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    Assessment of Risky Exposures to HBV and HCV in Health Care Workers and Cost Analysis
    (Galenos Yayincilik, 2005) Yildirim, Mustafa; Sencan, Irfan; Ozdemir, Davut; Yilmaz, Zeynep; Kucukbayrak, Abdulkadir; Cakir, Selma
    The aim of this study is to evaluate the reported situation of exposures to potentially infective biological material and its cost of intervention in health care workers (HCWs). Occupational Health Department (OHD) is composed of one infectious diseases specialist and one nurse at April 2001 and all HCWs have been asked for reporting biologically risky exposures to OHD. All of the reported risky exposures were assessed from the point of epidemiologic and cost analysis between 2002 and 2004. Forty-four risky exposures were reported that consisted of fourty sharp and four splah injuries. Risky exposures were reported most frequently in nurses and the hands were found the most injuried parts of the body. The HCWs were exposed by biological risky materials that belong to 10 patients with anti- HCV positivity, 10 patient HBsAg, 10 patient anti-HBs and three patient had not any marker positivity. Source of biological risky materials were not determined at 12 cases. Cost of serological investigation of the source patients and victims, victims that followed up and postexposure prophylaxy are calculated as 10.684 YTL according to current value of ministry of finance of Turkey. 4388 YTL was saved by owing to preexposure prophylaxis. In conclusion, sufficient protective barrier measure should be applied to decrease the level of occupational injuries and re-move medical wastes with proper methods. Careless of vaccination for the preventible diseases with vaccine should be assumed as a malpractice.
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    Effect of Urtica Dioica on bacterial translocation in mechanic icter model
    (2006) Aydin, Metin; Ozaydin, Ismet; Ilce, Zekeriya; Sahin, Idris; Sencan, Irfan; Silan, Coskun; Yasar, Mehmet
    [No abstract available]
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    The investigation of nasal MRSA carriage and colonization of nasopharyngeal pathogens at a primary school in Duzce
    (Tubitak Scientific & Technological Research Council Turkey, 2007) Yildirim, Mustafa; Sahin, Idris; Basak, Semra; Oeksuez, Suekrue; Oezaydin, Cigdem; Acar, Selda; Sencan, Irfan
    Aim: The aim of the study was to investigate nasopharyngeal colonization of respiratory tract pathogens and nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) in healthy schoolchildren (6-14 years old). Materials and Methods: The present study was conducted at Konuralp Primary School by Duzce University and 484 healthy children were included. Isolates obtained from nasal and nasopharyngeal cultures were identified by conventional microbiological procedures and Api 20 strep, NH. Results: 56.6% of healthy schoolchildren had at least one nasopharyngeal potential bacteria[ pathogen. Isolated bacteria species were as follows: 6% group A streptococcus (GAS), 5.0% S. pneumoniae, 33.1% M. catarrhalis, and 34.9% H. influenzae. All of the isolated GAS species were susceptible to penicillin. 8.3% of S. pneumoniae isolates were intermediately resistant to penicillin. Beta-lactamase test was found positive for M. catarrhalis and H. influenzae in 90.3 and 8.3%, respectively. There was a significant relationship between nasopharyngeal colonization of M. catarrhalis and antibiotic usage in the past six months (P=0.018) and nasopharyngeal colonization of H. influenzae and antibiotic usage in the household (P=0.001). The rate of nasal MRSA carriage in healthy children was 5%. This rate was found higher in the 6-10 age group compared to the 11-14 age group (P=0.012). Conclusions: Our data showed that nasopharyngeal carriage of potential respiratory pathogens in schoolchildren should not be underestimated. More comprehensive surveillance studies should be performed to obtain correct information about the carriage.