9%) were girls, with a median age of 84 months (IQR: 48-150). Group A streptococci strains were found to be isolated mainly from the skin and soft tissue abscesses (60.7%). It was found that 21 (42.9%) of the cases were hospitalized, and the median duration of hospitalization was 7 (IQR: 5-11) days. It was noted that all of the cases were treated, and infection-related mortality was not observed in any patient. CONCLUSIONS For correct management of invasive group A streptococci infections, timely diagnosis, appropriate duration of antimicrobial therapy, and surgical intervention in selected cases are required. It is thought that examining this issue in future studies may provide clues regarding the localization, severity, management of the infection clinic, and treatment.
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Affiliation(s)
- Aslıhan Şahin
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey,Corresponding author:Aslıhan Şahin✉
| | - Necmi Can Yüksel
- Department of Pediatrics, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Eda Karadağ Öncel
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Ahu Kara Aksay
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Nisel Yılmaz
- Department of Medical Microbiology, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey
| | - Dilek Yılmaz Çiftdoğan
- Division of Pediatric Infectious Diseases, Health Sciences University Tepecik Training and Research Hospital, İzmir, Turkey,Division of Pediatric Infectious Diseases, Department of Pediatrics, İzmir Katip Celebi University Faculty of Medicine, İzmir, Turkey
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11
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Tüz AE, Taşar S, Karadağ Öncel E, Ekemen Keleş Y, Şahin A, Üstündağ G, Demirçelik Y, Özkalay Yılmaz N, Kara Aksay A, Yılmaz Çiftdoğan D. Seasonal coronaviruses infections in children: do they always cause mild illness? Turk J Pediatr 2022; 64:500-509. [PMID: 35899563 DOI: 10.24953/turkjped.2021.1536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
BACKGROUND Human coronaviruses (HCoVs) cause a comprehensive clinic ranging from asymptomatic course to pneumonia. We aimed to describe the HCoV infections in children to determine the clinical status and coinfection effects in a five-year retrospective surveillance study. The primary outcome was admission to the intensive care unit (ICU) and the secondary outcome was the need of high oxygen support. METHODS Between September 2015 and November 2020, all patients whose reverse transcription polymerase chain reaction (RT-PCR) tests were positive were determined and patients with HCoVs were included in the study. Demographical characteristics, underlying chronic diseases, clinical diagnosis, laboratory data, subtypes of HCoVs, radiological findings, treatments, hospitalization, and ICU admission were analyzed. RESULTS Of the 2606 children, the overall respiratory tract virus detection rate was 82.4%. Among these, 98 cases were HCoVs positive and of these 80 (81.6%) were under five years of age and most of the patients were admitted to the hospital in spring and 70% were a mixed infection with other respiratory viruses. Since lower respiratory tract infections are more common in HCoV coinfections, a significant difference was found in clinical diagnosis (p < 0.001). The presence of hypoxia (p=0.003) and underlying disease (p=0.004) were found to be significantly more common in patients admitted to the ICU. The presence of hypoxia, infiltration on chest X-ray, and elevated C-reactive protein levels were more frequently determined in patients who received high oxygen support (p=0.001, p=0.036, p=0.004, respectively). CONCLUSIONS Clinical findings may be more severe if HCoVs, which generally cause mild respiratory disease, are coinfected with another viral agent.
