Human Neurobrucellosis with Intracerebral Granuloma Caused by a Marine Mammal Brucella spp.

We present the first report of community-acquired human infections with marine mammal–associated Brucella spp. and describe the identification of these strains in two patients with neurobrucellosis and intracerebral granulomas. The identification of these isolates as marine mammal strains was based on omp2a sequence and amplification of the region flanking bp26

Türkiye’de bulunan yoğun bakımlarda sabun, kağıt havlu ve alkol bazlı el dezenfektanı yeterli mi?: Phokai çalışması sonuçları

Introduction: Hand hygiene is one of the most effective infection control measures to prevent the spread of healthcare-associated infections (HCAI). Water, soap, paper towel and hand disinfectant must be available and adequate in terms of effective hand hygiene. The adequacy of hand hygiene products or keeping water-soap and paper towel is still a problem for many developing countries like Turkey. In this multicenter study, we analyzed the adequacy in number and availability of hand hygiene products.Materials and Methods: This study was performed in all intensive care units (ICUs) of 41 hospitals (27 tertiary-care educational, 10 state and four private hospitals) from 22 cities located in seven geographical regions of Turkey. We analyzed water, soap, paper towel and alcohol-based hand disinfectant adequacy on four different days, two of which were in summer during the vacation time (August, 27th and 31st 2016) and two in autumn (October, 12th and 15th 2016).Results: The total number of ICUs and intensive care beds in 41 participating centers were 214 and 2357, respectively. Overall, there was no soap in 3-11% of sinks and no paper towel in 10-18% of sinks while there was no alcohol-based hand disinfectant in 1-4.7% of hand disinfectant units on the observation days. When we compared the number of sinks with soap and/or paper towel on weekdays vs. weekends, there was no significant difference in summer. However, on autumn weekdays, the number of sinks with soap and paper towel was significantly lower on weekend days (p<0.0001, p<0.0001) while the number of hand disinfectant units with alcohol-based disinfectant was significantly higher (p<0.0001).Conclusion: There should be adequate and accessible hand hygiene materials for effective hand hygiene. In this study, we found that soap and paper towels were inadequate on the observation days in 3-11% and 10-18% of units, respectively. Attention should be paid on soap and paper towel supply at weekends as well

The examination of the personality traits and optimal performance mood of the university athletes

Background and Study Aim: The aim of this study is to investigate the relationship between personality traits and optimal performance mood in response to gender, sports branch, weekly training hours of the athletes competing in the university league variables. Material and Methods: A total of 250 volunteer athletes from 17 universities, 75 female and 175 male, participated in the study. 95 of the athletes are basketball and 155 are volleyball players. In addition to the personal information form which includes demographic information prepared by the researchers, “Optimal Performance Mood Scale” developed by Jackson and Eklund (2004) and adapted to Turkish by Aşçı et al. (2007) and “5-factor personality traits scale” developed by Benet-Martinez, John (1998) and adapted to Turkish by Schmitt, Allik, McCrae and Benet-Martinez (2007) were applied to the participants. Frequency analysis was applied in order to determine the participants’ demographic information based on the statistical data analysis, and unpaired t-test was applied to determine the personal traits and optimal performance mood scores in response to gender, branch, weekly training sessions. Furthermore, in order to determine the relationship between that personal traits and optimal performance moods correlation test was applied. Statistical significance level was accepted as p <0.05. Results: As a result of the analysis of the data obtained; while there was no significant difference between the athletes according to the gender variable, it was concluded that there was a significant difference between sports branch, weekly sport variables and personality traits and optimal performance moods. In addition, a positive correlation was found between the participants' personality traits and optimal performance moods as a result of the correlation test (r=0,608). Conclusions: This study has proved that personality traits and optimal performance moods effect one another positively and gender variable makes no significant difference. Yet, sport branches and weekly training hours makes meaningful differences between general and subscales scores

Serum Procalcitonin And C-Reactive Protein Levels As Prognostic Indicators In Hospitalized Patients With Community-Acquired Pneumonia

WOS: 00020983910067

Managing adult patients with infectious diseases in emergency departments: international ID-IRI study.

We aimed to explore factors for optimizing antimicrobial treatment in emergency departments. A single-day point prevalence survey was conducted on January 18, 2020, in 53 referral/tertiary hospitals in 22 countries. 1957 (17%) of 11557 patients presenting to EDs had infections. The mean qSOFA score was 0.37 ± 0.74. Sepsis (qSOFA ≥ 2) was recorded in 218 (11.1%) patients. The mean qSOFA score was significantly higher in low-middle (1.48 ± 0.963) compared to upper-middle (0.17 ± 0.482) and high-income (0.36 ± 0.714) countries (P < 0.001). Eight (3.7%) patients with sepsis were treated as outpatients. The most common diagnoses were upper-respiratory (n = 877, 43.3%), lower-respiratory (n = 316, 16.1%), and lower-urinary (n = 201, 10.3%) infections. 1085 (55.4%) patients received antibiotics. The most-commonly used antibiotics were beta-lactam (BL) and BL inhibitors (n = 307, 15.7%), third-generation cephalosporins (n = 251, 12.8%), and quinolones (n = 204, 10.5%). Irrational antibiotic use and inappropriate hospitalization decisions seemed possible. Patients were more septic in countries with limited resources. Hence, a better organizational scheme is required