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Öğe Aynı fabrikadan yemek alan iki inşaat firması işçilerinde meydana gelen toplu besin zehirlenmesi(Dicle Üniversitesi Tıp Fakültesi, 2010) Dorman, Vedat; Aslan, Selda; Ceylan, Ali; Küçük, Seher Nacar; Günel, Ahmet; Sarı, Hıdır; Yaşlı, Nedim; Yalım, DemetAmaç: Bu çalışma; aynı yemek fabrikasından yemek alan iki farklı inşaat firmasında çalışan işçilerde meydana gelen besin zehirlenmesi salgının incelenmesi amacıyla yapılmıştır. Yöntem: 28 Nisan 2008 tarihinde akşam saatlerinde özel bir hastaneye ishal, bulantı, kusma, ateş, karın ağrısı, baş ağrısı, eklem ağrısı ve halsizlik şikayetiyle 39 kişinin başvurduğu ihbarı geldi. İkinci gün Hastane Başhekimleri, Sağlık Grup Başkanları, Bölge Hıfzıssıhha Müdürlüğü ve Dicle Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı temsilcileri ile toplantı yapılarak ortak eylem planı hazırlandı. Son 3 günde verilen yemeklerden örnekler alındı. Kimyasal ve Bakteriyolojik su örnekleri alındı. Salgın inceleme basamaklarına uygun olarak salgın varlığının saptanması, tanının doğrulanması, salgından etkilenenlerin kişi-yer-zaman özelliklerinin saptanması, olası kaynağın bulunması, risk altındakilerin belirlenmesi, yeni vaka aranması, koruma ve kontrol önlemlerinin alınması ve raporlama işlemleri yapıldı. Vakalara ve kontrol grubuna yapılandırılmış bir anket uygulandı. Alınan gıda, su ve gaita örneklerinin bakteriyolojik ve kimyasal analizleri yapıldı. Bulgular: Hastane kayıtları incelendi ve 28 Nisan–1 Mayıs 2008 tarihleri arasında hastanelere besin zehirlenmesi şikâyetiyle 114 başvuru olduğu saptandı. 54 hasta ve 55 işçi olmak üzere Toplam 109 kişi ile görüşüldü. Alınan gıda numune sonuçlarına göre etli kuru fasulyede C.perfringens, salatada ise S.aureus üretildi. Sonuç: Dünyada ve ülkemizde besin sektörü giderek gelişmekte olmasına rağmen hala gıda kaynaklı salgınlar görülmektedir. Besin sektöründe özellikle hijyen kurallarına dikkat edilmesi, denetimlerin uygun olarak yapılması gıda kaynaklı salgınların oluşmasını engelleyecektir.Öğe The evaluation of the opinions and attitudes of healthcare personnel of the province Diyarbakir against influenza A (H1N1) and the vaccination(Landes Bioscience, 2011) Sevencan, Funda; Ertem, Meliksah; Ozcullu, Neval; Dorman, Vedat; Kubat, Namik KemalIn this study it was aimed to evaluate the opinions and attitudes of healthcare personnel of the province Diyarbakir against Influenza A(H1N1) and the vaccination and to determine the undesired effects after the vaccination. In this descriptive study, 1691 healthcare personnel participated. The participants were asked about their opinions about being included in the risk group or not, status of advising and having Influenza A(H1N1) vaccination, reasons of having or not having the vaccination, their opinions and attitudes about the pandemic and influenza vaccine and the practices of the press and the Ministry of Health. Of participants, 49.6 % stated that they advised pandemic influenza vaccination. Of healthcare personnel, 35% stated that they had pandemic influenza vaccine. Age, sex, profession, having seasonal influenza vaccine, using Media and the Ministry of Health as a source of information were important factors for the status of advising and having Influenza A(H1N1) v vaccine. The healthcare personnel should be informed about the purpose and practices of protection programs. It might be suggested to use press, which is regarded as the most important communication media, in accordance with the conditions in order to achieve suitable risk communication with the society.