The role of stethoscopes in the transmission of hospital infections

Stethoscopes are one of the most commonly used medical devices and have been reported to be potential sources of hospital acquired infections. In this study, we aimed to find out the bacterial contamination of stethoscopes used by health-care staff. Swab samples were taken from the surface of the diaphragm of the stethoscopes used by health personnel in four hospitals including three secondline and one third-line health care institution in Turkey. The samples were inoculated onto bacteriological and mycological media. For identification of the microorganisms, conventional methods and Vitek2 (Biomérieux) were performed. Swab samples were taken from 121 stethoscopes. We found bacterial and fungal contamination on 92 (76%) of the stethoscopes. 15 out 90 (16.3%) had potential pathogens including methicillin susceptible Staphylococcus aureus (5), methicillin resistance Staphylococcus aureus (4), Escherichia coli (3), Acinetobacter baumannii, Acinetobacter haemolyticus and Enterococcus spp. Of the 121 health-care persons, only 61 regularly cleaned their stethoscopes by various disinfectants. The statistical difference between the two groups in terms of pathogen and microorganism isolation was not determined (p>0.05). Although stethoscopes are uncritical medical devices, they could contain pathogen microorganisms and they might be a potential source of hospital acquired infections.Key words: Stethoscopes, hospital infections, Staphylococcus aureus

Histopathological effects of maternal hair dye use on the cornea

The aim of this study is to investigate and compare the histopathological effects of hair dye additives, 2- amino-5-nitrophenol (2A5NP) and 2-nitro-p-phenylendiamin (2NPPD) on cornea of neonates from pregnant rats that have been administered these additives subcutaneously. The study included 90 neonates of 26 nulligravida wistar-albino rats among which ten were given 100 mg/kg/day 2A5NP (Group I), ten rats received 150 mg/kg/day 2NPPD (Group II) and control rats received saline (Group III) injections subcutaneously between 7th and 15th gestational days. No sign of toxicity was observed during the treatment and there was no gross abnormality in both the study and control groups. Histopathologicalchanges of cornea were seen in 22 of 30 newborn rats in Group I (73.4%), in 23 of 30 rats in Group II (76.7%) and only 5 of 30 rats in the control saline injected Group III (16.7%). Histopathological effect of the two additives were statistically significant when compared to the control group (Chi-square:27.63, p = 0.0001), but there was no difference between the effects of 2A5NP and 2NPPD additives on cornea (Chisquare: 0.089, p = 0.766). The present experimental study on rats confirmed the histopathological effect of 2A5NP and 2NPPD on cornea beyond doubt. In the light of which, we can speculate that maternal exposure of hair dyes during pregnancy has some teratogenic effects on newborn rat cornea

Mean platelet volume could be a promising biomarker to monitor dietary compliance in celiac disease

Background. Celiac disease (CD) is an autoimmune disease that develops in patients with a genetic predisposition, incurring a susceptibility to gluten-containing foods such as barley, wheat, and rye. The elimination of gluten from the diet is the main therapeutic approach and usually leads to clinical and laboratory improvement. There are no ideal markers that objectively assess dietary compliance in CD patients. Materials and methods. Sixty newly diagnosed CD patients (male/female: 43/17) and 40 healthy subjects (male/female: 23/17) were enrolled in this study. The diagnosis of CD was established by both histological findings of duodenum biopsy (total villous atrophy and lymphocytic infiltration) and positive antibodies against endomysium or gliadin. Results. A significantly higher mean platelet volume (MPV) was observed in the CD group compared with healthy subjects (8.45 +/- 0.96 fL versus 7.93 +/- 0.63 fL; p = 0.004). After introduction of a gluten-free diet, the MPV of CD patients in the dietary adherent group was significantly lower than that of the non-adherent group (8.09 +/- 0.6 fL versus 8.9 +/- 1.08 fL; p = 0.001). Overall dietary adherence rate was 71.6% (43/60 CD patients). In the dietary compliant group, initiation of gluten-free diet was associated with a significant decrease in MPV from base-line values (8.56 fL versus 8.25 fL; p = 0.008). In the non-adherent group, MPV on 3-month follow-up was higher than at base-line (8.05 fL versus 8.91 fL; p = 0.001). Conclusion. MPV could be a promising and easily available biomarker for monitoring of dietary adherence in CD patients at a low cost in comparison with other modalities.WoSScopu

ANTI-CANCER DRUGS

The objectives of this study were to compare progression-free survival (PFS) with somatostatin analog (SSA) versus chemotherapy (CTx) in first-line therapy and to determine the patient group in which these treatments were more effective in neuroendocrine tumors (NETs) with a Ki-67 index of 20% or less. Patients who received SSA or CTx and had unresectable locally advanced and metastatic NETs with a Ki-67 index of 20% or less were retrospectively selected from 13 centers in the Turkish database between 2000 and 2015. One hundred and sixty-five patients were enrolled. The median age was 56 years and the male-to-female ratio was 1.09. Seventy-four (45%) patients were of grade 1 NET and 91 (55%) were of grade 2. SSA was given to 104 patients, whereas 61 were treated with CTx. The objective response rate after SSA was 15.4%; another 73.1% had stable disease. The objective response rate after CTx was 36.1%, and 40.9% had stable disease (P = 0.008). The median PFS in SSA patients was 21 months (95% confidence interval: 12.4-29.6), and 8 months for CTx (95% confidence interval: 5.5-10.6) (P < 0.001). There was no significant difference between PFS of receiving SSA and CTx in pancreatic neuroendocrine tumor (PNET) patients; however, the PFS of receiving SSA was longer in non-PNET patients (P < 0.001). SSA was better treatment in advanced NET patients with a Ki-67 index of less than 5%, having a primary resected and a performance status of 0 (P < 0.05). SSA may be preferred over CTx in advanced NET patients with low-to-intermediate grade. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved

NEW RECORDS OF MICROFUNGI AND CHROMISTA FROM ANATOLIAN PENINSULA OF TURKEY

WOS: 000450076500001This article presents new records of fungi and downy mildews in Turkey on different weeds of agrophytocoenosis. These records include Plectosphaerella alismatis (Oudem.) A.J.L. Phillips, Carlucci & M.L. Raimondo (on Alisma plantago-aquatica L.), Pyricularia grisea Sacc. (on Setaria viridis (L.) P. Beauv.), Phakopsora artemisiae Hirats. (on Artemisia dracunculus L.), Puccinia rubefaciens Johanson (on Galium sp.), Ustilago trichophora (Link) Kunze (on Echinochloa crus-galli (L.) P. Beauv.), Peronospora astragalina Syd. (onAstragalus homosus L.) and P myagri Mayor (on Myagrum perfoliatum L.). Plectosphaerella and Phakopsora as generic level and others as species are new records from Turkey. Description and illustrations of the identified fungi are presented, which all are based on Turkish specimens. The identified fungi could be potential biological control agents; however, detailed studies are needed in this regard