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1. Evaluation of vaccination status of health care workers for recommended vaccines and their acceptance of SARS-CoV-2 vaccines.

Author

Oygar PD, Büyükçam A, Sahbudak Bal Z, Dalgıç N, Bozdemir ŞE, Karbuz A, Çetin BŞ, Kara Y, Çetin C, Hatipoğlu N, Uygun H, Aygün FD, Hançerli Törün S, Şener Okur D, Yılmaz Çiftdoğan D, Tural Kara T, Yahşi A, Özer A, Öcal Demir S, Akkoç G, Turan C, Salı E, Şen S, Erdeniz EH, Kara SS, Emiroğlu M, Erat T, Aktürk H, Laçinel Gürlevik S, Sütçü M, Gayretli Aydın ZG, Yıldız Atikan B, Yeşil E, Güner Özenen G, Çelebi E, Efe K, Kizmaz Isancli D, Selver Durmuş H, Tekeli S, Karaaslan A, Bülbül L, Almış H, Kaba Ö, Ekemen Keleş Y, Yazıcıoğlu B, Bahtiyar Oğuz S, Ovalı HF, Doğan HH, Çelebi S, Çakir D, Karasulu B, Alkan G, Yenidoğan İ, Gül D, Parıltan Kücükalioğlu B, Avcu G, Kukul MG, Bilen M, Yaşar B, Üstün T, Kılıç Ö, Akın Y, Oral Cebeci S, Bucak İH, Sarı Yanartaş M, Şahin A, Arslanoglu S, Elevli M, Çoban R, Tuter Öz SK, Hatipoğlu H, Erkum İT, Turgut M, Demirbuğa A, Özçelik T, Çiftçi D, Sarı EE, Akkuş G, Hatipoğlu SS, Dinleyici EC, Hacimustafaoğlu M, Özkınay F, Kurugöl Z, Cengiz AB, Somer A, Tezer H, and Kara A

Subjects
Adult, COVID-19 Vaccines, Child, Health Personnel, Humans, SARS-CoV-2, Vaccination, COVID-19 prevention & control, Chickenpox, Influenza Vaccines, Influenza, Human prevention & control, Measles prevention & control
Abstract

Introduction: Health care workers (HCWs) are disproportionately exposed to infectious diseases and play a role in nosocomial transmission, making them a key demographic for vaccination. HCW vaccination rates are not optimal in many countries; hence, compulsory vaccination policies have been implemented in some countries. Although these policies are effective and necessary under certain conditions, resolving HCWs' hesitancies and misconceptions about vaccines is crucial. HCWs have the advantage of direct contact with patients; hence, they can respond to safety concerns, explain the benefits of vaccination, and counter antivaccine campaigns that escalate during pandemics, as has been observed with COVID-19., Method: A short survey was carried out in May-June 2020 on the vaccination status of HCWs working with pediatric patients with COVID-19. The survey inquired about their vaccination status (mumps/measles/rubella [MMR], varicella, influenza, and diphtheria/tetanus [dT]) and willingness to receive hypothetical future COVID-19 vaccines. The respondents were grouped according to gender, age, occupation, and region., Results: In total, 4927 HCWs responded to the survey. Most were young, healthy adults. The overall vaccination rates were 57.8% for dT in the past 10 years, 44.5% for MMR, 33.2% for varicella, and 13.5% for influenza. Vaccination rates were the highest among physicians. The majority of HCWs (81%) stated that they would be willing to receive COVID-19 vaccines., Conclusion: Although vaccination rates for well-established vaccines were low, a majority of HCWs were willing to receive COVID-19 vaccines when available. Education and administrative trust should be enhanced to increase vaccination rates among HCWs.

Published
2022
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2. COVID-19 associated multisystemic inflammatory syndrome in 614 children with and without overlap with Kawasaki disease-Turk MIS-C study group

Author

Dilek Yilmaz Ciftdogan, Yildiz Ekemen Keles, Benhur Sirvan Cetin, Nazan Dalgic Karabulut, Melike Emiroglu, Zafer Bagci, Ayse Buyukcam, Emine Hafize Erdeniz, Gul Arga, Edanur Yesil, Ozlem Cakici, Adem Karbuz, Zumrut Sahbudak Bal, Soner Sertan Kara, Arife Ozer, Ozge Metin Akcan, Sefika Elmas Bozdemir, Ayse Berna Anil, Hatice Uygun, Omer Kilic, Selda Hancerli Torun, Zuhal Umit, Murat Sutcu, Berfin Ozgokce Ozmen, Hatice Karaoglu Asrak, Gulsum Alkan, Ahu Kara Aksay, Cuneyt Ugur, Ahmet Ziya Birbilen, Burcu Bursal Duramaz, Esra Akyuz Ozkan, Ozgur Burakay, Sema Yildirim Arslan, Eda Karadag Oncel, Serkan Fazli Celik, Ahmet Osman Kilic, Seval Ozen, Remzi Sarikaya, Demet Demirkol, Gazi Arslan, Ozden Turel, Ahmet Sert, Ergul Sari, Zerrin Orbak, Irfan Oguz Sahin, Celal Varan, Hacer Akturk, Sadiye Kubra Tuter Oz, Fatih Durak, Mehmet Burhan Oflaz, Manolya Kara, Derya Karpuz, Mey Talip Petmezci, Nevin Hatipoglu, Selim Oncel, Mehmet Turgut, Ferhan Elmali, Ayper Somer, Necdet Kuyucu, Ener Cagri Dinleyici, Zafer Kurugöl, Ergin Ciftci, Ates Kara, BURSAL DURAMAZ, BURCU, TÜREL, ÖZDEN, Aktürk, Hacer, Çiftdoğan, Dilek Yılmaz, Keleş, Yıldız Ekemen, Çetin, Benhur Şirvan, Karabulut, Nazan Dalgıç, Emiroğlu, Melike, Bağcı, Zafer, Büyükçam, Ayşe, Erdeniz, Emine Hafize, Arga, Gül, Yeşil, Edanur, Çakıcı, Özlem, Karbuz, Adem, Bal, Zümrüt Şahbudak, Kara, Soner Sertan, Özer, Arife, Akcan, Özge Metin, Bozdemir, Şefika Elmas, Anıl, Ayşe Berna, Uygun, Hatice, Kılıç, Ömer, Torun, Selda Hancerli, Ümit, Zuhal, Sütcü, Murat, Özmen, Berfin ÖzgÖkce, Asrak, Hatice Karaoğlu, Alkan, Gülsüm, Aksay, Ahu Kara, Uğur, Cüneyt, Birbilen, Ahmet Ziya, Duramaz, Burcu Bursal, Özkan, Esra Akyüz, Burakay, Özgür, Arslan, Sema Yıldırım, Öncel, Eda Karadağ, Celik, Serkan Fazlı, Kılıç, Ahmet Osman, Özen, Seval, Sarıkaya, Remzi, Demirkol, Demet, Arslan, Gazi, Türel, Özden, Sert, Ahmet, Sarı, Ergül, Orbak, Zerrin, Şahin, İrfan Oğuz, Varan, Celal, Öz, Sadiye Kübra Tuter, Durak, Fatih, Oflaz, Mehmet Burhan, Kara, Manolya, Karpuz, Derya, Petmezci, Mey Talip, Hatipoğlu, Nevin, Öncel, Selim, Turgut, Mehmet, Elmalı, Ferhan, Somer, Ayper, Kuyucu, Necdet, Dinleyici, Ener Cağrı, Kurugöl, Zafer, Çiftci, Ergin, Kara, Ateş, Koç University Hospital, İstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Murat Sütçü / 0000-0002-2078-9796, Manolya Kara / 0000-0001-6234-7024, Sütçü, Murat, Murat Sütçü / AAR-5212-2020, Manolya Kara / AGI-2212-2022, Murat Sütçü / 55499199300, and Manolya Kara / 57213122996

Subjects
Lethargy, Kawasaki disease, SARS-CoV-2, COVID-19, MIS-C, Mucocutaneous Lymph Node Syndrome, Pediatrics, Systemic Inflammatory Response Syndrome, Children, Child, Preschool, Pediatrics, Perinatology and Child Health, Humans, Original Article, Child, Procalcitonin, Retrospective Studies
Abstract