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Affiliation(s)
- Ayşegül Elvan Tüz
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Selin Taşar
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Eda Karadağ Öncel
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Yıldız Ekemen Keleş
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Aslıhan Şahin
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Gülnihan Üstündağ
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Yavuz Demirçelik
- Departments of Pediatrics, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Nisel Özkalay Yılmaz
- Departments of Microbiology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Ahu Kara Aksay
- Departments of Pediatric Infectious Diseases, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey
| | - Dilek Yılmaz Çiftdoğan
- Department of Pediatric Infectious Diseases, İzmir Katip Çelebi University, İzmir, Turkey
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Şahin A, Yüksel NC, Öncel EK, Aksay AK, Yılmaz N, Çiftdoğan DY. Clinical and Laboratory Features of Invasive Group A Streptococcal Infections: 8 Years Experience. Turk Arch Pediatr 2021; 57:75-80. [DOI: 10.5152/turkarchpediatr.2022.21221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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13
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Eren Akarcan S, Karadağ Öncel E, Tuncel T, Özdoğru EE, Yılmaz Çiftdoğan D. Evaluation of Knowledge and Attitude of Parents of Asthmatic Children on the Seasonal Flu Vaccine. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Garipçin P, Ekemen Keleş Y, Karadağ Öncel E, Kıymet E, Böncüoğlu E, Okumuş Özlü C, Karaoğlu Asrak H, Güner Özenen G, Ümit Z, Kara SS, Şen S, Kara Aksay A, Şahbudak Bal Z, Devrim İ, Belet N, Yılmaz Çiftdoğan D. Evaluation of Attitudes and Knowledge of Influenza Diagnosis, Treatment and Vaccination Among Pediatric Residents. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Eren Akarcan S, Karadağ Öncel E, Tuncel T, Özdoğru EE, Yılmaz Çiftdoğan D. Evaluation of Knowledge and Attitude of Parents of Asthmatic Children on the Seasonal Flu Vaccine. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Garipçin P, Ekemen Keleş Y, Karadağ Öncel E, Kıymet E, Böncüoğlu E, Okumuş Özlü C, Karaoğlu Asrak H, Güner Özenen G, Ümit Z, Kara SS, Şen S, Kara Aksay A, Şahbudak Bal Z, Devrim İ, Belet N, Yılmaz Çiftdoğan D. Evaluation of Attitudes and Knowledge of Influenza Diagnosis, Treatment and Vaccination Among Pediatric Residents. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ekemen Keleş Y, Karadağ Öncel E, Kara Aksay A, Yılmaz Çiftdoğan D. Can MIS-C develop beyond 16 weeks? Arch Rheumatol 2021; 37:150-152. [PMID: 35949870 PMCID: PMC9326382 DOI: 10.46497/archrheumatol.2022.8895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 06/01/2021] [Indexed: 11/03/2022] Open
Affiliation(s)
- Yıldız Ekemen Keleş
- Department of Pediatric Infectious Disease, Health Sciences University Tepecik Training and Research Hospital, Izmir, Turkey
| | - Eda Karadağ Öncel
- Department of Pediatric Infectious Disease, Health Sciences University Tepecik Training and Research Hospital, Izmir, Turkey
| | - Ahu Kara Aksay
- Department of Pediatric Infectious Disease, Health Sciences University Tepecik Training and Research Hospital, Izmir, Turkey
| | - Dilek Yılmaz Çiftdoğan
- Department of Pediatric Infectious Disease, İzmir Katip Çelebi University, Izmir, Turkey
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Uzaldı İ, Şahin A, Karadağ Öncel E, Pala HG, Öncel MY, Yılmaz Çiftdoğan D, Atalay S, Yılmaz N. HIV Pozitif Gebeliklerde Seçilen Doğum Şeklinin, Doğum Süresinin ve Doğum Travayı Takibinin Fetal Bulaş Açısından Perinatal ve Postnatal Sonuçlarının Değerlendirilmesi. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Uzaldı İ, Şahin A, Karadağ Öncel E, Pala HG, Öncel MY, Yılmaz Çiftdoğan D, Atalay S, Yılmaz N. Evaluation of Perinatal and Postnatal Outcomes of Delivery Type, Delivery Period and Follow-up Labor in HIV Positive Pregnancies from the Perspective of Fetal Infection. J Pediatr Inf 2021. [DOI: 10.5578/ced.20219921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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20
