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Öğe Antibiotic usage in hospitalized patients: a one-day point prevalence study(Taylor & Francis Ltd, 2020) Karabay, Oguz; Ince, Nevin; Aypak, Adalet; Gude, Ertugrul; Bodur, HurremMeasurements are one of the most important means of evaluating the quality of antibiotic consumption. This study has evaluated the antibiotic consumption using one-day point prevalence study data collected from different hospitals in Turkey. This research was planned as a multicenter point surveillance study which aimed demonstrating the use of antibiotics among inpatients in Turkey. On the day of surveillance, demographic data from 21,920 inpatients, names of antibiotics used by the inpatients, number of antibiotics approved by infectious disease specialist (IDS), and the length of antibiotic use were recorded. These results showed that 30.3% of patients were using antibiotics and 57.7% of those were IDS-approved. The rate of IDS-approved antibiotic consumption was higher for internal medicine wards and in intensive care units, whereas non-IDS-approved antibiotics were used among inpatients of surgical wards.Öğe Evaluation of neutrophil to lymphocyte ratio, platelet to lymphocyte ratio, and lymphocyte to monocyte ratio in patients with cellulitis(Assoc Medica Brasileira, 2020) Ince, Nevin; Guclu, Ertugrul; Sungur, MMehrnet Ali; Karabay, OguzOBJECTIVE: Cellulite infection is a non-necrotizing inflammation of the skin and subcutaneous tissue and is one of the most common reasons for admission to hospital. This retrospective study aimed to investigate the Neutrophil to Lymphocyte Ratio (NLR), Platelet to Lymphocyte Ratio (PLR), and Lymphocyte to Monocyte Ratio (LMR) in patients with cellulitis. METHODS: In our study, we retrospectively analyzed 96 patients with cellulitis and 98 age- and sex-matched healthy controls. The study and control groups were compared regarding NLR, PLR, and LMR. RESULTS: The PLR and NLR of the cellulitis group were significantly higher than those of the control group (p < 0.001). When patients with cellulitis were divided into two groups, i.e., >= 65 years and <65 years, a statistically significant difference was noted in the NLR and LMR values (p < 0.05). In the ROC curve analysis, NLR had the highest discriminative power in distinguishing between cellulitis and healthy controls (AUC = 0.950, 95% CI: 0.920-0.979, p <0.001; 91.6% sensitivity and 89.8% specificity). CONCLUSION: NLR was significantly higher in differentiating cellulite and in patients older than 65 years. Larger, prospective studies are required to determine its usefulness in assessing differential diagnosis and prognosis in cellulitis patients.Öğe The Relation Between Vaginal Mycoplasma Colonization and Bacterial Vaginosis(Düzce Üniversitesi, 2007) Karabay, Oguz; Topçuoglu, Ata; Gürel, Sebahat Atar; Koçoglu, Esra; Ince, Nevin Koç; Gürel, HulusiPurpose: This study was aimed to invastigate the relation between bacterial vaginosis (BV) and the colonizasion of vaginal mycoplasmas (Mycoplasma homi nis, Ureaplasma urealyticum). Methods: The culture results of 173 vaginal samples received in the Microbiology Laboratory of The Medical Faculty of Abant Izzet Baysal University between March 2004 and December 2004 were assessed in this retrospective - cross-sectional study. Only the samples from adequately described patients were included. The diagnosis of BV was based on the Amsel criteria. The isolation of Mycoplasma was made in commercial media ( Mycoplasma IST- bioMerieux, Marcy L’etoil, France). The core lation between vajinosis and the colonisation of mycoplasmae (M..hominis ve U. urealyticum) was investigated. Results: BV was detected in 55 (32%) of cultures. Ten (6%) cultures revealed Mycoplasma hominis, and 62 (36%) cultures revealed Ureaplasma urealyticum. Eight of 10 patients (80%) with M.hominis had BV (p0.05). A statistically significant corelation was detected between vaginal M.hominis colonization and BV. BV and U.urealyticum colonization was not found to be associated with each other. Conclusion: BV was found to be associated with M.hominis colonization in this study although the effect of colonisation on the occurence of BV is not clear. We conclude that further studies are necessary to invastigate the possible role of M. hominis in the etiology of BVÖğe The use of levofloxacin in a patient with leptospirosis(Düzce Üniversitesi, 2006) Ozdemir, Davut; Sencan, İrfan; Yavuz, Tevfik; Karabay, Oguz; Guclu, Ertugrul[Abstract Not Available]
