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Article ; Online: Letter to the Editor regarding "Connectors as a risk factor for blood-associated infections (3-way stopcock and needleless connector): A randomized-experimental study".

Devrim, İlker

2019 Volume 48, Issue 3, Page(s) 351–352

MeSH term(s)	Catheterization, Central Venous ; Equipment Contamination ; Humans ; Infections ; Risk Factors
Language	English
Publishing date	2019-12-19
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2019.10.026
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Article ; Online: Response to `Rehospitalization indications of children hospitalized for COVID-19 infections and long COVID`.

Cem, Ela / Özenen, Gizem Güner / Bayram, Nuri / Devrim, İlker

The Turkish journal of pediatrics

2024 Volume 66, Issue 1, Page(s) 145–146

MeSH term(s)	Child ; Humans ; Patient Readmission ; Post-Acute COVID-19 Syndrome ; COVID-19 ; Hospitalization ; Risk Factors
Language	English
Publishing date	2024-03-25
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	123487-0
ISSN	2791-6421 ; 0041-4301
ISSN (online)	2791-6421
ISSN	0041-4301
DOI	10.24953/turkjped.2023.800
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Article: Complications of peripheral intravenous catheters and risk factors for infiltration and phlebitis in children.

Karaoğlan, Nalan / Sarı, Hatice Yıldırım / Devrim, İlker

British journal of nursing (Mark Allen Publishing)

2022 Volume 31, Issue 8, Page(s) S14–S23

Abstract: Aim: This study aimed to identify the types of complications of peripheral intravenous catheters (PIVCs) in hospitalised children and possible risk factors for the development of extravasation, infiltration and phlebitis.: Method: The study was ... ...

Abstract	Aim: This study aimed to identify the types of complications of peripheral intravenous catheters (PIVCs) in hospitalised children and possible risk factors for the development of extravasation, infiltration and phlebitis. Method: The study was conducted in the largest children's hospital in a region of Turkey, with a bed capacity of 354 and 1400 employees, which provides care only to paediatric patients aged from newborn to 18 years old. In this 5-month prospective study, the complications of PIVCs in hospitalised children and risk factors leading to the development of extravasation, infiltration and phlebitis were recorded. During morning and afternoon daily visits, the researcher examined catheter sites for complications and indications for removal. Results: The study covered 244 patients aged from 1 month to 17 years, 575 PIVCs and 1600 catheter days. The rates of infiltration and phlebitis observed in children with PIVCs were 8.7 % and 15.8% respectively. Logistic regression revealed that using 22- and 24-gauge catheters, hospitalisation in the surgery ward and continuous infusion were significant independent risk factors for the development of infiltration ( Conclusion: Catheter size, hospitalisation in the surgery ward and continuous infusion contributed to the development of infiltration. Age, hospitalisation in the surgery ward and catheter placement in the antecubital vein contributed to the development of phlebitis.
MeSH term(s)	Catheterization, Peripheral/adverse effects ; Catheters/adverse effects ; Catheters, Indwelling/adverse effects ; Child ; Humans ; Infant, Newborn ; Phlebitis/epidemiology ; Phlebitis/etiology ; Prospective Studies ; Risk Factors
Language	English
Publishing date	2022-04-19
Publishing country	England
Document type	Journal Article
ZDB-ID	1119191-0
ISSN	0966-0461
ISSN	0966-0461
DOI	10.12968/bjon.2022.31.8.S14
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Article ; Online: Infection control practices in children during COVID-19 pandemic: Differences from adults.

Devrim, İlker / Bayram, Nuri

American journal of infection control

2020 Volume 48, Issue 8, Page(s) 933–939

Abstract: Background: Limited studies have been published on practices and management of Coronavirus Disease 2019 (COVID-19) in children. Despite the fact that COVID-19 rarely caused any severe disease in children, the asymptomatic children might be playing an ... ...

Abstract	Background: Limited studies have been published on practices and management of Coronavirus Disease 2019 (COVID-19) in children. Despite the fact that COVID-19 rarely caused any severe disease in children, the asymptomatic children might be playing an important role for spreading COVID-19 in healthcare facilities. This review aimed at sharing our experience of how to handle patients with COVID-19 in a pediatric referral and tertiary care hospital to prevent the possible transmissions to the healthcare workers (HCWs). Methods: This review sought to identify infection control practices measures during COVID-19 pandemic comes from our daily practice combined with the most recent guidelines with the new experience and information. Results: Prevention the transmission of COVID-19 to the HCWs, 4 primary themes should be taken into consideration; (1) ongoing education and importance of the organization of the healthcare facility, (2) proper clinical triage and isolation of the suspected or confirmed COVID-19 patients in the outpatient clinics and in the emergency departments, (3) necessity of the organization of the COVID-19 wards, and (4) utilization of personal protective equipment. Conclusions: Infection control precautions to prevent the possible transmissions to HCWs as well as the other patients and their caregivers from children with COVID-19 are very critical. If sufficient precautions are not taken, healthcare settings may serve as additional source of transmission and spread of COVID-19 in the society.
MeSH term(s)	Adult ; Betacoronavirus/pathogenicity ; COVID-19 ; Child ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/transmission ; Coronavirus Infections/virology ; Health Personnel ; Humans ; Infection Control/methods ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Pandemics/prevention & control ; Personal Protective Equipment/virology ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/transmission ; Pneumonia, Viral/virology ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-05-26
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2020.05.022
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Article: Nurses' knowledge and experiences of peripheral intravenous catheter insertion at a tertiary paediatric health centre.