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Üzüm Ö, Eliaçık K, Hortu Örsdemir H, Karadağ Öncel E. Ebeveynlerin Aşı Yaklaşımlarını Etkileyen Faktörler: Bir Eğitim Araştırma Hastanesine İlişkin Değerlendirme. J Pediatr Inf 2019. [DOI: 10.5578/ced.68398] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Üzüm Ö, Eliaçık K, Hortu Örsdemir H, Karadağ Öncel E. Factors Affecting the Immunization Approaches of Caregivers: An Example of a Teaching and Research Hospital. J Pediatr Inf 2019. [DOI: 10.5578/ced.201937] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Öncel MY, Erişen O, Koyuncu Arslan M, Karadağ Öncel E. Erken Yenidoğan Döneminde Akut Süpüratif Parotit. J Pediatr Inf 2019. [DOI: 10.5578/ced.67660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Baran M, Aksoy B, Vardı K, Çağan Appak Y, Karadağ Öncel E, Yılmaz Çiftdoğan D. İnflamatuvar Bağırsak Hastalığı Olan Çocuklarda Sitomegalovirüs ve Epstein-Barr Virüs Enfeksiyonlarının Sıklığı ve Önemi: Tek Merkez Deneyimi. J Pediatr Inf 2018. [DOI: 10.5578/ced.67672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Baran M, Aksoy B, Vardı K, Çağan Appak Y, Karadağ Öncel E, Yılmaz Çiftdoğan D. The Frequency and Importance of Cytomegalovirus and Epstein-Barr Virus Infections in Children with Inflammatory Bowel Disease: Single Center Experience. J Pediatr Inf 2018. [DOI: 10.5578/ced.201842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Öncel EK, Başaranoğlu ST, Aykaç K, Kömürlüoğlu A, Akman AÖ, Kıran S. Knowledge and awareness of optimal use of reporting guidelines in paediatricians: A cross-sectional study. Turk Pediatri Ars 2018; 53:163-168. [PMID: 30459515 PMCID: PMC6239066 DOI: 10.5152/turkpediatriars.2018.6167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2017] [Accepted: 07/10/2018] [Indexed: 11/22/2022]
Abstract
Aim The aim of this study was to investigate pediatricians' ideas and awareness of reporting guidelines of scientific researches, as well as the use of these guidelines in routine practice. Material and Methods This cross-sectional survey was conducted among pediatricians working at two of the largest pediatric hospitals in Ankara. The pediatricians were asked to complete a 13-item questionnaire in Turkish about reporting guidelines and the Enhancing the Quality and Transparency of Health Research internet network, and their level of knowledge, awareness, and use of these guidelines were investigated. Results A total of 224 physicians from both centers agreed to participate in the study (56.4% of the target population). The average age of the participants was 34±9.24 years, their median age was 31 (min-max: 24-63) years, and 71.4% were female physicians. The participants' median duration in their careers was 6 (min-max: 1-39) years and 63.8% had participated in a scientific study as a researcher. Forty-five (20%) of the participants had known about the reporting guidelines before and reported that they had most frequently heard about them via journals, congresses, and seminars. Twenty (26.6%) of these physicians had used the guidelines. Sixty-five (29%) of the participants had served as a reviewer for a scientific article, but only three (4.6%) stated that they had made use of the guidelines while reviewing the articles. Some 83.5% of the participants reported that they would like to be informed about reporting guidelines. Both centers had similar knowledge levels about the use of the guidelines. Conclusion The awareness and use of reporting guidelines of scientific researches by pediatricians is insufficient.
