Publications by authors named "Tuba Dal"

We report a nosocomial outbreak caused by a multidrug-resistant carbapenemase-producing Klebsiella pneumoniae (MDRCPKp), that was detected in six patients admitted to the medical intensive care unit between 20th of December 2023 and 15th of January 2024 in Ankara, Turkey. The investigation of this outbreak was started on 29th of December 2023. During the outbreak 11 samples were collected from the six patients with MDRCPKp.

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Objective: To investigate the efficacy of formalin disinfection of the needle tip in transrectal prostate biopsy (TRB) procedure to reduce infectious complications. The primary aim is to assess the impact of formalin on bacterial contamination of biopsy needle tips and its association with post-biopsy infective events.

Materials And Methods: We have employed a bacterial culture-based observational cohort design in this study.

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Article Synopsis
  • The review examines how climate change affects nature and human health, particularly focusing on infectious diseases in the Mediterranean region, as part of a project on human rights.
  • Previous literature was analyzed using various academic databases and keywords related to climate change and health, following systematic review guidelines.
  • The findings reveal that climate change significantly impacts biodiversity and public health in the Mediterranean, emphasizing the need for improved health systems and policies to mitigate risks associated with infectious diseases.
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This systematic review and meta-analysis aims to estimate the prevalence of coronavirus disease 2019 (COVID-19) vaccine hesitancy in Turkey, which can aid future health policies and strategies. A comprehensive search was conducted on various databases using keywords related to COVID-19 vaccine hesitancy in Turkey. Quality assessment was performed using Joanna Briggs Institute (JBI) checklist for prevalence studies.

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Article Synopsis
  • Klebsiella pneumoniae infections are rising, particularly carbapenem-resistant strains, posing a significant threat to hospitalized patients.
  • The study analyzed 50 carbapenem-resistant isolates from different regions in Turkey, using various methods for antibiotic susceptibility and genetic typing.
  • Findings revealed high resistance rates to common antibiotics, with ST 2096 as the predominant sequence type, indicating widespread clonal populations and potential inter-hospital transmission in Turkey.
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  • The study focuses on the effectiveness and safety of TAF (tenofovir alafenamide) for chronic hepatitis B over 12 months in a real-life setting across 14 centers in Turkey, involving 480 patients.
  • It found that TAF treatment led to a notable increase in undetectable HBV DNA levels among patients, although the normalization of alanine transaminase (ALT) was not significantly different for those switching from another antiviral drug.
  • The results also indicated significant improvements in kidney and bone function shortly after switching to TAF, suggesting overall benefits for patients receiving this therapy.
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Introduction: Campylobacter infections are among the most common causes of bacterial enteritis. This study aims to determine the sensitivity, specificity and positive predictive values (PPV) of culture and culture-independent tests for the diagnosis of Campylobacter enteritis.

Methodology: A total of 400 stool samples were included in the study.

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Objective: Occult hepatitis B infection (OHBI) appears to have a higher prevalence in populations at high risk for hepatitis B virus (HBV) infection with concomitant liver disease. The aim was to assess the prevalence of OHBI in a sample of human immunodeficiency virus -1 positive and HBV surface antigen-negative (HIV-1+/HBsAg-) Turkish patients.

Methods: Ten centres in Turkey were included in the study.

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There are currently no licensed vaccines or therapeutics for COVID-19. Anti-SARS CoV-2 antibody-containing plasmas, obtained from the recovered individuals who had confirmed COVID-19, have been started to be collected using apheresis devices and stored in blood banks in some countries in order to administer to the patients with COVID-19 for reducing the need of intensive care and the mortality rates. Therefore, in this review, we aim to point out some important issues related to convalescent plasma (CP) and its use in COVID-19.

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Myroides spp. are low-grade opportunistic pathogens. There were only a few outbreaks due to Myroides spp.

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Rapid emergence of antibiotic-resistant bacteria has made it harder for us to combat infectious diseases and to develop new antibiotics. The clustered regularly interspaced short palindromic repeats - CRISPR-associated (CRISPR-Cas) system, as a bacterial adaptive immune system, is recognized as one of the new strategies for controlling antibiotic-resistant strains. The programmable Cas nuclease of this system used against bacterial genomic sequences could be lethal or could help reduce resistance of bacteria to antibiotics.

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The novel coronavirus SARS-CoV-2 (Covid-19), spreading from Wuhan, China, is one of the causes of respiratory infections that can spread to other people through respiratory particles, and can cause symptoms such as fever, dry cough, shortness of breath, anorexia, fatigue and sore throat in infected patients. This review summarizes current strategies on the diagnosis. Additionally, treatments, infection prevention and control of the SARS-CoV-2 are addressed.

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Objective: Today, antibiotic resistance is increasing and evolving into an important health problem. Therefore, it is important to research on alternative therapies to antibiotics. This study aimed to investigate the inhibitory effect of four garlic derivatives on microorganisms commonly isolated in ear infections.

