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Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology最新文献

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The Threat in our Endotracheal Tubes: Phthalates 我们气管内管的威胁:邻苯二甲酸盐
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.47887
Ş. M. Aksoy, E. Erkılıç, Ebru Ayöztürk
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引用次数: 0
Comparison of In Vitro Activities of Cefiderocol, Imipenem/Relebactam and other Antibiotics against Carbapenem-Resistant Pseudomonas aeruginosa Isolates 头孢地罗、亚胺培南/瑞巴坦等抗生素对耐碳青霉烯铜绿假单胞菌的体外活性比较
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.79095
H. Mirza, Gizem İnce Ceviz
Objective: Carbapenems are commonly used in treatment of severe infections caused by Pseudomonas aeruginosa . However, carbapenem-resistant P. aeruginosa isolates have increased in recent years and have become a public health threat. The objective of this study was to compare in vitro activities of cefiderocol, imipenem/relebactam and other antibiotics against clinical isolates of carbapenem-resistant P. aeruginosa . Methods: A total of 92 carbapenem-resistant P. aeruginosa isolates (all isolates were resistant to imipenem according to both CLSI and EUCAST; all isolates were resistant to meropenem according to CLSI; 84 isolates were resistant and 8 isolates were ‘I - Susceptible, increased meropenem, piperacillin/tazobactam and ceftazidime were determined by gradient diffusion method. Results were interpreted according to CLSI and EUCAST criteria. Results: The most active antibiotic tested against isolates were cefiderocol. All isolates were susceptible to cefiderocol using CLSI criteria, whereas 97.8% of isolates were susceptible to cefiderocol using EUCAST criteria. Gentamicin was the most active antibiotic after cefiderocol. Eighty-seven percent of isolates were susceptible to gentamicin. The imipenem/relebactam susceptibility rate among isolates were 66.3% and 73.9% according to CLSI and EUCAST criteria, respectively. Levofloxacin showed the lowest in vitro activity against isolates. The levofloxacin resistance rate among isolates were 70.7% and 82.6% according to CLSI and EUCAST criteria, respectively. Conclusion: Cefiderocol may be an option for treatment of infections caused by carbapenem-resistant P. aeruginosa .
目的:碳青霉烯类药物是治疗铜绿假单胞菌严重感染的常用药物。然而,近年来碳青霉烯耐药铜绿假单胞菌分离株有所增加,并已成为公共卫生威胁。本研究的目的是比较头孢地罗、亚胺培南/瑞巴坦等抗生素对耐碳青霉烯P. aeruginosa临床分离株的体外活性。方法:共分离92株耐碳青霉烯类铜绿假单胞菌(CLSI和EUCAST均对亚胺培南耐药;根据CLSI,所有分离株均对美罗培南耐药;耐药84株,I -敏感8株,采用梯度扩散法测定美罗培南、哌拉西林/他唑巴坦、头孢他啶的浓度。结果根据CLSI和EUCAST标准进行解释。结果:对分离株最有效的抗生素为头孢地罗。采用CLSI标准,所有分离株对头孢地罗敏感,而采用EUCAST标准,97.8%的分离株对头孢地罗敏感。庆大霉素是仅次于头孢地罗的活性最强的抗生素。87%的分离株对庆大霉素敏感。CLSI和EUCAST标准对亚胺培南/瑞巴坦的敏感性分别为66.3%和73.9%。左氧氟沙星对分离菌的体外活性最低。根据CLSI和EUCAST标准,分离株左氧氟沙星耐药率分别为70.7%和82.6%。结论:头孢地洛可能是治疗耐碳青霉烯假单胞菌感染的一种选择。
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引用次数: 1
Legal regulations regarding new and developing nicotine and tobacco products in Turkey 土耳其关于新的和正在开发的尼古丁和烟草制品的法律条例
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.36974
B. Eke, Yunus Yüce
The World Health Organization (WHO) defined the use of tobacco products as a preventable global epidemic. WHO has determined the policy topics that countries should implement to prevent this epidemic, known as MPOWER for short. It follows the activities of countries for these topics and publishes them in annual reports. As a result of the studies carried out under the leadership of WHO, the use of tobacco products by countries has decreased. The use of tobacco products, which was 32.7% in the world in 2000, is expected to decrease to 20.4% in 2025. In our country, it is predicted to decrease from 32.9% to 29.9% in the same way. Our country has successfully implemented the policy package within the scope of WHO’s Framework Convention on Tobacco Control, and as a result, it has become one of the two