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Affiliation(s)
- Eda Karadağ Öncel
- Department of Pediatrics, Division of Pediatric Infectious Disease, Hacettepe University School of Medicine, Ankara, Turkey
| | - Sevgen Tanır Başaranoğlu
- Department of Pediatrics, Division of Pediatric Infectious Disease, Hacettepe University School of Medicine, Ankara, Turkey
| | - Kübra Aykaç
- Department of Pediatrics, Division of Pediatric Infectious Disease, Hacettepe University School of Medicine, Ankara, Turkey
| | - Ayça Kömürlüoğlu
- Department of Pediatrics, Division of Pediatric Infectious Disease, Hacettepe University School of Medicine, Ankara, Turkey
| | - Alkım Öden Akman
- Ankara Child Health Diseases Hematology-Oncology Training and Research Hospital, Ankara, Turkey
| | - Sibel Kıran
- Clinic of Pediatrics, Institute of Public Health, Hacettepe University School of Medicine, Ankara, Turkey
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27
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Karadağ Öncel E, Yılmaz Çiftdoğan D, Vardı K, Baran M. Rotavirüs Gastroenteritine İkincil Gelişen Akut Pankreatit: Bir Olgu Sunumu ve Literatürün Gözden Geçirilmesi. J Pediatr Inf 2018. [DOI: 10.5578/ced.67017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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28
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Büyükcam A, Karadağ Öncel E, Özsürekçi Y, Cengiz AB, Kuşkonmaz B, Sancak B. Vancomycin-resistant Enterococcus bacteremia in a child with acute myeloid leukemia: successful treatment with daptomycin. ARCH ARGENT PEDIATR 2018; 114:e432-e435. [PMID: 27869427 DOI: 10.5546/aap.2016.eng.e432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 05/23/2016] [Indexed: 11/12/2022]
Abstract
Multiple-drug-resistant enterococcal infections canbe a serious problem in pediatric patients particularly concomitance with severe underlying diseases and lead to significant morbidity and mortality. The treatment options in children are limited compared with adults. We report a 3-year old-boy with acute myeloid leukemia (AML)-M7 and vancomycin-resistant enterococcus bacteremia successfully treated with daptomycin. Daptomycin may be an alternative therapy for VRE infections in children; more studies are needed for extended usage.
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Affiliation(s)
- Ayşe Büyükcam
- Pediatric Infectious Diseases Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
| | - Eda Karadağ Öncel
- Pediatric Infectious Diseases Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Yasemin Özsürekçi
- Pediatric Infectious Diseases Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ali B Cengiz
- Pediatric Infectious Diseases Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Barış Kuşkonmaz
- Bone Marrow Transplantation Unit, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Banu Sancak
- Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Özçay F, Karadağ Öncel E, Barış Z, Canan O, Moray G, Haberal M. Etiologies, outcomes, and prognostic factors of pediatric acute liver failure: A single center's experience in Turkey. Turk J Gastroenterol 2017; 27:450-457. [PMID: 27782894 DOI: 10.5152/tjg.2016.16431] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND/AIMS Our aim was to determine the etiologies, outcomes, and prognostic indicators in children with acute liver failure. MATERIALS AND METHODS Ninety-one patients who were followed for pediatric acute liver failure (PALF) over a 15-year period were included. Patients who survived with supportive therapy were designated as Group 1, while those who died or underwent liver transplantation were designated as Group 2. RESULTS There were 37 (40.6%) patients in Group 1 (spontaneous recovery) and 54 (59.4%) patients in Group 2. Thirty-two patients (35.2%) underwent liver transplantation. Infectious and indeterminate causes were the most common etiologies (33% each). Among the infectious causes, hepatitis A (76%) was the most frequent. Hepatic encephalopathy grade 3-4 on admission and during follow-up and high Pediatric Risk of Mortality (PRISM) and Pediatric End-Stage Liver Disease (PELD) scores within the first 24 h were related with a poor prognosis. Group 2 had a more prolonged prothrombin time, higher international normalized ratio, more prolonged activated partial thromboplastin time (aPTT), and higher levels of total and direct bilirubin, ammonia, and lactate (for all, p<0.01). CONCLUSION Infectious and indeterminate cases constituted the most common etiology of PALF, and the etiology was related to the prognosis in our series. Although high PELD and PRISM scores were related to poor prognoses, no sharp thresholds for individual laboratory tests could be elucidated. Liver transplantation was the only curative treatment for patients with poor prognoses and resulted in high survival rates (1-, 5-, and 10-year survival rates of 81.3%, 81.3%, and 75%, respectively) in our study.
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Affiliation(s)
- Figen Özçay
- Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Başkent University School of Medicine, Ankara, Turkey.