Karaoğlan, Nalan / Çatikoğlu, Aslı / Yıldırım Sarı, Hatice / Devrim, İlker

British journal of nursing (Mark Allen Publishing)

2022 Volume 31, Issue 14, Page(s) S18–S25

Abstract: Aim: The aim of the study was to determine paediatric nurses' knowledge and experiences of PIVC insertion.: Method: In this cross-sectional study, nurses working in a paediatric hospital in Izmir, Türkiye, between May and September 2019 were included ...

Abstract	Aim: The aim of the study was to determine paediatric nurses' knowledge and experiences of PIVC insertion. Method: In this cross-sectional study, nurses working in a paediatric hospital in Izmir, Türkiye, between May and September 2019 were included (225; 67.4%). A PIVC knowledge and experience form, and a sociodemographic characteristics questionnaire were used to collect data. Results: Nurses most often inserted the PIVC on the dorsum of the hand (83.1%). Their choice of vein was influenced by the condition of the patient's veins (91.1%), medications (72%) and the patient's activity status (70.2%). The most preferred PIVC size was 24 gauge (98.2%), and the most frequently used cannula was a short peripheral cannula (96.9%). To clean the insertion site of the cannula, 93.8% of the nurses used 70% alcohol. Distractions used while inserting the PIVC were: letting the child play with a toy (51.1%), having the child sit on the mother's lap (45.8%), letting the child watch cartoons (45.3%), and administering oral sucrose (43.6%). Of the nurses, 69.3% attached a split septum/vein valve to the PIVC insertion site, and 82.2% cleaned the split septum/vein valve with 70% alcohol and waited until it dried before administering the medication. Some 79.6% secured the cannula with a hypoallergenic nonwoven adhesive fixation tape bandage. Some 94.7% performed catheter flushing for control after inserting PIVCs, 93.8% performed catheter flushing before IV fluid treatment, 89.8% flushed the catheter before drug administration through the bolus method, 53.3% flushed the PIVC catheter with a slow technique and 42.2% flushed it with an intermittent technique. Conclusion: The nurses generally acted in accordance with Infusion Nurses Society (2016) guidance. It would be helpful if the hospital developed algorithms that include standards to prevent and manage PIVC insertions and complications.
MeSH term(s)	Cannula ; Catheterization, Peripheral/methods ; Child ; Clinical Competence ; Cross-Sectional Studies ; Hospitals, Pediatric ; Humans ; Nurses
Language	English
Publishing date	2022-07-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1119191-0
ISSN	0966-0461
ISSN	0966-0461
DOI	10.12968/bjon.2022.31.14.S18
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Article ; Online: Response to commentary to "Ultrasonographic evaluation of the children with candiduria for the fungal ball: Is it necessary?"

Devrim, Fatma / Bayram, Nuri / Devrim, İlker

Journal of pediatric urology

2021 Volume 17, Issue 5, Page(s) 740–741

MeSH term(s)	Child ; Foreign Bodies ; Humans ; Urinary Catheterization ; Urinary Tract Infections/diagnostic imaging
Language	English
Publishing date	2021-08-17
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2021.08.010
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Article ; Online: Why G6PD Deficiency Should Be Screened Before COVID-19 Treatment With Hydroxychloroquine?

Oymak, Yesim / Karapinar, Tuba H / Devrim, İlker

Journal of pediatric hematology/oncology

2020 Volume 43, Issue 1, Page(s) 35–36

MeSH term(s)	COVID-19/complications ; Glucosephosphate Dehydrogenase Deficiency/complications ; Glucosephosphate Dehydrogenase Deficiency/diagnosis ; Hemolysis/drug effects ; Humans ; Hydroxychloroquine/administration & dosage ; Hydroxychloroquine/adverse effects ; Hydroxychloroquine/therapeutic use ; COVID-19 Drug Treatment
Chemical Substances	Hydroxychloroquine (4QWG6N8QKH)
Keywords	covid19
Language	English
Publishing date	2020-06-09
Publishing country	United States
Document type	Letter
ZDB-ID	1231152-2
ISSN	1536-3678 ; 1077-4114 ; 0192-8562
ISSN (online)	1536-3678
ISSN	1077-4114 ; 0192-8562
DOI	10.1097/MPH.0000000000001864
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Article: Infection control practices in children during COVID-19 pandemic: Differences from adults

Devrim, Ilker / Bayram, Nuri

Am J Infect Control

Abstract: BACKGROUND: Limited studies have been published on practices and management of Coronavirus Disease 2019 (COVID-19) in children. Despite the fact that COVID-19 rarely caused any severe disease in children, the asymptomatic children might be playing an ... ...

