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    Healthcare workers' compliance with universal precautions in Turkey
    (Churchill Livingstone, 2011) Hosoglu, Salih; Akalin, Serife; Sunbul, Mustafa; Otkun, Metin; Ozturk, Recep
    Blood-borne pathogens (BBP) represent remarkable occupational risks for healthcare workers (HCWs). Avoiding occupational blood exposure is a basis of prevention of the blood-borne pathogens (BBP). The effectiveness of the prevention strategies depends on the compliance and adherence to the program by healthcare-facility personnel. The aim of this study was to evaluate Turkish HCWs' compliance with Universal Precautions (UP). An analytic, cross-sectional, countrywide survey study was performed in hospital settings, (n = 5145) in 30 hospitals in 19 cities. In total, 1726 of the 5143 (33.6%) participants' behaviors were accepted as satisfactory for compliance with UP. The hepatitis knowledge levels of 2,650 (51.5%) participants were found to be satisfactory. In the multivariate analysis, working at a surgical site (P = 0.004), living in a rich region (P = .007) and the existence of a health office for HCWs (p = .000) were found to be contributor factors for HCWs' compliance with UP. Conversely, being a nurse (P = .000) and HBV/HCV carrier status (P = .039) were significant preventing predictors for HCWs' compliance with UP. Along with the other well-known predictive factors, regional economic status and a health office for HCWs are contributors for compliance with UP. (C) 2011 Elsevier Ltd. All rights reserved.
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    Predictive factors for occupational bloodborne exposure in Turkish hospitals
    (Mosby-Elsevier, 2009) Hosoglu, Salih; Akalin, Serife; Sunbul, Mustafa; Otkun, Metin; Ozturk, Recep
    Background: This study was conducted to evaluate the epidemiology of percutaneous injury and/or mucosa exposure (PME) with blood or other body fluids that poses serious risks for health care workers (HCWs). Methods: An analytic, cross-sectional, countrywide survey study was conducted to describe the extent of and predictive factors for PME among HCWs in hospital settings in Turkey with total of 5258 HCW participants from 30 hospitals in 19 cities throughout the country. Results: The respondent group included 41.3% nurses. 29.0% doctors, 9.3% laboratory workers, and 20.3% paramedics. The survey found that 50.1% of the participants reported at least I occupational PME in the previous year. Doctors (2.57/person/year) and nurses (2.56/person/year) had the highest PME incidents. In the multivariate analysis, working at a surgical site (P =.000), being a doctor (P =.000), being a nurse (P=.000). young age (P =.025), and living in a poor region (P =.005) were significant factors for high occupational exposure. The presence of a health office for HCWs at the hospital (P =.000) and working at a university hospital (P =.003) were significant predictors of less occupational exposure, Overall, the mean number of PME incidents was 2.16/person/year. Conclusion: Along with the other well-known predictive factors, regional economic status and a health office for HCWs are preventive factors for PME exposure of HCWs (Am J Infect Control 2009:37:65-9.)
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    Spondylodiscitis due to an emergent fungal pathogen: Blastoschizomyces capitatus, a case report and review of the literature
    (Springer Heidelberg, 2009) Celik, Aygul Dogan; Ozaras, Resat; Kantarcioglu, Serda; Mert, Ali; Tabak, Fehmi; Ozturk, Recep
    The study includes a case report and a literature review. The main objective of this study is to present a case of spondylodiscitis due to a fungal pathogen, Blastoschizomyces capitatus and to review the published literature on this emergent fungus in etiology of spondylodiscitis, and osteomyelitis. Osteoarticular involvement due to B. capitatus has been reported in six cases, and vertebral involvement has been seen in five of them. All of these cases had underlying malignancy. Infection is usually advanced at presentation. Case notes and online databases were reviewed. Organism was isolated from bone material in all of the cases and antibiotic treatment by antifungal agents cured the infection. We present another case of infectious spondylodiscitis due to B. capitaus, which is reported first in Turkey and tried to attract attendance to this emergent fungal pathogen as an etiologic agent of spine infections in cancer patients.