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Kömürlüoğlu A, Arıkan K, Karadağ Öncel E, Kara A, Ceyhan M, Cengiz AB. Kene Tutunması ile Başvuran Çocuk Hastaların Klinik ve Laboratuvar Bulgularının Değerlendirilmesi. J Pediatr Inf 2017. [DOI: 10.5578/ced.57335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Kömürlüoğlu A, Arıkan K, Karadağ Öncel E, Kara A, Ceyhan M, Cengiz AB. The Evaluation of Clinical and Laboratory Findings of Pediatric Patients Applying with Tick Exposure. J Pediatr Inf 2017. [DOI: 10.5578/ced.201707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Ceyhan M, Ozsurekci Y, Gürler N, Öksüz L, Aydemir S, Ozkan S, Yuksekkaya S, Keser Emiroglu M, Gültekin M, Yaman A, Kiremitci A, Yanık K, Karli A, Ozcinar H, Aydin F, Bayramoglu G, Zer Y, Gulay Z, Gayyurhan ED, Gül M, Özakın C, Güdücüoğlu H, Perçin D, Akpolat N, Ozturk C, Camcıoğlu Y, Karadağ Öncel E, Çelik M, Şanal L, Uslu H. Serotype distribution of Streptococcus pneumoniae in children with invasive diseases in Turkey: 2008-2014. Hum Vaccin Immunother 2016; 12:308-13. [PMID: 26325175 DOI: 10.1080/21645515.2015.1078952] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Successful vaccination policies for protection from invasive pneumococcal diseases (IPD) dependent on determination of the exact serotype distribution in each country. We aimed to identify serotypes of pneumococcal strains causing IPD in children in Turkey and emphasize the change in the serotypes before and after vaccination with 7-valent pneumococcal conjugate vaccine (PCV-7) was included and PCV-13 was newly changed in Turkish National Immunization Program. Streptococcus pneumoniae strains were isolated at 22 different hospitals of Turkey, which provide healthcare services to approximately 65% of the Turkish population. Of the 335 diagnosed cases with S. pneumoniae over the whole period of 2008-2014, the most common vaccine serotypes were 19F (15.8%), 6B (5.9%), 14 (5.9%), and 3 (5.9%). During the first 5 y of age, which is the target population for vaccination, the potential serotype coverage ranged from 57.5 % to 36.8%, from 65.0% to 44.7%, and from 77.4% to 60.5% for PCV-7, PCV-10, and PCV-13 in 2008-2014, respectively. The ratio of non-vaccine serotypes was 27.2% in 2008-2010 whereas was 37.6% in 2011-2014 (p=0.045). S. penumoniae serotypes was less non-susceptible to penicillin as compared to our previous results (33.7 vs 16.5 %, p=0.001). The reduction of those serotype coverage in years may be attributed to increasing vaccinated children in Turkey and the increasing non-vaccine serotype may be explained by serotype replacement. Our ongoing IPD surveillance is a significant source of information for the decision-making processes on pneumococcal vaccination.
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Affiliation(s)
- Mehmet Ceyhan
- a Department of Pediatric Infectious Diseases ; Hacettepe University Faculty of Medicine ; Ankara , Turkey
| | - Yasemin Ozsurekci
- a Department of Pediatric Infectious Diseases ; Hacettepe University Faculty of Medicine ; Ankara , Turkey
| | - Nezahat Gürler
- b Department of Microbiology and Clinical Microbiology ; Istanbul University Faculty of Medicine ; Istanbul , Turkey
| | - Lütfiye Öksüz
- b Department of Microbiology and Clinical Microbiology ; Istanbul University Faculty of Medicine ; Istanbul , Turkey
| | - Sohret Aydemir
- c Department of Microbiology and Clinical Microbiology ; Ege University Faculty of Medicine ; Izmir , Turkey
| | - Sengul Ozkan
- d Microbiology Laboratory; Dr. Sami Ulus Children's Health and Diseases Training and Research Hospital ; Ankara , Turkey
| | - Serife Yuksekkaya
- e Microbiology; Konya Training and Research Hospital ; Konya , Turkey
| | - Melike Keser Emiroglu
- f Department of Pediatric Infectious Diseases ; Selçuk University Faculty of Medicine ; Konya , Turkey
| | - Meral Gültekin
- g Department of Medical Microbiology ; Akdeniz University Faculty of Medicine ; Antalya , Turkey
