Retrospective investigation of serological finding in diagnosis of parasite agents caused mass in liver

Objective: Many of parasite agent cause diseases damaging the liver. The parasite infections settled the liver give rise to focal mass named as reactive hyperplasia or granulomatous reactions in this organ. Some of parasites caused focal mass in liver are cystic echinococ, Fasciola hepatica and Entamoeba histolytica. The diagnoses of these parasites which are localized to liver have been carried out with serological methods (Indirect hemagglutination (IHA), Indirect Fluorescent Antibody Technic (IFAT) and ELISA (Enzyme Linked Immunosorbent Assay) and radiological imaging. In this study, we was aimed to investigating of prevalence with serological methods of parasite diseases like cystic echinococcosis, fascioliasis and amebic liver abscess in patients determined preliminary diagnosis mass with radiological imaging Methods: For this study, One hundred patient’s sera were included to investigation. It were investigated E.histolytica antibody with IHA method, anti-echinococcus IgG antibody with IFAT method and anti-fasciolia hepatica IgG antibody with ELISA method in sera of patient’s determined mass preliminary diagnosis with radiological imaging. Results: It were encountered these parasite in 27% of patients who determined mass preliminary diagnosis. It was determined in 1% E.histolytica, 13% Cystic echinococcus and 13% Fasciola hepatica seropositive of patients. Conclusion: The patients detected mass preliminary in liver should be evaluated for these parasites. We believe that will not be enough only radiological imaging in identification of these parasitic infections and should definitely need to be supported with a serological test

Distribution of community-acquired gram negative microorganisms detected in urine samples of pediatric patients and antibiotic resistance patterns at 2013

Objective: This study aims to determine the antibiotic susceptibility and distribution of community-acquired microorganisms obtained from urine samples of patients admitted to our clinic in Diyarbakır, and also detect the ratio of extended spectrum beta-lactamase producing E.coli and Klebsiella strains in urine samples, and identify the antibiotics that can be used for the empiric treatment by investigating the susceptibility of extended spectrum beta-lactamase positive strains. Methods: Patients admitted to the pediatric polyclinic of our hospital between the dates 1 January-31 December were included in the study. 1167 urine samples sent to Microbiology Laboratory were examined. E.coli and Klebsiella spp. strains isolated from the urine cultures were identified with traditional methods and the Biomerium Vitek-2 compact system. Antibiotic susceptibility tests were performed in accordance with the recommendations of Clinical and Laboratory Standards Institute using Biomerium Vitek-2 compact system. Results: 959 E.coli from 1167 urine samples and other microorganisms from 26 of 182 Klebsiella spp. were isolated. Extended spectrum beta-lactamase production was detected in 445 (46.4%) of E.coli strains and in 72 (39.5%) of Klebsiella spp.strains. Amicasin resistance was determined as 9.4% in Extended spectrum beta-lactamase positive E.coli strains, while amicasin resistance was detected as 11% in Extended spectrum beta-lactamase positive Klebsiella spp. strains. Conclusion: Resistance development against the antibiotics has been increasingly observed in most of the microorganisms that cause urinary tract infection. We are in the opinion that this study is important for our hospital, as urinary tract infection factors vary according to centers