Laparoscopic Infections in Urogenital and Gynecological System: A Systematic Review

There are several advantages of laparoscopic surgery, which is employed only in the presence of some indications, as follows: minimally invasive procedure, reduced postoperative pain and analgesic use, and short hospital stay. In this paper we examined infections of laparoscopic operations by scanning MEDLINE and PubMed. A total of forty-seven papers were examined using a meta-analytical framework. In studies including a large series in adrenalectomy, the infectious complication rate, including various infections such as pneumonia, urinary tract infection, sepsis, and wound infection, is observed to be less than 1%. While infection is generally not developed during laparoscopy in nephrectomy patients, it may occasionally be seen, generally in the form of wound infection. The infectious complication rate associated with laparoscopic cystectomy was found to be high, which was attributed to surgical inexperience, presence of chronic diseases, and a lack of adequate equipment in hospitals. Complications of infection of prostactomy were not observed after procedures. The infection rate of hysterectomy is low; abscess and urinary tract infection are the most common infectious complications. Myomectomy cases generally showed no infection. Finally, it is associated with a lower wound infection rate and a reduced degree of abdominal damage and incisional hernia due to less scarring. [Arch Clin Exp Surg 2013; 2(1.000): 43-48

Recurrent herpes labialis among health school students in Kahramanmaraş, Turkey: A cross-sectional survey

Objective: The aim of this study was to determine the epidemiologic characteristics of, and the treatments used for, recurrent herpes labialis (RHL) in health students. Methods: A cross-sectional study was conducted with the participation of 333 nursing and midwifery students. Data on the sociodemographic characteristics of the participants, their history of RHL, and the treatments were collected by means of a standard self-reported questionnaire form. Results: The point prevalence of RHL was 3.9%, the annual prevalence was 44.7%, and the lifetime prevalence was 52.5%. These prevalences were not related to the participants' place of residence, level of income, school, gender, marital status, or smoking status (p > 0.05). RHL was frequently seen on the right side of the lower lip (17.9%). One third of the students who experienced RHL stated that they had applied treatment to the lesion. However, only 20.1% stated that they had used antiviral therapy. Treatment was recommended by a physician for only 16.1% of the subjects. Conclusions: The prevalence of RHL was high among the health students, who were considered to represent young adults. Although they were students in a school of health, they lacked knowledge about RHL

Serratia Ficaria isolated from sputum specimen

Serratia ficaria was first described in 1979 as a Gram-negative facultative anaerobic rod. S. ficaria was found in figs, but also isolated from human specimens in a few cases. We now report an isolate of S. ficaria from sputum specimen.A 46-year-old man was suffering from a chronic renal failure of five years, four months of peritoneal dialysis and one week of fever due to respiratory tract infection, accompanied by cough. Sputum culture yielded a Gram-negative rod. It was identified as S. ficaria and the antibiotic susceptibility test was performed by automated Vitek II (bioMerieux). The tested S. ficaria strain was susceptible to amikacin, gentamicin, cefepime, trimethoprim-sulfamethoxazole, imipenem, meropenem, tigecycline and ciprofloxacin. This strain was resistant to ampicillin, amoxicillin-clavulanic acid, cephalothin, cefoxitine, cefuroxime and ceftriaxone. The patient was treated successfully (80 mg trimethoprim/400 mg sulfamethoxazole twice daily for 7 days)S. ficaria is an opportunistic pathogen responsible for intestinal colonization or serious infections such as septicaemia, gall bladder empyema in immunocompromised patients. The fig tree and fig play an important role in human colonization. It should be remembered that S. ficaria infections may be encountered frequently especially in fig tree culture zones

A sandfly fever virus outbreak in the East Mediterranean region of Turkey

Objectives: To report a sandfly fever virus (SFV) outbreak that occurred in Kahramanmaras Province, Turkey

Withdrawal of Staphylococcus aureus from intensive care units in Turkey

WOS: 000326241700021PubMed ID: 23663858Background: In the past, Staphylococcus aureus infections have displayed various patterns of epidemiologic curves in hospitals, particularly in intensive care units (ICUs). This study aimed to characterize the current trend in a nationwide survey of ICUs in Turkey. Methods: A total of 88 ICUs from 36 Turkish tertiary hospitals were included in this retrospective study, which was performed during the first 3 months of both 2008 (period [P] 1) and 2011 (P2). A P value <=.01 was considered significant. Results: Although overall rates of hospital-acquired infection (HAI) and device-associated infection densities were similar in P1 and P2, the densities of HAIs due to S aureus and methicillin-resistant S aureus (MRSA) were significantly lower in P2 (P < .0001). However, the proportion of HAIs due to Acinetobacter was significantly higher in P2 (P < .0001). Conclusions: The incidence of S aureus infections is declining rapidly in Turkish ICUs, with potential impacts on empirical treatment strategies in these ICUs. Copyright (C) 2013 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved