Browsing by Author "Ergul Z."
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Scopus Effect of COVID-19 pandemic on the working of blood transfusion center: A cross-sectional study(2021-06-01) Yilmaz A.; Zerde H.C.; Alay B.; Ergul Z.Aim: Coronavirus disease-2019 (COVID-19) disease which is unknown how much it will affect the work of hospitals, has caused a pandemic all over world. The decrease in donations due to pandemic required regulation of blood supply in hospitals. In our study, we aimed to evaluate the blood center of our hospital during the pandemic period. Methods: Patients’ records of our hospital blood transfusion center were reviewed retrospectively before and during the pandemic. The patients were divided into two groups as pre-pandemic (11 March-30 June 2019) and pandemic period (11 March-30 June 2020). The groups were compared in terms of age range, gender, blood type, blood type of products, diseases causing transfusion, blood/ blood products transfusion/counts, transfusions performed to COVID-19 patients. Results: Four thousand two hundred seventy-one blood product transfusions were performed on 1, 290 patients. Evaluation of diseases that cause transfusion among statistically significant groups in some diseases such as gastrointestinal diseases, genitourinary system diseases, infectious diseases and other diseases was determined. Conclusion: While a decrease in our transfusion rates was observed during the pandemic period, the increase in gastrointestinal system diseases is a striking result. The modern world will encounter these and similar pandemics in the future and we think that each region should evaluate its own blood centers in order to prepare for them.Scopus Topical antibiotic prophylaxis in Lichtenstein hernia repair and comparison of three methods: A prospective randomized clinical trial(2021-04-01) Seker D.; Seker G.; Bayar B.; Ergul Z.; Kulacoglu H.INTRODUCTION: Lichtenstein hernia repair is a clean surgical intervention and one of the most frequently applied operation worldwide. Despite guidelines, benefit of antibiotic prophylaxis in hernia surgery has been considered questionable and prophylaxis usage is not infrequent. Here, in this clinical randomized trial, we aimed to compare three different prophylaxis regimens to find out which one is more effective. METHODS: In this prospective study, patients were divided into three groups. First group (G1) received cefazoline, second group (G2) received topical gentamicin, and third group (G3) received combination of cefazoline and topical gentamicin. On 1st, 7th, and 30thpostoperative days, surgical sites were examined for the signs of infection according to the definitions of Centers for Disease Control. Furthermore, effectiveness of infection prevention in patients with comorbid diseases was also analyzed. RESULTS: Totally 276 patients were analyzed. In G1 three, in G2 two, and in G3 0 infections were recorded. Total, infection rate was 1.8%. There was no any difference in infection rates between three groups (P = 0.285). Comorbidities did not rise infection rates under prophylaxis coverage (P > 0.05). CONCLUSION: All three methods are equally effective in surgical site infection, but combination method seems better with '0' ratio. Prophlaxy coverage also prevents surgical site infection even in the presence of risk (comorbidities).