countries that fully implemented MPOWER measures at the highest level of success. Companies that manufacture and sell tobacco products have launched new products in the face of these developments. The most popular of these products are Electronic Nicotine/ Non-Nicotine Delivery Systems (ENDS/ENNDS) and Heated Tobacco Products (HTPs). The fact that the target audience of these new products is mostly 13 years old and over and their rapid spread among young people has led to the opening of new fronts in the war against tobacco. The rapid spread of new products was influenced by the fact that their appearance was designed to attract young people, presented as an alternative to cigarettes, and created a perception of less harm. Studies have shown that these products are not harmless. WHO has stated that reducing the damage does not reduce the risk in terms of human health. The second most important factor affecting the use is the different perspectives and legal regulations of countries on these new products. While some countries have banned it, some countries have allowed its sale. This review aims to provide detailed In this review, about the legal regulations made in our country regarding novel and emerging nicotine and tobacco products.
世界卫生组织(世卫组织)将使用烟草产品定义为一种可预防的全球流行病。世卫组织确定了各国为预防这一流行病(简称MPOWER)而应实施的政策主题。它跟踪各国在这些专题方面的活动,并在年度报告中予以公布。由于在世卫组织领导下进行的研究,各国使用烟草制品的情况有所减少。2000年世界烟草制品使用率为32.7%,预计到2025年将降至20.4%。在我国,预计将以同样的方式从32.9%下降到29.9%。我国成功地实施了世卫组织《烟草控制框架公约》范围内的一揽子政策,因此,我国已成为最成功地全面实施MPOWER措施的两个国家之一。面对这些发展,制造和销售烟草制品的公司推出了新产品。这些产品中最受欢迎的是电子尼古丁/非尼古丁输送系统(ENDS/ nends)和加热烟草产品(HTPs)。这些新产品的目标受众大多是13岁及以上,它们在年轻人中迅速传播,这一事实导致了反烟草战争的新战线的开辟。新产品的迅速传播受到这样一个事实的影响:它们的外观设计是为了吸引年轻人,作为香烟的替代品,并给人一种危害较小的感觉。研究表明,这些产品并非无害。世卫组织指出,减少损害并不能减少人类健康方面的风险。影响使用的第二个最重要的因素是各国对这些新产品的不同观点和法律规定。虽然有些国家禁止,但有些国家允许销售。本文旨在详细介绍我国针对新型尼古丁和烟草制品制定的法律法规。
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引用次数: 0
The Effect of DOCA-salt Model without Nephrectomy on Blood Pressure, Heart and Kidney Functions 未切除肾的doca -盐模型对血压、心肾功能的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.43925
N. Bal, Orhan Uludağ, E. Demirel Yilmaz
Objective: Hypertension is one of the common cardiovascular diseases in which many factors play a role in its development. The deoxycorticosterone acetate (DOCA)-salt model is an experimental model that is widely used in the investigation of the pathogenesis of essential hypertension. Although this model can successfully mimic essential hypertension in humans, both the rate and magnitude of blood pressure increase with unilateral nephrectomy does not fully reflects the clinical situation in most hypertensive patients. In this study, it was investigated the effects of prolonged administration of DOCA-salt without nephrectomy on blood pressure, body weight, heart and kidney functions of rats. atrium and left papillary muscle tissues were isolated from rats. Isoprenaline, phenylephrine and acethylcholine-induced rhythmic activity and contractions of tissues were recorded in organ bath. Blood urea nitrogen (BUN) and creatinine levels were measured in plasma samples. Results: 12 weeks DOCA-salt administration without nephrectomy were significantly elevated systolic blood pressure of rats. The DOCA-salt application did not cause a decrease in the body weight of the rats. While the right atrium was not affeced to acethylcholine; the phenylephrine-induced alpha adrenergic receptor mediated contractile responses were increased and the isoprenaline-induced beta adrenergic receptor-mediated contractile responses were decreased in hypertensive rats. The DOCA-salt administration increased plasma BUN and creatinine levels of rats. Conclusion: These findings suggest that 12 weeks DOCA-salt administration without nephrectomy caused cardiac and renal changes associated with hypertension and could be used in hypertension studies as a noninvasive animal model.