Öğe Pregnancy Associated with Brucellosis and Acute Viral Hepatitis: Course and Outcome (Co-infections in Pregnancy)(Kuwait Medical Assoc, 2011) Gulsun, Serda; Dorman, Vedat; Aslan, Selda; Gul, TalipObjective: To assess the outcome and course of pregnancies complicated by Brucellosis (BCS) and acute viral hepatitis (AVH) infections Design: Prospective study Setting: Diyarbakir State Hospital, Turkey Subjects: Eighty-eight pregnant women admitted to Diyarbakir State Hospital, Turkey Intervension: Serum agglutination test (SAT), Coombs anti-Brucella test and / or blood culture system were used in the diagnosis of BCS. Enzyme-linked immunosorbent assays (ELISA) and polymerase chain reaction (PCR) was used in the diagnosis of viral hepatitis. Main Outcome Measures: The clinical course and delivery pattern of 32 healthy pregnant women was compared with that of 32 pregnant women who had BCS and 24 pregnant women who were concurrently infected with BCS and AVH. Results: There was no maternal mortality. Preterm delivery occurred in 18.75% of the 32 pregnant women with BCS and 37.5% of 24 pregnant women with BCS and AVH (p = 0.004). The incidence of low birth weight was also significant between the two groups (p < 0.0001). Antepartum hemorrhage might be a warning sign of the occurrence of complications in pregnant women with BCS and AVH (p < 0.001). An important observation from the present study is that maternal BCS and AVH (even concurrent) had no effect on the incidence of congenital malformations or stillbirths; it did increase the incidence of prematurity and low birth weight over that seen in the general delivery population. Conclusion: In spite of the high complication rates, BCS and AVH in pregnancy are well-tolerated diseases even when they occur together.Öğe Retrospective evaluation of laboratory-confirmed and recovered cases of influenza A(H1N1)v(Tubitak Scientific & Technological Research Council Turkey, 2011) Sevencan, Funda; Ertem, Mehmet Meliksah; Ozcullu, Neval; Dorman, Vedat; Ormanli, Abdulvahit; Kubat, Namik Kemal; Albayrak, NurhanAim: To retrospectively evaluate patients that were diagnosed with H1N1 and recovered from the disease in the initial period of an influenza A(H1N1)v epidemic in the province of Diyarbakir. It is estimated that 34-67 million individuals around the world have been infected by influenza A(H1N1)v, that 154,000-303,000 individuals have been hospitalized, and that 7000-13,000 individuals have lost their lives. Materials and methods: We were able to include 250 of 362 cases (69.0%) of confirmed influenza A(H1N1)v, from which the patients recovered, from the samples received between 19 October and 3 December 2009 after a pandemic alarm was given in the province of Diyarbakir. Patients with laboratory-confirmed cases were reached by telephone 15 days after the onset of influenza symptoms. Results: In terms of demographics, 44.8% of patients were between the ages of 0-14, 51.6% were male, and 44.0% were students. In 77.6% of the cases, fever was observed, while 53.2% had coughs and 18.4% had vomiting problems. It was determined that patients older than 45 years old, pregnant women, and individuals with chronic diseases were hospitalized more frequently than the young, nonpregnant women, and individuals without a chronic disease. The secondary attack rate within the clinic was 24.6%. Conclusion: Children and individuals with chronic diseases are important risk groups. It is believed that precautions such as hand-washing, limiting visits, and ensuring proper ventilation within houses will reduce in-house infectivity and the secondary attack rate.Öğe Two Consecutive Outbreaks of Foodborne Gastroenteritis Caused by Salmonella Enteritidis in Turkey(Ortadogu Ad Pres & Publ Co, 2011) Dorman, Vedat; Aslan, Selda; Gulsun, Serda; Kubat, Namik Kemal; Cevrim, Ugur; Yasar, Ekrem; Ozbek, ErdalObjective: We report two foodborne outbreaks caused by Salmonella enterica serovar Enteritidis occurred in four youth hostels and two private schools in Diyarbakir, Turkey to identify the involving pathogen(s) in the possible source of infection, to control and to prevent further of the outbreaks. Material and Methods: An outbreak survey was conducted and food items, water supply, work surface samples and stool cultures were analyzed. Results: Out of 346 persons, a questionnaire was administered to 208 persons, 117 affected ill and 91 control healthy persons, to describe the illness and to identify its likely source. Salmonella enterica serovar Enteritidis was isolated from 51 stool cultures and also samples of chicken and potatoes meals in the first outbreak and samples of green salad in the second outbreak. Conclusion: In this study, we described how we identified the sources of both outbreaks and how we managed it with a case control study.
