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Articles by Levent Kidak
Total Records ( 2 ) for Levent Kidak

Aim: The aim of this study was to evaluate patients attending a sexually transmitted infection (STI) outpatient clinic with a presumptive or definitive diagnosis of syphilis with regard to demographic characteristics, clinical findings, diagnostic criteria, treatment regimens and follow-up data over a 10-year period.

Materials and Methods: The records of patients who had a presumptive/definitive diagnosis of syphilis [according to Centers for Disease Control (CDC) criteria] and who were referred to the ?zmir State Venereal Diseases Outpatient Clinic or who were diagnosed in the clinic between 1994 and 2004 were reviewed retrospectively.

Results: A total of 689 patients were included for evaluation; 378 (54.7%) were males and 311 (45.3%) were females. The ages of these patients ranged between 13-77 years, with a mean of 35.2±11.2. One hundred and fifty-three of the cases were sex workers. At the time of admission, 12.3% were considered to be in the primary stage, 17.4% in the secondary stage and 70.3% in the latent stage. The most common clinical findings in symptomatic patients were chancre (12%) and rash (9.2%). Human immunodeficiency virus (HIV) serology was screened in only 19.6% of the patients and two were positive. The most preferred treatment regimen was three doses of 2.4 million units benzathine penicillin (at one-week intervals).

Conclusions: Our results indicate that syphilis is still present in the Turkish population and standard approaches in the treatment and follow-up of patients are lacking.

  Meltem Avci , Onur Ozgenc , Ayten Coskuner , Berna Bozca , Levent Kidak , Gulsen Mermut , Mehmet Sezai Tasbakan , Neslihan Genc , Gulsen Guloglu and Alpay Ari
  To determine the incidence, risk factors, etiology, and antibiotic susceptibility of hospital-acquired pneumonia (HAP) in nonintensive care units (non-ICU) and nonintubated adult patients. Materials and methods: A prospective surveillance study was performed from January 2006 through December 2007 in the medical and surgical wards of the zmir Teaching and Research Hospital. Results: During the study period, data on 57,133 patients with a total of 413,515 patient-days were analyzed. A total of 106 HAP episodes occurred in 99 patients. The infection rate per 100 patients and per 1000 patient-days was found to be 0.2% and 0.3%, respectively. HAP episodes were detected mostly in medical wards (66%). The mean age of patients was 58.6 15.9 and 73% of the patients were male. The most common intrinsic and extrinsic risk factors observed in patients with HAP, according to the first episode, were cardiovascular disease (47%), central nervous system disease (41%), malignancy (40%), hospitalization longer than 5 days (91%), antibiotic therapy (81%), previous endotracheal intubation (40%), nasogastric tubes (38%), and H2 receptor antagonist/antiacid (37%). Moreover, 109 microorganisms were isolated from 84% of HAP episodes. Overall, the most frequently isolated pathogens from HAP episodes were Klebsiella pneumoniae (23%), Escherichia coli (21%), and Staphylococcus aureus (18%). These were mostly multidrug-resistant. The crude mortality was found to be 25%. Conclusion: Surveillance of HAP in non-ICU and nonintubated adult patients provides valuable guidance for empirical antimicrobial therapy and infection control measures for some wards.
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