目的:高血压是一种常见的心血管疾病,其发病与多种因素有关。醋酸脱氧皮质酮(DOCA)-盐模型是一种广泛应用于原发性高血压发病机制研究的实验模型。虽然该模型可以成功模拟人类原发性高血压,但单侧肾切除术后血压升高的速度和幅度并不能完全反映大多数高血压患者的临床情况。本实验研究了不切除肾的长期给药doca盐对大鼠血压、体重、心脏和肾脏功能的影响。分离大鼠心房和左乳头肌组织。在器官浴中记录异丙肾上腺素、苯肾上腺素和乙酰胆碱诱导的组织节律性活动和收缩。测定血浆中尿素氮(BUN)和肌酐水平。结果:在不切除肾的情况下,给药12周后大鼠收缩压明显升高。doca盐的施用没有引起大鼠体重的减少。而右心房对乙酰胆碱无影响;高血压大鼠肾上腺素诱导的α -肾上腺素受体介导的收缩反应增强,异肾上腺素诱导的β -肾上腺素受体介导的收缩反应减弱。doca -盐使大鼠血浆BUN和肌酐水平升高。结论:这些研究结果表明,不切除肾的12周doca盐给药可引起高血压相关的心脏和肾脏变化,可作为无创动物模型用于高血压研究。
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引用次数: 0
Investigation of Disinfectant Effectiveness of Boric Acid 硼酸消毒剂消毒效果的研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.54521
Fatma Nur Karabacak, Y. Zer, Ayşe Büyüktaş Manay
Yöntem: Liyofilize borik asidin farklı konsantrasyonlarında (%1, 2, 4, 6) süspansiyonları hazırlanarak, Staphylococcus aureus ATCC 29213, Escherichia coli ATCC 25922, Pseudomonas aeruginosa ATCC 27853, Enterococcus faecalis ATCC 29212, Streptococcus mutans ATCC 25175 izolatları ve kan kültürü örneklerinden izole edilen farklı direnç paternine sahip 20 farklı mikroorganizma (Acinetobacter baumannii, Klebsiella pneumoniae, Staphylococcus epidermidis, Candida albicans, Candida parapsilosis, Streptococcus mitis/oralis) olmak üzere toplam 25 izolata karşı kalitatif süspansiyon yöntemi ile dezenfektan etkinliği araştırılmıştır. Kalitatif süspansiyon yönteminde; farklı konsantrasyondaki borik asit ile seçilen bakteriler 1, 2, 5, 10, 30 dakikalık sürelerde temas ettirilmiştir. Temas süreleri sonunda, ABSTRACT Objective: Boric acid is an element that is found as compounds in the nature and has been shown to be effective in many areas. Being non-toxic for human and the environment and economical due to obtained naturally are the main remarkable properties. This study was conducted to investigate the disinfectant efficiency of boric acid.