| | - Akgün Yaman
- h Department of Microbiology ; Çukurova University Faculty of Medicine ; Adana , Turkey
| | - Abdurrahman Kiremitci
- i Department of Microbiology , Osmangazi University Faculty of Medicine , Izmir , Turkey
| | - Keramettin Yanık
- j Department of Microbiology ; Ondokuz Mayıs University Faculty of Medicine ; Samsun , Turkey
| | - Arzu Karli
- j Department of Microbiology ; Ondokuz Mayıs University Faculty of Medicine ; Samsun , Turkey
| | - Hatice Ozcinar
- k Microbiology Laboratory; Sanliurfa Children's Hospital ; Sanliurfa , Turkey
| | - Faruk Aydin
- l Department of Medical Microbiology ; Karadeniz Technical University Faculty of Medicine ; Trabzon , Turkey
| | - Gulcin Bayramoglu
- l Department of Medical Microbiology ; Karadeniz Technical University Faculty of Medicine ; Trabzon , Turkey
| | - Yasemin Zer
- m Department of Microbiology ; Gaziantep University Faculty of Medicine ; Gaziantep , Turkey
| | - Zeynep Gulay
- n Department of Microbiology ; Dokuzeylül University Faculty of Medicine ; Izmir , Turkey
| | | | - Mustafa Gül
- p Department of Microbiology ; Sutcuimam University Faculty of Medicine ; Kahramanmaras , Turkey
| | - Cüneyt Özakın
- q Department of Medical Microbiology ; Uludağ University Faculty of Medicine ; Bursa , Turkey
| | - Hüseyin Güdücüoğlu
- r Department of Microbiology ; Yüzüncü Yıl University Faculty of Medicine Training Hospital ; Van , Turkey
| | - Duygu Perçin
- s Central Laboratory, Bacteriology; Erciyes University Faculty of Medicine ; Kayseri , Turkey
| | - Nezahat Akpolat
- t Department of Microbiology ; Dicle University Faculty of Medicine ; Diyarbakir , Turkey
| | - Candan Ozturk
- u Department of Medical Microbiology ; Mersin University Faculty of Medicine ; Mersin , Turkey
| | - Yıldız Camcıoğlu
- v Department of Pediatrics ; Istanbul University Cerrahpasa Faculty of Medicine ; Istanbul , Turkey
| | - Eda Karadağ Öncel
- a Department of Pediatric Infectious Diseases ; Hacettepe University Faculty of Medicine ; Ankara , Turkey
| | - Melda Çelik
- a Department of Pediatric Infectious Diseases ; Hacettepe University Faculty of Medicine ; Ankara , Turkey
| | - Laser Şanal
- w Microbiology Laboratory; Dr. Dogan Baran Hospital for Women's and Children's Diseases ; Niğde , Turkey
| | - Hakan Uslu
- x Department of Microbiology ; Ataturk University Faculty of Medicine ; Erzurum , Turkey
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Karadağ Öncel E, Özsürekci Y, Akyön Y, Gür D, Cengiz AB, Kara A. Kluyvera ascorbata infections in children: a case series. Turk Arch Pediatr 2015; 50:123-8. [PMID: 26265898 DOI: 10.5152/tpa.2015.923] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2013] [Accepted: 07/25/2013] [Indexed: 11/22/2022]
Abstract
Kluyvera is a relatively newly described member of the Enterobacteriaceae family that rarely causes infections in humans. In the pediatric population, it is described in association with clinically significant infections ranging from urinary tract infections to sepsis with multiorgan failure. Our aim is to determine the clinical significance of K. ascorbata infections in the pediatric population at our institution. We retrospectively analyzed clinical microbiology data as from 2006 and identified four clinically significant isolates in this period. The isolates were from four cases who presented with sepsis, bacteremia associated with central venous catheter, pyelonephritis and intraabdominal collection. The ages of these patients ranged between seven months to 17 years. All patients received prompt antimicrobial treatment on the basis of susceptibility testing and good clinical response was obtained in all patients. Successful treatment options include third-generation cephalosporins, aminoglycosides, betalactams with beta-lactamase inhibitors and carbapenems. Clinicians should be aware of the spectrum of disease and increasing clinical importance associated with this pathogen.