Multisystemic inflammatory syndrome (MIS-C) diagnosis remains difficult because the clinical features overlap with Kawasaki disease (KD). The study aims to highlight the clinical and laboratory features and outcomes of patients with MISC whose clinical manifestations overlap with or without KD. This study is a retrospective analysis of a case series designed for patients aged 1 month to 18 years in 28 hospitals between November 1, 2020, and June 9, 2021. Patient demographics, complaints, laboratory results, echocardiographic results, system involvement, and outcomes were recorded. A total of 614 patients were enrolled; the median age was 7.4 years (interquartile range (IQR) 3.9-12 years). A total of 277 (45.1%) patients with MIS-C had manifestations that overlapped with KD, including 92 (33.3%) patients with complete KD and 185 (66.7%) with incomplete KD. Lymphocyte and platelet counts were significantly lower in patients with MISC, overlapped with KD (lymphocyte count 1080 vs. 1280 cells x mu L, p = 0.028; platelet count 166 vs. 216 cells x 10(3)/mu L, p < 0.001). The median serum procalcitonin levels were statistically higher in patients overlapped with KD (3.18 vs. 1.68 mu g/L, p = 0.001). Coronary artery dilatation was statistically significant in patients with overlap with KD (13.4% vs. 6.8%, p = 0.007), while myocarditis was significantly more common in patients without overlap with KD features (2.6% vs 7.4%, p = 0.009). The association between clinical and laboratory findings and overlap with KD was investigated. Age > 12 years reduced the risk of overlap with KD by 66% (p < 0.001, 95% CI 0.217-0.550), lethargy increased the risk of overlap with KD by 2.6-fold (p = 0.011, 95% CI 1.244-5.439), and each unit more albumin (g/dl) reduced the risk of overlap with KD by 60% (p < 0.001, 95% CI 0.298-0.559). Conclusion: Almost half of the patients with MISC had clinical features that overlapped with KD; in particular, incomplete KD was present. The median age was lower in patients with KD-like features. Lymphocyte and platelet counts were lower, and ferritin and procalcitonin levels were significantly higher in patients with overlap with KD., NA

Published
2022

3. Education of healthcare personnel working with pediatric patients during COVID-19 pandemic within the framework of infection control

Author

Aktürk, Hacer, Yenidoğan, İrem, Oygar, Pembe Derin, Büyükçam, Ayşe, Bal, Zümrüt Şahbudak, Dalgıç, Nazan, Bozdemir, Şefika Elmas, Karbuz, Adem, Çetin, Benhur Şirvan, Kara, Yalçın, Çetin, Ceren, Hatipoğlu, Nevin, Uygun, Hatice, Aygün, Fatma Deniz, Törün, Selda Hançerli, Okur, Dicle Şener, Çiftdoğan, Dilek Yılmaz, Kara, Tuğçe Tural, Yahşi, Aysun, Özer, Arife, Demir, Sevliya Öcal, Akkoç, Gülşen, Turan, Cansu, Salı, Enes, Şen, Semra, Erdeniz, Emine Hafize, Kara, Soner Sertan, Emiroğlu, Melike, Erat, Tuğba, Gürlevik, Sibel Laçinel, Sütçü, Murat, Aydin, Zeynep Gökçe Gayretli, Atıkan, Başak Yıldız, Yeşil, Edanur, Güner, Gizem, Çelebi, Emel, Efe, Kadir, İşançlı, Didem Kızmaz, Durmuş, Habibe Selver, Tekeli, Seher, Karaarslan, Ayşe, Bülbül, Lida, Almiş, Habip, Kaba, Özge, Keleş, Yıldız Ekemen, Yazıcıoğlu, Bahadır, Oğuz, Şerife Bahtiyar, Ovalı, Hüsnü Fahri, Doğan, Hazal Helin, Çelebi, Solmaz, Çakır, Deniz, Karasulu, Burcugül, Alkan, Gülsüm, Gül, Doruk, Küçükalioğlu, Burcu Parıltan, Avcu, Gülhadiye, Kukul, Musa Gürel, Bilen, Melis, Yaşar, Belma, Üstün, Tuğba, Kılıç, Ömer, Akın, Yasemin, Cebeci, Sinem Oral, Turgut, Mehmet, Yanartaş, Mehpare Sarı, Şahin, Aslıhan, Arslanoğlu, Sertaç, Elevli, Murat, Öz, Şadiye Kübra Tüter, Hatipoğlu, Halil, Erkum, İlyas Tolga, Demirbuğa, Asuman, Özçelik, Taha, Sarı, Emine Ergül, Akkuş, Gökhan, Hatipoğlu, Sadık Sami, Dinleyici, Ener Cağrı, Hacımustafaoğlu, Mustafa, Özkınay, Ferda, Kurugöl, Zafer, Cengiz, Ali Bülent, Somer, Ayper, Tezer, Hasan, Kara, Ateş, and Koç University Hospital

