Yazar "Karaca, Mehmet" seçeneğine göre listele

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  • Küçük Resim
    Öğe
    Comparison of clinical diagnosis and microbiological test results in vaginal infections
    (2005) Karaca, Mehmet; Bayram, Ayşen; Koçoğu, Mücahide Esra; Göçmen, Ahmet; Ekşi, Fahriye
    Lower genital tract infections continue to be a problem due to the fact that the clinical diagnosis is usually inadequate, and subsequent care is suboptimal. This study aimed at evaluating the accuracy of clinical diagnosis by comparing it with microbiologic test results, and to determine the causative agents of vaginal infections. Sixty-seven nonpregnant women (18-45 years of age) with the clinical diagnosis of lower genital tract infection were enrolled in the study. Patients were not included if they had a history of vaginal infection during the previous three-month period or intrauterine device. The clinical diagnosis was based on the combinations of symptoms, direct observation of wet mount, homogeneous discharge, vaginal pH > 4.5, and detection of the amine odor after exposure of vaginal secretions to 10% KOH. Vaginal samples were taken with two cotton swabs, one was used for pH determination, and the second was utilized for microbiological tests. Gram staining and cultures with Sabouraud agar and chocolate agar were performed for microbiological diagnosis, and the results were compared. The clinical diagnoses included 26 (38.8%) candidiasis, 18 (26.8%) bacterial vaginosis, three (4.5%) trichomoniasis, and 20 (29.9%) mixed vaginal infections. Of the 26 patients with clinical diagnoses of candidiasis, 12 (46.1%) revealed Candiada albicans, nine (34.6) patients revealed microorganisms other than Candida species, nd five (19.2%) patients had no growth. Five (27.8%) bacterial vaginosis patients revealed Gardnarella vaginalis and 12 patients (66.6%) did not grow any microorganism. The overall rate of accurate clinical diagnoses confirmed by microbiological test results was 43.2%. Seventeen (43.6) of the 39 microbiological test results correlated with clinical diagnosis, and no growth was observed in 28 (41.8%) cultures. We conclude that the clinical diagnosis of vaginal infection is inadequate and should be confirmed with microbiological testing if the resources are available.
  • Küçük Resim
    Öğe
    Comparison of lornoxicam with tramadol in patient-controlled analgesia after gynecological surgery
    (I R O G Canada, Inc, 2006) Karaca, Mehmet; Koçoğlu, Hasan; Göçmen, Ahmet
    Background: The aim of this study was to compare the effects of lornoxicam and tramadol in patient-controlled analgesia (PCA) after gynecological surgery. Methods: Forty-four patients were randomly allocated to one of two groups after elective gynecological surgery. Patients in group I (n = 22) received IV tramadol, and group 11 patients (n = 2) received IV lornoxicarn with a PCA pump. A visual analogue scale (VAS) (0 = no pain, 10 = worst pain), hemodynamic parameters and side-effects were assessed before starting the infusion (baseline), at the 15(th) and 30(th) min, 1(st), 2(nd), 3(rd), 4(th), 6(th), 8(th), 12(th), 18(th), 24(th), 36(th) and 48(th) hour thereafter, and results were compared. Results: Adequate analgesia was achieved in both groups. VAS values in the tramadol group were lower than those of lornoxiacam at the 15(th) and 30(th) minute, 1(st), 2(nd), 4(th), 6 h, 8(th) and 12(th) hour measurements (p < 0.05). Eight patients (36.3%) in group I and six patients (27.2%) in group 11 suffered from nausea (p > 0.05). Conclusions: Tramadol and lornoxicarn may be used for pain control after gynecological surgery via PCA. However, we conclude that tramadol has better analgesic efficacy than lornoxicam during the first 12 hours postoperatively.