Publications by authors named "Zayre Erturan"

Article Synopsis
  • The study focuses on Candida auris, a fungus increasingly found in patients globally, specifically comparing biochemical tests and antifungal resistance in strains from Türkiye's first reported cases.
  • Different identification methods, including various API tests and MALDI-TOF MS, were used to identify the strains, which were mostly misidentified as other organisms.
  • Results showed high fluconazole resistance (≥64 mg/L) across all strains and indicated potential issues with false positives using CHROMagar Candida Plus, highlighting the need for further understanding of C. auris clade distributions in Türkiye.
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Candida species are the primary cause of fungal infections in intensive care units (ICUs). Despite the increasing prevalence of Candida-related infections, monitoring the progression of these infections from colonization in COVID-19 ICU patients lacks sufficient information. This study aims prospectively to compare 62 COVID-19 and 60 non-COVID-19 ICU patients from admission to discharge in terms of colonization development, rates, isolated Candida species, risk factors, and Candida infections during hospitalization.

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has emerged as a significant fungal threat due to its rapid worldwide spread since its first appearance, along with its potential for antimicrobial resistance and virulence properties. This study was designed to examine virulence characteristics, the efficacy of ceragenins, and biofilm-derived drug resistance in seven strains isolated from Turkish intensive care patients. It was observed that none of the tested strains exhibited proteinase or hemolysis activity; however, they demonstrated weak phospholipase and esterase activity.

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Among sexually transmitted diseases, HIV causes very serious clinical manifestations that can lead to death. As a result, millions of people have to live with this problem that threatens their health. The virus attacks the immune system of the host, especially CD4+ T lymphocytes, causing the suppression of the immune system.

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Bacteremia and fungemia are significant causes of morbidity and mortality that frequently occur as co-infections with viral respiratory infections, including SARS-CoV-2. The aim of this study was to evaluate the microorganisms that were isolated from the blood cultures of SARS-CoV-2-positive and negative patients and investigate their antimicrobial resistance patterns. A retrospective analysis was performed of 22,944 blood cultures sent to the laboratory between November 2020 and December 2021.

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Article Synopsis
  • Rhinocladiella mackenziei is a neurotropic fungus primarily found in the Middle East, but recent reports show cases emerging in other areas, including a new fatal case from Turkey.
  • Between 1988 and 2022, there have been 42 reported brain abscess cases due to R. mackenziei, with the highest number (33.3%) from Saudi Arabia, affecting patients often without prior immune issues.
  • Despite treatments like antifungal medications and surgery, the mortality rate for these infections remains high at 90.4%, highlighting the need for awareness among clinicians, especially regarding patients with atypical brain abscesses and travel histories.
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Article Synopsis
  • - The study aimed to determine the prevalence of azole resistance in Aspergillus fumigatus strains from clinical and environmental sources in Turkey, involving 21 centers over a 16-month period.
  • - A total of 1.3% of environmental isolates and 3.3% of clinical isolates showed azole resistance, with specific TR34/L98H mutations found in nearly half of the resistant samples.
  • - Although the overall rate of azole resistance was low, the presence of wild-type cyp51A in over half of the strains suggests that other resistance mechanisms may be developing.
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Article Synopsis
  • Candida auris is a significant fungal pathogen causing hospital infections, known for its antifungal resistance and misidentification by commercial testing systems.
  • It has been associated with higher mortality rates, especially in immunocompromised patients, despite having lower virulence than Candida albicans.
  • The text presents Turkey's first case of COVID-19 related C. auris infection in a 71-year-old male with multiple health issues, emphasizing the increased occurrence of this fungus in COVID-19 patients.
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Bloodstream infections due to yeast species especially Candida spp. have been reported to be important healthcare associated infections with high mortality and morbidity rates. Candidemia causes prolonged hospital stays as well as increased cost.

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Background: Stenotrophomonas maltophilia is a Gram-negative bacterium resistant to several antibiotics and its prevalence in cystic fibrosis (CF) patients is increasing.

Objectives: To evaluate the effects of ceragenins, non-peptide mimics of antimicrobial peptides, against both planktonic and biofilm forms of S. maltophilia and the cytotoxicity of ceragenins to the IB3-1 CF cell line.

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Invasive fungal infections may cause morbidity and mortality in pediatric patients with hematologic and oncologic malignancies treated with intensive protocols. We present a case of mucormycosis in an 8-year-old boy with acute lymphoblastic leukemia. In our patient, the suspicion for an oculoorbital and paranasal infection only due to mild pain in the orbital area without any abnormal pathologic findings in the ophthalmologic and otolaryngologic examination, led us to an early diagnosis.

