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Is There Any Relationship between Maternal Vitamin D Levels and Asymptomatic Bacteriuria? A Preliminary Study

Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1677-1685页

作者： Emel Kurtoglu Ozdes Bahattin Avci Samettin Celik Gokhan Ocal serap polat Feyza Munevver Yaran Taskin Ozdes Migraci Tosun Arif Kokcu Department of Obstetrics and Gynecology Memorial Hizmet Hospital Istanbul Turkey Department of Biochemistry Faculty of Medicine Ondokuz Mayis University Samsun Turkey Maternity Hospital Samsun Training and Research Hospital Samsun Turkey Department of Obstetrics and Gynecology Buyuk Anadolu Hospital Samsun Turkey Department of Obstetrics and Gynecology Private Meditech Hospital Ordu Turkey Obstetrics and Gynecology Independent researcher Istanbul Turkey Forensic Medicine Independent researcher Istanbul Turkey Department of Obstetrics and Gynecology Faculty of Medicine Ondokuz Mayis University Samsun Turkey Department of Obstetrics and Gynecology Medical Park Samsun Hospital Samsun Turkey

Hypothesis: Vitamin D has been considered to play important roles in maintaining pregnancy. Also, this vitamin is considered to regulate immune response and thus may be important for pregnant women also to maintain no-infection of which preterm delivery is especially important. Since vitamin D regulates maternal anti-infection function and since Asymptomatic bacteriuria (ASB) causes various adverse outcomes in pregnancy, we hypothesized that maternal serum vitamin D level may be related with the presence/absence of ASB. The present study was an effort to determine this. The study included 215 pregnant women, attended the Ondokuz Mayis University Hospital antenatal care polyclinic, Samsun, Turkey, in the summer for initial visits between 6- and 14-weeks’ gestation. Women with symptoms suggestive of urinary tract infection, a history of antibiotic use within the previous two weeks, ongoing antibiotic therapy or urinary system instrumentation, a diagnosis of vitamin D insufficiency or deficiency, and those taking vitamin D supplements were excluded. Demographic data features of the sampled women were analyzed retrospectively. 10 ml maternal peripheral venous blood samples were collected and the concentrations of 25(OH)D3 in the serum were analyzed. Mid-stream morning urine samples were obtained and analyzed at the microbiology laboratory according to established procedures. ASB was reported if bacteria were present at specified quantitative counts (≥105

关键词： Pregnancy Asymptomatic Bacteriuria Vitamin D Perinatal Complication Supplementation

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Clinical characteristics and outcomes of nosocomial COVID-19 in Turkey:A retrospective multicenter study

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Asian Pacific Journal of Tropical Medicine 2023年第8期16卷 347-353页

作者： Süleyman Yıldırım Celalettin Yılmaz Gülru polat serap Argun Baris İlknur Başyiğit İlknur Kaya Ceyda Anar Mihriban Bozkurt HüsnüBaykal Hulya Dirol Gamzenur Ozbey Emine Ozsari Emel Cireli Ali KadriÇırak Dursun Tatar Mine Gayaf Selen Karaoglanoglu Yener Aydin Atilla Eroglu Yıldız Olçar Berna Botan Yıldırım Bengül Gürsoy Deniz Demir Yılmaz Elif Yelda Ozgun Niksarlioglu Ramazan Eren Ayşegül Tomruk Erdem Müge Meltem Tor Fusun Fakili MustafaÇolak Merve Erçelik Ali Tabaru Özlem Ediboglu Intensive Care Unit Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonology Dr.Suat Seren Chest Disease and Surgery Training and Research HospitalUniversity of Health Sciences TurkeyİzmirTurkey Department of Pulmonary Medicine School of MedicineKocaeli UniversityKocaeliTurkey Department of Pulmonology Kütahya Health Sciences UniversityKütahyaTurkey Department of Pulmonology Atatürk Training and Research Hospitalİzmir KatipÇelebi UniversityİzmirTurkey Department of Pulmonology Ankara Atatürk Sanatory Training and Research HospitalUniversity of Health SciencesAnkaraTurkey Department of Pulmonology Faculty of MedicineAkdeniz UniversityAntalyaTurkey Department of Pulmonology Bolu Abantİzzet Baysal University Training and Research HospitalBoluTurkey Department of Pulmonology Ordu University Training and Research HospitalOrduTurkey Department of Thoracic Surgery Medical FacultyErzurumAtaturk UniversityTurkey Department of Infectious Disease and Clinical Microbiology Kastamonu Training and Research HospitalKastamonuTurkey Department of Pulmonology Başkent University Hospital KonyaKonyaTurkey Department of Pulmonology İstanbul SancaktepeŞehit Prof.Dr.İlhan Varank Training and Research HospitalİstanbulTurkey Department of Chest Diseases Yedikule Chest Diseases and Thoracic Surgery Training and Research HospitalHealth Science UniversityİstanbulTurkey Department of Pulmonology Faculty of MedicineZonguldak Bülent Ecevit UniversityZonguldakTurkey Department of Pulmonary Medicine GaziantepFaculty of MedicineŞahinbey Research HospitalGaziantep UniversityTurkey Department of Pulmonology BalıkesirHealth Practice and Research HospitalBalıkesir UniversityTurkey Department of Pulmonology Afyonkarahisar Dinar State HospitalAfyonTurkey Department of Pulmonology Söke Fehime Faik Kocagöz State HospitalAydınTurkey

Objective:To identify the clinical characteristics and outcomes of hospital-acquired SARS-CoV-2 infection during the vaccination period nationwide in ***:COVID-19 patients followed in the pandemic services across Turkey between January 1,2021,and March 31,2022 were investigated *** COVID-19 was defined as a patient neither diagnosed with COVID-19 nor suspected COVID-19 at the hospital admission and was confirmed COVID-19≥5 days after hospital *** primary outcome of this study was in-hospital mortality;demographic features and vaccination status was compared between survivors and ***:During the study period,15573 COVID-19 patients were followed in 18 centers and 543(3.5%)patients were nosocomial *** patients with nosocomial COVID-19(80.4%)were transferred from medical wards.162(29.8%)of the patients with nosocomial COVID-19 admitted to the intensive care unit due to disease severity and 138(25.4%)of the patients died during hospital *** age(≥65 years)and number of comorbid diseases(≥2)was found to be associated with mortality in nosocomial COVID-19(OR 1.74,95%CI 1.11-2.74 and OR 1.60,95%CI 1.02-2.56,respectively).Vaccination was associated with survival in nosocomial COVID-19(OR 0.25,95%CI 0.16-0.38).Conclusions:Patients with nosocomial COVID-19 had increased admission to intensive care units and higher mortality *** can decrease the in-hospital mortality rate.

关键词： COVID-19 Nosocomial infection Vaccination Intensive care unit

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