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Affiliation(s)
- Eda Karadağ Öncel
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Yasemin Özsürekci
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Yakut Akyön
- Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Deniz Gür
- Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ali Bülent Cengiz
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Ateş Kara
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Özsürekçi Y, Ertüten B, Karadağ Öncel E, Kara A. Attitudes About Hepatitis A Vaccine and Vaccineassociated Side Effects among Turkish Medical Students. J Pediatr Inf 2015. [DOI: 10.5152/ced.2015.1969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Karadağ Öncel E, Nar I, Özsürekçi Y, Korukluoğlu G, Cengiz AB, Ceyhan M, Kara A. Demographic and Clinical Findings in Children with Enteroviral Infection Outbreak. J Pediatr Inf 2013. [DOI: 10.5152/ced.2013.28] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Özsürekçi Y, Parlakay AÖ, Cengiz AB, Çelik M, Karadağ Öncel E, Kara A, Kiper N, Cinel G, Oğuz B. [Atypical presentation in hydatid disease: hemoptysis]. Turkiye Parazitol Derg 2013; 37:64-8. [PMID: 23619052 DOI: 10.5152/tpd.2013.17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Hydatid disease is an infectious disease caused by the larval stage of Echinococcus granulosus. It constitutes a major public health problem worldwide. This disease may present in several atypical forms, causing difficulty in diagnosis. In this article it is stressed that the diagnosis of hydatid disease should be kept in mind in patients presenting with hemoptysis, although this presentation is very rare.
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Affiliation(s)
- Yasemin Özsürekçi
- Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Enfeksiyon Hastalıkları Ünitesi, Ankara, Türkiye
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Karadağ Öncel E, Özsürekçi Y, Konuşkan B, Haliloğlu G, Ertuğrul İ, Alehan D, Kara A. Sydenham’s Chorea: A Case Report and Review of the Literature. J Pediatr Inf 2012. [DOI: 10.5152/ced.2012.13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Ceyhan M, Karadağ Öncel E, Badur S, Akçay Ciblak M, Alhan E, Sızmaz Çelik Ü, Kurugöl Z, Ulaş Saz E, Özsürekçi Y, Çelik M, Özkaya Parlakay A. Influenza Viruses Types in 2010-2011 Winter Season and Effectiveness of Oseltamivir Treatment. J Pediatr Inf 2012. [DOI: 10.5152/ced.2012.01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Özbay Hoşnut F, Karadağ Öncel E, Öncel MY, Özcay F. A Turkish case of congenital chloride diarrhea with SLC26A3 gene (c.2025_2026insATC) mutation: diagnostic pitfalls. Turk J Gastroenterol 2010; 21:443-447. [PMID: 21332001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Congenital chloride diarrhea is a rare autosomal recessively inherited disorder characterized by impairment of Cl-/HCO3- exchange in an otherwise normal distal ileum and colon. Infrequency of congenital chloride diarrhea makes diagnostics difficult. The typical presentation is watery Cl- rich diarrhea, hypochloremia, hypokalemia, metabolic alkalosis and failure to thrive. This is a report of a Turkish female infant who was falsely diagnosed with Bartter syndrome when she was two months old. Ibuprofen was commenced at that time. However, severe watery diarrhea, dehydration, failure to thrive, abdominal distention, and electrolyte abnormalities persisted. She was diagnosed with congenital chloride diarrhea based on high fecal Cl- level and SLC26A3 gene c.2025_2026insATC mutation at the age of eight months. Oral NaCl and KCl supplementation was started. Our patient is now 26 months old. Her growth and development are normal. Early diagnosis and treatment are essential for normal growth and development and prevention of other severe complications of congenital chloride diarrhea.
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Affiliation(s)
- Ferda Özbay Hoşnut
- Department of Pediatric Gastroenterology, Hepatology and Nutrition, Başkent University, School of Medicine, Ankara.
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