Subjects
Medicine, Pediatrics, COVID-19, Healthcare personnel, Personal protection, Education
Abstract

Objective: in the early stages of any epidemic caused by new emerging pathogens healthcare personnel is subject to a great risk. Pandemic caused by SARS-CoV-2, proved to be no exception. Many healthcare workers died in the early stages of pandemic due to inadequate precautions and insufficient protection. It is essential to protect and maintain the safety of healthcare personnel for the confinement of pandemic as well as continuity of qualified healthcare services which is already under strain. Educating healthcare personnel on appropiate use of personal protective equipment (PPE) is as essential as procuring them. Material and methods: a survey is conducted on 4927 healthcare personnel working solely with pediatric patients from 32 different centers. Education given on PPE usage were questioned and analyzed depending on age, sex, occupation and region. Results: among four thousand nine hundred twelve healthcare personnel from 32 different centers 91% (n=4457) received education on PPE usage. Of those who received education only 36% was given both theoretical and applied education. Although there was no differences among different occupation groups, receiving education depended on regions. Conclusion: it is essential to educate healthcare personnel appropiately nationwidely for the continuity of qualified healthcare services during the pandemic. / Giriş: yeni ortaya çıkan patojenlerin neden olduğu salgınların erken dönemleri sağlık çalışanları için büyük bir risk taşımaktadır. SARS-CoV-2’nin neden olduğu pandemide de durum farklı olmamış, alınan yetersiz önlemler ve kişisel korunma eksikliği nedenleriyle pandemi başlangıcında birçok sağlık çalışanı hayatını kaybetmiştir. Sağlık çalışanlarının koruması ve güvenli ortamda çalışmalarının devamlılığının sağlanması sağlık hizmetlerinin aksamamasının yanında salgının sınırlandırması içinde gereklidir. Kişisel koruyucu ekipmaların kullanımı ile ilgili eğitimlerin verilmesi, gerekli durumlarda güncellenmesi koruyucu ekipmanların sağlanması kadar önemlidir. Gereç ve yöntemler: otuz iki farklı merkezde çocuklara sağlık hizmeti veren 4927 sağlık personeli üzerinde anket uygulanmış, kişisel koruyucu ekipman kullanımı konusunda alınan eğitim değerlendirilmiş, yaş, cinsiyet, meslek ve bölgesel farklılıkların eğitim alma üzerine etki edip etmediği değerlendirilmiştir. Bulgular: otuz iki farklı merkezden 4927 sağlık çalışanın katıldığı çalışmada, 4457 (%91) sağlık çalışanın kişisel koruyucu ekipmaların kullanımı ile ilgili eğitim aldığı saptanmış, yalnızca %36’sının hem teorik hem de uygulamalı eğitim aldığı bulunmuştur. Meslek grupları arasında eğitim alma yönünden fark görülmezken, bölgelere göre eğitim alıp almamada anlamlı fark olduğu saptanmıştır. Sonuç: tüm bölgelerde sağlık personelinin kişisel korunma konusunda eğitilmesi ve verilen eğitimin denetimi ve sürekliliği kaliteli sağlık hizmetlerinin devamlılığı için gereklidir., NA

Published
2020

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