Browsing by Author "Efe, S."

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Distribution of Blood and Blood Components, Indications and Early Complications of Transfusion
(TIP ARASTIRMALARI DERNEGI, 2010) Efe, S.; Demir, C.; Dilek, I.
Aim: It is aimed in this study to determine blood and blood component's transfusion indications, component using rate, early transfusion complications and the distribution of complications according to the blood component. Method: In this study, recipient's name, surname, age, gender, blood component, the clinic where transfusion have done, transfusion indications, whether or not transfusion history and complication, the amount and type of blood component, product waiting period in the blood center, vital findings before and after transfusion. Result: Percentage of transfused products was as follows: whole blood (50%), erytrocyte suspension (26%), fresh frozen plasma (19.8%) and platelet suspension (4.2%). Utilization rate of blood and blood components by service type was as follows: 30.8% in internal medicine, 11.9% in general surgery, 16.8% in obstetrics and gynecology, 15.3% in department of child health and disease and 25.2% in other service. Acute complication was observed in 3% of patients. 1.8% of them was developed acute febrile nonhemolytic transfusion reaction. Urticaria was observed in 0.95% of cases. Hypocalsemia in 2 patients (0.1%), hypotension in 2 patients (0.1%) using ACE inhibitory, hypertension in one patients (0.05%) and hypercalsemia in one patient (0.05%) after transfusion were observed in patients. Conclusion: Full blood utilization rates are high but it's close to Turkey average. Transfusion-related acute reaction rates were similar literature rates. It has suggested that information work should be increased to increase the use of component and to protect patients from unnecessary risk.
Prevalence of Asymptomatic Bacteriuria in Pregnant Women in Van's Region
(2010) Efe, S.; Kurdoǧlu, Z.
Objective: To investigate asymptomatic bacteriuria prevalence in pregnant woman living in Van's region. Material and Methods: In this study, asymptomatic bacteriuria prevalence was investigated in 238 pregnant woman who applied to outpatient clinics of Van Maternity and Children's Hospital between 1 August 2008 and 30 November 2008 and did not have any complaint with the urinary system. The control group was formed by 104 sexually active and healty non pregnant women with similar age group. The data of all patients related to the age, educational level, number of gestations and gestational week was recorded. Mid-stream urine specimen was obtained from all women. The samples were further cultured in 5% sheep blood agar and eosin methylene blue agar (EMB). Colony counts yielding a bacterial growth of 105 colony forming unit/mL or more of pure isolates were accepted as significant. Results: Asymptomatic bacteriuria was detected in 12 (5%) out of 238 pregnant women included in the study. E. coli (58.3%), S. agalactiae (16.7%), K. pneumoniae (8.3%), C. freundii (8.3%) and S. aureus (8.3%) were isolated from the cultures. The prevalence of asymptomatic bacteriuria was highest among pregnant women in the 20-30 year age group and the ones with a gravidity ≤ 2. In the control group, asymptomatic bacteriuria was detected in 8 (7.7%) women. E. coli and K. pneumoniae was detected in 7 and 1 patients, respectively. Conclusion: The pregnant women who are 20-30 years old and with low gravida (< 2) should be screened more carefully since they are together with the highest frequency of asymptomatic bacteriuria in this region. Copyright © 2010 by Türkiye Klinikleri.