方法:用不同浓度的硼酸(%1、2、4、6)分别制备金黄色葡萄球菌ATCC 29213、大肠杆菌ATCC 25922、铜绿假单胞菌ATCC 27853、粪肠球菌ATCC 29212,链球菌突变有20种不同的微生物(鲍曼不动杆菌、肺炎克雷伯菌、表皮葡萄球菌、白色念珠菌、近裸念珠菌、轻度链球菌/口腔链球菌),它们分离出不同的分离株和血液培养样本。进行了调查。以尺度间隔的方式;用不同浓度的硼酸选择的细菌在1、2、5、10、30分钟内接触。在主题驱动因素之后,摘要目的:硼酸是一种在自然界中以化合物形式存在的元素,已被证明在许多领域有效。天然取得的主要显著特性是对人体和环境无毒、经济。本研究旨在考察硼酸的消毒效果。
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引用次数: 1
Evaluation of Real-Time PCR Cycle Threshold Value, Clinical and Epidemiological Characteristics of SARS-CoV-2 Positive Healthcare Workers SARS-CoV-2阳性医护人员实时荧光定量PCR周期阈值、临床及流行病学特征评价
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.59913
G. Bayram, Harun Gülbudak, Aslıhan Bekçi̇, Seda Tezcan Ülger, G. Yapıcı, G. Aslan
INTRODUCTION: During the coronavirus infectious disease-2019 (COVID-19) pandemic, healthcare workers are the occupational group most affected by SARS-CoV-2. Infection of healthcare workers with SARS-CoV-2 poses a potential risk of infection for other healthcare workers, patients and their families. The viral load measure in the sample is determined as the cycle threshold (Ct) with the RT-qPCR method. It has been reported that the RT-qPCR Ct value may be related to the severity and potential contagiousness of the infection. In this study, it was aimed to evaluate the relationships between socio-demographic factors, COVID-19 symptoms and Ct value in SARS-CoV-2 RT-qPCR positive healthcare workers. METHODS: In this study, 300 healthcare workers with positive SARS-CoV-2 RT-qPCR test were included. SARS-CoV-2 RT-qPCR test was performed from nasopharyngeal and oropharyngeal swab samples with Bio-speedy SARS-CoV-2 RT-qPCR (Bioeksen, Turkey) kit. The RT-qPCR Ct value results of healthcare staff patients were classified as low, medium and high, socio-demographic characteristics and the risk of viral spread was evaluated. RESULTS: The rate of those who showed at least one symptom among the 300 health personnel included in the study was 88.3% (n=265) and the most common symptoms were muscle-joint pain 39.7%, fatigue 33% and sore throat 30.7%. The median RT-qPCR Ct value was determined as 23.17(19.3-29.4) and Ct value was found to be low (<24.0) in 59% of healthcare personnel. In addition, the Ct value of the personnel working in the administrative units was found to be lower than those working in the COVID-19 polyclinic, service and intensive care unit (p=0.020). Those who had fever and at least one of the COVID-19 symptom (fever, cough, respiratory distress) group had a lower Ct value than those who did not (p=0.008, p=0.019, respectively). When the possible source of transmission was evaluated, it was determined that 22% of the health personnel were infected during patient care, 21% from other health personnel and 23.3% from non-hospital sources. DISCUSSION AND CONCLUSION: Our results have shown that most of the SARS-CoV-2 transmission seen in healthcare workers occurs within the hospital, but more viral load is exposed in out-of-hospital contacts. In addition, it has been observed that administrative personnel who do not have contact with patients can be a potential source of transmission. This situation has reaffirmed that PPE usage rules should be followed in order to reduce the risk of transmission in healthcare personnel and that personnel working outside the clinic should follow the mask and distance rules during their contact with their colleagues. It was determined that the Ct value was lower (higher viral load) in the presence of any of the symptoms of fever, cough, respiratory distress and fatigue in healthcare workers. In the presence of these symptoms, PCR testing of healthcare workers and taking necessary isolation measures until the test resu
导语:在2019冠状病毒传染病(COVID-19)大流行期间,医护人员是受SARS-CoV-2影响最大的职业群体。卫生保健工作者感染SARS-CoV-2对其他卫生保健工作者、患者及其家属构成潜在的感染风险。用RT-qPCR方法测定样品中的病毒载量为周期阈值(Ct)。有报道称,RT-qPCR Ct值可能与感染的严重程度和潜在传染性有关。本研究旨在评估SARS-CoV-2 RT-qPCR阳性医护人员的社会人口学因素、COVID-19症状与Ct值之间的关系。方法:选取SARS-CoV-2 RT-qPCR检测阳性的300名医护人员为研究对象。采用Bio-speedy SARS-CoV-2 RT-qPCR (Bioeksen,土耳其)试剂盒对鼻咽和口咽拭子样本进行SARS-CoV-2 RT-qPCR检测。将医护人员患者的RT-qPCR Ct值分为低、中、高,并结合社会人口学特征对病毒传播风险进行评价。结果:纳入研究的300名卫生人员中,出现至少一种症状的比例为88.3% (n=265),最常见的症状为肌肉-关节疼痛39.7%,疲劳33%,喉咙痛30.7%。RT-qPCR中位Ct值为23.17(19.3 ~ 29.4),59%的医护人员Ct值较低(<24.0)。此外,在行政单位工作的人员的Ct值低于在新冠肺炎综合诊所、服务和重症监护病房工作的人员(p=0.020)。有发热和至少一种COVID-19症状(发热、咳嗽、呼吸窘迫)组的Ct值低于无发热、咳嗽、呼吸窘迫组(p=0.008, p=0.019)。当评估可能的传播源时,确定22%的卫生人员在患者护理期间感染,21%来自其他卫生人员,23.3%来自非医院来源。讨论与结论:我们的研究结果表明,大多数在医护人员中发现的SARS-CoV-2传播发生在医院内,但更多的病毒载量暴露在院外接触者中。此外,据观察,与患者没有接触的行政人员也可能是潜在的传播源。这一情况再次表明,应遵守个人防护装备使用规则,以减少卫生保健人员之间的传播风险,在诊所外工作的人员在与同事接触时应遵守口罩和距离规则。经确定,在医护人员出现发热、咳嗽、呼吸窘迫和疲劳等症状时,Ct值较低(病毒载量较高)。在出现这些症状的情况下,对医护人员进行PCR检测并采取必要的隔离措施直至获得检测结果,将减少传播的可能性。
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引用次数: 0
Investigation of the presence of mycobacteria along with microbial agents in cases of keratitis 角膜炎病例中分枝杆菌与微生物制剂存在的调查
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.17003
Ali Üçkayabaşı, Tülay Kandemir, Toğrul Nagiyev
Objective: Because of various problems in the differential diagnosis of non-tuberculous mycobacteria (NTM), clinicians may ignore these opportunistic bacteria. DNA is usually extracted from the bacterial culture in polymerase chain reaction (PCR)-based molecular methods, which have been successfully applied in recent years in the diagnosis of extrapulmonary mycobacterial infections such as mycobacterial keratitis, as well as in mycobacterial identification and drug resistance determination in patients with suspected pulmonary tuberculosis. Considering the difficulties experienced in culture, especially in mycobacteria, it is thought that DNA extraction not only from culture but also directly from clinical samples will shed light on the development of rapid and accurate diagnostic protocols. In this study, it was aimed to investigate the presence of mycobacteria along with microbial agents in corneal scraping samples of patients with keratitis. Methods: Corneal scraping samples were collected for bacteriological and mycological examinations from
目的:由于在非结核分枝杆菌(NTM)的鉴别诊断中存在各种问题,临床医生可能会忽视这些机会性细菌。基于聚合酶链反应(PCR)的分子方法通常是从细菌培养物中提取DNA,近年来已成功应用于分枝杆菌角膜炎等肺外分枝杆菌感染的诊断,以及疑似肺结核患者的分枝杆菌鉴定和耐药性测定。考虑到在培养中遇到的困难,特别是在分枝杆菌中,人们认为不仅从培养物中提取DNA,而且直接从临床样本中提取DNA将有助于开发快速准确的诊断方案。本研究旨在调查角膜炎患者角膜刮拭样本中分枝杆菌和微生物制剂的存在。方法:采集角膜刮拭标本,进行细菌学和真菌学检查
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引用次数: 0
Development of quality indicators in the field of blood banking and transfusion medicine in Turkey 制定土耳其血库和输血医学领域的质量指标
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.62444
