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Objective: Although medical students are not determined as health care workers worldwide, they are commonly exposed to some infectious agents such as hepatitis A virus. Therefore, it is important to assess their perceptions of the hepatitis A vaccine. In this study, we aimed to assess the attitudes of Turkish medical students about hepatitis A vaccine and vaccine-associated side effects. Material and Methods: The study was performed on 103 medical students with age between 20 and 26. All the students vaccinated by the same nurse at Hacettepe University Pediatric Infectious Diseases Unit in December and answered a questionnaire and follow-up form. Results: The mean student age was 21.69 ± 0.97 years. Pain with movement (58.3%) and pain with touch (38.8%) were the most common side effects at the vaccination site. Despite the side effects, all the vaccinated students wanted to receive the following dose of vaccine. Twelve of the vaccinated students (11.7%) indicated that the major reason of their vaccination was the recommendation of a pediatric infectious disease specialist. One of the major reasons for not wishing vaccination was the cost of vaccine for the 60 of them (58.3%). Conclusion: The cost of vaccine may be important for receiving hepatitis A vaccination for medical students. A vaccine recommended by infectious diseases specialist may influence the decision of getting vaccinated. (J Pediatr Inf 2015; 9: 20-4)

Ozet Amac: Temassiz kizilotesi termometre ile vucut sicakligi olcumu hizli, uygulanmasi kolay, invaziv olmayan ve tekrarlayan kullanimlarda sterilizasyon gerektirmeyen bir yontemdir. Biz bu calismada hastanede hastalarin ilk degerlendirme asamasinda alindan temassiz olcum yapan termometrelerin kullanilabilirligini degerlendirmek istedik. Gerec ve Yontemler: Calisma Hacettepe Universitesi Ihsan Dogramaci Cocuk Hastanesi’nde Agustos-Eylul 2013 aylarinda yurutuldu ve enfeksiyon servisinde yatmakta olan veya poliklinige ayaktan basvuran dort aydan daha buyuk hastalar calismaya dahil edildi. Hastanede rutin olarak kullanilan timpanik kizilotesi termometre ve calismada kullanilan temassiz kizilotesi termometre olcumleri es zamanli olarak gerceklestirildi ve olculen vucut sicakliklari kaydedildi. Bulgular: Calisma suresince, 76 hastadan toplam 220 olcum yapildi. Kulaktan yapilan olcumlerde 220 olcumden 15’inde (%6,8) vucut sicakligi 38,0°C’den yuksek olarak kaydedildi; bu 15 olcumden yedisi temassiz termometre ile yapilan olcumlerde de 38,0°C’den yuksek olarak saptandi. Her bir olcum icin kulaktan yapilan olcumden temassiz termometreyle yapilan olcum cikarilarak aradaki fark bulundu, kulaktan yapilan olcumler temassiz termometre olcumlerinden buyukse pozitif, kucukse negatif degerler elde edildi. Farkin ortalamasi negatif degerler icin -0,5 (±0,3), pozitif degerler 0,6 (±0,4) °C olarak hesaplandi. Sonuc: Temassiz kizilotesi yontemle olcum yapan termometrelerin tarama amacli kullanimi uygun gorunmekle birlikte, hastanelerde hasta cocuk takibinde kullanimina karar vermek icin, daha genis kapsamli ve daha fazla sayida atesli cocugu iceren, tercihen civali termometreyle yapilan olcumlerin referans olarak kullanildigi calismalarin yapilmasi gerekmektedir. (J Pediatr Inf 2014; 8: 52-5) Anahtar kelimeler: Ates, kizilotesi, termometre Abstract Objective: Non-contact infrared thermometer (NCIT) is a quick, non-invasive, and easy-to-use method to measure body temperature, not requiring sterilization. We aimed to evaluate the reliability of NCIT in the first assessment of patients in a hospital. Material and Methods: The study was carried out in Hacettepe University Ihsan Dogramaci Children’s Hospital between August and September 2013 with patients older than 4 months who were admitted to the infectious disease outpatient clinic or hospitalized. Body temperature of patients was measured with a tympanic infrared thermometer that is routinely used and with NCIT at the same time. Temperature values, age, and disease of patients were recorded. Results: During the study, 220 measurements were obtained from 76 patients. Fifteen (6.8%) of 220 tympanic measurements were >38.0°C, and 7 of them were also >38.0°C with NCIT measurements. The difference between tympanic and NCIT measurements for each reading was calculated. Positive and negative values were obtained when tympanic readings were higher and lower than NCIT readings, respectively. Mean difference was -0.5°C (±0.3) for negative values and 0.6°C (±0.4)°C for positive ones. Conclusion: NCIT can be preferred for screening of fever, but before routine use in hospitals, more expanded studies with NCIT should be performed. (J Pediatr Inf 2014; 8: 52-5)

Santral venoz kateter (SVK) kullanimi dusuk dogum agirlikli yenidoganlar, kanserli cocuklar ve kistik fibrozis ve hemofili hastalari gibi sik damar yolu ihtiyaci olan kronik hastaligi olan cogu cocuk hasta grubunda oldukca faydalidir. Santral venoz kateterler genellikle iyi tolere edilmekle beraber enfeksiyoz komplikasyonlar olabilmekte ve artan morbidite, hospitalizasyon ve maliyete neden olabilmektedir. Cocuklarda vaskuler erisim siklikla cok sinirlidir. Bu durum periferal kan kulturu elde etmenin zorlugu ve santral yolun uzaklastirilmasinin islevsel olmamasi nedeniyle kateter-iliskili kan dolasim enfeksiyonlarinin tani ve tedavisini guclestirmektedir. Veriler kisitli olmakla beraber, santral venoz kateter-iliskili enfeksiyonlarindan (SVKE) korunma ve tedavisi ile ilgili yeni teknolojiler SVKE’lerin azalmasinda etkili olabilmektedirler. Santral venoz kateter-iliskili enfeksiyonlarin patogenezini ve altta yatan risk faktorlerini anlamak hayati tehdit edici kompliksayonlari azaltmak ve yeni tedavi stratejileri gelistirmek acisindan cok onemlidir. (J Pediatr Inf 2013; 7: 25-30) Anahtar kelimeler: Kateter-iliskili kan dolasim enfeksiyonlari, santral venoz kateter, bakteriyemi Abstract