Assessing the Effect of Piperacillin/Tazobactam on Hematological Parameters in Patients Admitted with Moderate or Severe Foot Infections

Introduction: Piperacillin/tazobactam is a commonly used antibiotic for the empirical treatment of severe diabetic foot infections. One of the most feared complications of this drug is the development of pancytopenia. The aim of this study was to determine whether the use of piperacillin/tazobactam caused any hematological changes in patients admitted with severe diabetes-related foot infections from a specialist multidisciplinary foot clinic. Specifically, looking at whether it caused anemia, leukopenia, neutropenia, or thrombocytopenia. Methods: A 1-year retrospective analysis of patients admitted to a tertiary care center for treatment of diabetes-related foot infection using piperacillin/tazobactam. Hematological indices, urea and electrolytes, and C-reactive protein (CRP) were recorded pretreatment, during treatment, and posttreatment. HbA1c, vitamin B12, folate, thyroid-stimulating hormone, and free thyroxin were also analyzed to exclude any potential confounders as a cause of pancytopenia. Results: A total of 154 patients were admitted between 1 January 2016 and 31 December 2016 who received piperacillin/tazobactam for severe diabetes-related foot infection. On admission, white cell count and CRP were raised and fell significantly within the first 48 h. Other hematological factors did not change. Five patients developed a mild pancytopenia, of which three were unexplained. Conclusion: In this relatively small cohort, pancytopenia did not occur. As such, piperacillin/tazobactam appeared to have a low risk of adverse hematological outcomes and remains the treatment of choice for severe diabetes-related foot infections

Effects of domestic wastewater treated by anaerobic stabilization on soil pollution, plant nutrition, and cotton crop yield

PubMedID: 27837365This study has aimed to determine the effects of treated wastewater on cotton yield and soil pollution in Southeastern Anatolia Region of Turkey during 2011 and 2012. The treated wastewater was provided from the reservoir operated as anaerobic stabilization. After treatment, suspended solids (28–60 mg/l), biological oxygen demand (29–30 mg/l), and chemical oxygen demand (71–112 mg/l) decreased significantly compared to those in the wastewater. There was no heavy metal pollution in the water used. There were no significant amounts of coliform bacteria, fecal coliform, and Escherichia coli compared to untreated wastewater. The cottonseed yield (31.8 g/plant) in the tanks where no commercial fertilizers were applied was considerably higher compared to the yield (17.2 g/plant) in the fertilized tanks where a common nitrogenous fertilizer was utilized. There were no significant differences between the values of soil pH. Soil electrical conductivity (EC) after the experiment increased from 0.8–1.0 to 0.9–1.8 dS/m. Heavy metal pollution did not occur in the soil and plants, because there were no heavy metals in the treated wastewater. It can be concluded that treated domestic wastewater could be used to grow in a controlled manner crops, such as cotton, that would not be used directly as human nutrients. © 2016, Springer International Publishing Switzerland

Effects of intercropping on plant nutrient uptake in various vegetables species

The objective of this study was to determine the effect of intercropping system on some vegetables nutrient uptake in Adana ecological conditions. The experimental research was conducted under field conditions and at the plant physiology laboratory of the Department of Horticulture, Faculty of Agriculture of Cukurova University during 2003-2005. In the first year of this work, cauliflower and broccoli, in the second year cauliflower, cabbage and lettuce were used as main crop. Lettuce, pea, leek, garlic and onion were used as intercrops in the first year; green bean, pea, radish, leek, garlic and onion were used as intercrops in the second year. In general, it can be said that the vegetables cropped solely uptaked more mineral contents while for those grown by intercropping and competitions were determined in intercropped systems