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To identify epidemic and other transmissible strains, genotypic analyses are required. The aim of this study was to assess the distribution of strains within the Turkish pediatric cystic fibrosis (CF) clinic population. Eighteen patients attending the pediatric CF clinic of Cerrahpasa Medical Faculty were investigated in the study.

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Article Synopsis
  • This study examined antifungal resistance rates in Candida spp. isolates from 1997-2017 across 12 tertiary-care centers in Turkey.
  • A total of 1991 isolates were tested for susceptibility to various antifungal drugs using standard methods, finding mostly low resistance rates overall.
  • Notably, fluconazole resistance was observed in C. parapsilosis SC and C. glabrata SC at rates of 7.7% and 0.9%, respectively, with significant variability in resistance levels across different centers, prompting the need for further research.
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Background: Aspergillus fumigatus is the species section Fumigati most frequently isolated from the respiratory tract of cystic fibrosis (CF) patients. Recent studies suggest that mutations in the Cyp51 gene, particularly TR/L98H, are responsible for azole resistance.

Objectives And Methods: The focus of this study was on section Fumigati isolates isolated from the respiratory tract samples of CF patients.

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Article Synopsis
  • - The study aimed to investigate the distribution of Candida species and their antifungal resistance in invasive candidiasis patients from December 2012 to June 2016, analyzing 54 isolates retrospectively.
  • - Candidemia was the most common diagnosis, and the primary isolated agent was identified, with varying resistance levels observed against antifungal medications like fluconazole (7.4% resistance) and higher resistance for itraconazole (33.3%).
  • - The findings indicated that both Candida albicans and non-albicans species were equally prevalent in the clinic, with generally high susceptibility to major antifungal agents such as fluconazole and amphotericin B.
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Background: The purpose of this study was to establish species distribution of Candida isolates from pediatric patients in Istanbul, Turkey, and to determine risk factors associated with nosocomial Candida infections.

Methods: This study was conducted between June 2013 and June 2014 by participation of 7 medical centers in Istanbul. Candida spp strains isolated from the clinical specimens of pediatric patients were included.

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Although conventional identification of pathogenic fungi is based on the combination of tests evaluating their morphological and biochemical characteristics, they can fail to identify the less common species or the differentiation of closely related species. In addition these tests are time consuming, labour-intensive and require experienced personnel. We evaluated the feasibility and sufficiency of DNA extraction by Whatman FTA filter matrix technology and DNA sequencing of D1-D2 region of the large ribosomal subunit gene for identification of clinical isolates of 21 yeast and 160 moulds in our clinical mycology laboratory.

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Article Synopsis
  • The study investigates the prevalence of mycobacteria in cystic fibrosis (CF) patients in Turkey, revealing that 7.44% of analyzed samples contained mycobacterial strains.
  • Out of the 28 isolated strains, notable findings include 5 Mycobacterium tuberculosis complex and various nontuberculous mycobacteria, with some strains showing antibiotic resistance.
  • The research emphasizes the need for routine mycobacterial analysis and antibiotic susceptibility testing in pediatric CF patients for better diagnosis and treatment outcomes.
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Aim: Mycobacteria other than tuberculosis (MOTT) cause increasingly serious infections especially in immunosuppressive patients by direct transmission from the environment or after colonization. However, identification of these species is difficult because of the cost and difficulties in defining to species level. Identification and distribution of these species can help clinician in the choice of treatment.

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Introduction: Staphylococcus aureus is one of the first bacteria colonizing in cystic fibrosis (CF) respiratory tract and different virulence factors are responsible for disease progression. It is not clear if CF S. aureus strains are more virulent than strains isolated from non-CF patients.

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Nontuberculous mycobacteria (NTM) are ubiquitous in hot and cold water distribution systems. With molecular typing methods it was shown that water can be the source of colonization and infection with NTM. The aim of our study was the investigation of NTM in hot and cold water samples taken from various departments of two hospitals in Istanbul, Turkey.

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An increased isolation of fungi from the respiratory tract of patients with cystic fibrosis (CF) has been reported. The prevalence of different fungi in CF patients from Turkey is not known. Our aim was to determine the frequency of fungi in the respiratory tract of Turkish CF patients.

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Pseudomonas aeruginosa which is widely found in the environment, may lead to serious nosocomial infections. Due to its intrinsic resistance to many antibacterial agents, treatment of P.aeruginosa infections usually present difficulty.

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Pseudomonas aeruginosa is a frequent cause of respiratory infections in cystic fibrosis (CF) patients. P. aeruginosa strains isolated from these patients have often a mucoid phenotype at advanced disease.

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