Ayse Sakioglu, Sibel Eldemir, İ. Y. Avcı
As a result of the work initiated by the World Health Organization with the slogan “Safe blood begins with me”, the understanding of quality in blood banking and transfusion medicine has begun to be felt more clearly. In our country, quality studies in transfusion medicine gained momentum with the “Safe blood supply project”. For blood service units, quality has gone beyond the understanding of “write what you do, do what you write” and become a part of the safe blood supply process. The fact that the understanding of the quality management system made its presence felt more intensely created the need for blood service units to express the positive contributions of the quality management system with concrete indicators. Monitoring the processes in transfusion medicine with the quality indicators to be established can be the targeted concrete evidence. Quality indicators are also important for evaluating and comparing the performances of blood service units. There are various studies on establishing quality indicators in transfusion medicine at national and international level. However, quality indicators for transfusion centers were barely mentioned in these studies. There are no standardized quality indicators for transfusion centers at the national level. In our article, ise transfüzyon tıbbı we evaluated the deficiencies in quality indicators in blood banking and transfusion medicine in Turkey. We have developed exemplary quality indicators by making use of international and national studies. We believe that in the future, more comprehensive studies will be carried out and standardized blood banking and transfusion medicine quality indicators approved by the competent authority will
由于世界卫生组织以“安全血液从我做起”为口号开展的工作,人们开始更加清楚地认识到血库和输血医学的质量。在我国,随着“安全供血工程”的实施,输血医学质量研究方兴未。对于血液服务单位来说,质量已经超越了“写什么写什么”的理解,成为安全供血过程的一部分。对质量管理体系的理解使其存在感更加强烈,这一事实使得血液服务单位需要用具体的指标来表达质量管理体系的积极贡献。通过建立质量指标对输血医学过程进行监测,可以作为有针对性的具体证据。质量指标对于评价和比较血液服务单位的表现也很重要。国内外对输血医学质量指标的建立进行了各种研究。然而,输血中心的质量指标在这些研究中几乎没有被提及。国家一级的输血中心没有标准化的质量指标。在我们的文章中,ise transfer zyon tıbbı我们评估了土耳其血库和输血医学质量指标的不足。我们利用国际和国家研究,制定了示范性的质量指标。我们相信,未来将开展更全面的研究,并通过主管部门批准的标准化血库和输血医学质量指标
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引用次数: 0
The Effect of Antibiotic Use on Microorganism Distribution and Antibiotic Resistance in Hospital Infections in the Covid-19 Pandemic 新型冠状病毒肺炎大流行中抗生素使用对医院感染微生物分布及耐药性的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.71135
A. Habiloğlu, Gönül Çiçek Şentürk, Yunus Gürbüz, Ezgi Gizem Şibar, Esengul Sendag, N. Altin, İ. Şencan
Objective: COVID-19 pneumonia, which has affected the whole world for more than two years, has forced the health system. In this period, when the delivery of health services is in danger, the use of appropriate antibiotics has remained in the background. With this study, we wanted to investigate the effect of changing antibiotic use during the pandemic period on the distribution of microorganisms that cause nosocomial infections and changing antibiotic resistances. Methods: The study was carried out in the Dışkapı Yıldırım Beyazıt Training and Research Hospital. Hospital-acquired infections caused by E. coli, Klebsiella penumonia, Enterobacter spp., P. aeruginosa and