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Introduction: Carbapenem-resistant Klebsiella pneumoniae are a major problem. We aimed to investigate carbapenemase-encoding genes and transferable mcr-1 genes among 57 carbapenem-resistant Klebsiella pneumoniae (CRKP) isolates from hospitalized patients.

Methodology: Antibiotic susceptibility tests were performed by Phoenix (BD).

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Enterococcus faecalis is one of the important causes of nosocomial infections. Nowadays, increasing prevalence of antibiotic-resistant bacteria and slow progress in recognizing new antimicrobial agents has limited the efficiency of conventional antibiotics, which cause to find novel strategies to overcome bacteria. Therefore, in this study, we aimed to assess the role of efaA gene in the biofilm formation and the role of ftsZ gene in the controlling of bacterial growth by the anti-sense PNAs(Peptide Nucleic Acid).

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Due to limitations in commercial diagnostic methods, this study aimed to develop a reliable real-time polymerase chain reaction (Rt-PCR) assay for early diagnosis of brucellosis. Optimization of the Rt-PCR method was performed on serum samples spiked by Brucella melitensis with different densities ranging from 10 to 10 colony-forming units (cfu)/mL; each density was prepared in ten samples. The limit of detection was investigated by using Thermo DNA extraction kit with Maxima SYBR Green Rt-PCR and two TaqMan probe-based Rt-PCR protocols performed by QuantiTect and TEMPase multiplex PCR master mixes in two thermal cyclers, which were Rotor-Gene and Bio-Rad.

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Purpose: This study aimed to investigate the effect of smoking on the buccal microbiome and to analyse the descriptive ability of each of the seven hypervariable regions in their 16S rRNA genes.

Methodology: Microbiome compositions of 40 buccal swab samples collected from smokers (n =20) and non-smokers (n =20) were determined using 16S rRNA sequencing. Seven different 16S rRNA hypervariable regions (V2, V3, V4, V6-7, V8 and V9) in each sample were amplified using the Ion Torrent 16S Metagenomics kit and were sequenced on the Ion S5 instrument.

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Article Synopsis
  • Brucellosis is an infectious disease caused by bacteria, and early diagnosis is important to prevent serious health issues; the study evaluates the effectiveness of a multiplex real-time PCR (mRT-PCR) method compared to traditional diagnostic techniques.
  • A total of 249 serum samples from suspected brucellosis patients were tested using serological methods, blood cultures, and mRT-PCR, leading to the identification of 215 cases, with varying sensitivity results across different testing approaches.
  • The findings support that mRT-PCR is a valuable diagnostic tool, especially for patients with negative serological test results, as it detected additional cases and identified Brucella species in the samples.
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The diagnosis of human brucellosis requires culture or serological tests for the conformation of the clinical findings. Isolation of the bacteria is used as a gold standard, however it is time consuming and processing of positive cultures has a potential risk for laboratory acquired human brucellosis. Polymerase chain reaction (PCR) based methods have offered new approaches for early diagnosis of brucellosis and reduce the risk of laboratory acquired human brucellosis.

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Introduction: In recent years, the prevalence of multidrug-resistant P. aeruginosa has remarkably increased. Thus, we wanted to investigate the carbapenem resistance mechanisms and clonal relationship among 80 carbapenem-resistant P.

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Objective: Immune thrombocytopenia (ITP) is an immune haematologic disorder causing platelet destruction mediated by anti-platelet antibodies. In this study we aimed to evaluate the clinical and laboratory variables of ITP patients in southeast of Turkey.

Methods: In this retrospective study 167 ITP patients between 2005 and 2015 were evaluated.

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The diversity and distribution of TEM, SHV and CTX-M type of extended-spectrum beta-lactamases (ESBLs) are important for the treatment and control of infections. Determination of ESBL genes in clinical isolates by polymerase chain reaction (PCR) and DNA sequencing can obtain useful data for their molecular epidemiology and risk. The aim of this study was to investigate the frequency of beta-lactamase genes in Acinetobacter baumannii strains isolated from different regions of Turkey.

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Ecthyma gangrenosum is a skin lesion associated with Pseudomonas aeruginosa. A previously healthy one-year-old boy who had been diagnosed with varicella 10 days ago was admitted to our hospital with complaints of diarrhea, green ear discharge and new lesions in the diaper area. Intravenous meropenem and amikacin had been previously initiated.

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Article Synopsis
  • This study evaluated contamination rates in blood cultures across 16 hospitals, analyzing how various factors influenced results.
  • The research involved 214,340 blood samples from over 43,000 patients, revealing that 33% of identified bacteria were contaminants, with coagulase-negative staphylococci being the most common.
  • Findings suggest a need for improved training for hospital staff on blood collection methods to reduce contamination rates.
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