Acinetobacter spp. between 2016 and 2020 were evaluated for our study. We classified the patients in 2016 as 1st group, 2017 as a 2nd group, 2018 as a 3rd group, 2019 as a 4th group, 2020 as a 5th group. The groups were compared with each other in terms of the rate of hospital-acquired infection, their resistance status and the amount of antibiotics used in the relevant years. The factors that showed significant difference only in the 5th year were attributed to the changing health services during the pandemic period and were examined. Results: The most commonly used antibiotic in our study was ceftriaxone with a DDD of 150.72. Piperacillin + tazobactam and levofloxacin were the second and third most commonly used antibiotics, respectively.The amount of piperacillin + tazobactam use attributed to the pandemic period is significantly higher in the 5th group than in the 1st, 2nd, 3rd and 4th groups. Meropenem, levofloxacin, and colistin, which had increased usage during the pandemic period, were not attributed to the pandemic period since they did not differ with all other groups in pairwise comparisons. There was no change in the rates of microorganisms causing hospital infections for the pandemic period. Piperacillin resistance rate at 5th group for K. pneumonia and E. coli was significantly higher than at 1, 2, 3 and 4 groups. There was a positive correlation between the use of piperacillin/tazobactam and piperacillin resistance for K. pneumoniae and E. coli. Conclusion: In our study, we found that the use of piperacillin/tazobactam and levofloxacin in our hospital increased significantly during the pandemic period. There was no significant increase in the correlation between increasing antibiotic use and antibiotic resistance. Resistant strains, which will be triggered by the increasing amount of antibiotic consumption during the pandemic period, will be a problem that should be followed up in the coming years © 2022. Turk Hijyen ve Deneysel Biyoloji Dergisi.All Rights Reserved.
目的:影响全球两年多的COVID-19肺炎已经迫使卫生系统。在此期间,当保健服务的提供受到威胁时,适当抗生素的使用一直处于次要地位。通过这项研究,我们希望调查大流行期间改变抗生素使用对导致医院感染的微生物分布和改变抗生素耐药性的影响。方法:研究在Dışkapı Yıldırım Beyazıt培训研究医院进行。我们的研究评估了2016年至2020年间由大肠杆菌、肺炎克雷伯菌、肠杆菌、铜绿假单胞菌和不动杆菌引起的医院获得性感染。2016年为第一组,2017年为第二组,2018年为第三组,2019年为第四组,2020年为第五组。比较各组医院获得性感染率、耐药情况及相关年份抗生素使用情况。仅在第五年显示出显著差异的因素归因于大流行期间保健服务的变化,并对其进行了审查。结果:本研究中最常用的抗生素为头孢曲松,DDD为150.72。哌拉西林+他唑巴坦和左氧氟沙星分别是第二和第三大常用抗生素。由于大流行时期,第5组哌拉西林+他唑巴坦的使用量明显高于第1、2、3和4组。美罗培南、左氧氟沙星和粘菌素的使用量在大流行期间有所增加,但并未归因于大流行期间,因为它们在两两比较中与所有其他组没有差异。在大流行期间,引起医院感染的微生物率没有变化。肺炎克雷伯菌和大肠杆菌第5组的哌拉西林耐药率显著高于第1、2、3和4组。哌拉西林/他唑巴坦的使用与肺炎克雷伯菌和大肠杆菌的哌拉西林耐药性呈正相关。结论:在我们的研究中,我们发现我院在疫情期间哌拉西林/他唑巴坦和左氧氟沙星的使用明显增加。增加抗生素使用与抗生素耐药性之间的相关性没有显著增加。在大流行期间,抗生素消费量的增加将引发耐药菌株,这将是未来几年应跟进的一个问题©2022。土耳其Hijyen ve Deneysel Biyoloji Dergisi。版权所有。
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引用次数: 0
Apilarnil protects the LPS induced endotoxemic heart 阿匹拉尼尔对LPS诱导的内毒素心脏有保护作用
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5505/turkhijyen.2022.78200
A. Okan, E. Kaymak, Arda Kaan Üner, S. Silici, Z. Doğanyiğit
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引用次数: 0
期刊
Turk hijiyen ve deneysel biyoloji dergisi. Turkish bulletin of hygiene and experimental biology
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