Abstract	BACKGROUND: Limited studies have been published on practices and management of Coronavirus Disease 2019 (COVID-19) in children. Despite the fact that COVID-19 rarely caused any severe disease in children, the asymptomatic children might be playing an important role for spreading COVID-19 in healthcare facilities. This review aimed at sharing our experience of how to handle patients with COVID-19 in a pediatric referral and tertiary care hospital to prevent the possible transmissions to the healthcare workers (HCWs). METHODS: This review sought to identify infection control practices measures during COVID-19 pandemic comes from our daily practice combined with the most recent guidelines with the new experience and information. RESULTS: Prevention the transmission of COVID-19 to the HCWs, 4 primary themes should be taken into consideration; (1) ongoing education and importance of the organization of the healthcare facility, (2) proper clinical triage and isolation of the suspected or confirmed COVID-19 patients in the outpatient clinics and in the emergency departments, (3) necessity of the organization of the COVID-19 wards, and (4) utilization of personal protective equipment. CONCLUSIONS: Infection control precautions to prevent the possible transmissions to HCWs as well as the other patients and their caregivers from children with COVID-19 are very critical. If sufficient precautions are not taken, healthcare settings may serve as additional source of transmission and spread of COVID-19 in the society.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #361384
Database	COVID19

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Article ; Online: Infection control practices in children during COVID-19 pandemic

Devrim, İlker / Bayram, Nuri

American Journal of Infection Control

Differences from adults

2020 Volume 48, Issue 8, Page(s) 933–939

Keywords	Public Health, Environmental and Occupational Health ; Health Policy ; Epidemiology ; Infectious Diseases ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2020.05.022
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: BD Chloraprep™ ("2 % chlorhexidine with 70 % isopropyl alcohol") versus povidone iodine plus alcohol, for prevention of blood culture contamination at children: An investigator-initiated, open-label, single centre, randomized controlled trial.

Devrim, İlker / Şahinkaya, Şahika / Yılmaz Çelebi, Miray / Kaçar, Pelin / Cem, Ela / Sözen, Ceren / Yaman, Yakup / Ayhan, Fahri Yüce / Bayram, Süleyman Nuri

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy

2023 Volume 30, Issue 6, Page(s) 494–498

Abstract: Introduction: One of the important problems that lower the diagnostic value of blood culture is contamination with skin organisms. The povidone-iodine, alcohol, and chlorhexidine gluconate alcohol are used for disinfection prior to blood sampling for ... ...

Abstract	Introduction: One of the important problems that lower the diagnostic value of blood culture is contamination with skin organisms. The povidone-iodine, alcohol, and chlorhexidine gluconate alcohol are used for disinfection prior to blood sampling for culture. Methods: The investigator-initiated, open label, single centre, randomised trial compared blood culture contamination rates between two groups of patients in which using a povidone iodine skin-preparation process with the contamination rate for using "2 % chlorhexidine with 70 % isopropyl alcohol" skin-disinfection. The patients who required sampling for blood cultures were included in the study and study period was from 15 March 2023 to 15 July 2023. Results: A total of 400 blood cultures were obtained during the study, including 133 in the study group and 267 in the control group. In the total blood cultures, 11.75 % (n = 47) had microorganism isolation. Among them 39 (9.75 %) were contaminants and 8 (2 %) of them were true pathogens. The contaminant microorganisms were as following; 34 coagulase-negative Staphylococci, 3 Micrococcus spp, and 2 Streptococci viridans. The blood culture contamination rate in the study group was 5.3 % (n = 7) and 12.0 % (n = 32) in the control group, and significantly lower in the study group (p = 0.033). There is no significant difference regarding skin related side effects between two groups. Conclusions: This study, showed that 2 % chlorhexidine gluconate in 70 % isopropyl alcohol is more efficacious in children than 10 % povidone-iodine preparations for disinfecting the skin prior to blood specimen collection for prevention of blood culture contamination.
MeSH term(s)	Child ; Humans ; Povidone-Iodine/therapeutic use ; Chlorhexidine/therapeutic use ; Chlorhexidine/analogs & derivatives ; Anti-Infective Agents, Local/pharmacology ; Anti-Infective Agents, Local/therapeutic use ; 2-Propanol ; Blood Culture ; Ethanol/therapeutic use ; Skin
Chemical Substances	Povidone-Iodine (85H0HZU99M) ; chlorhexidine gluconate (MOR84MUD8E) ; Chlorhexidine (R4KO0DY52L) ; Anti-Infective Agents, Local ; 2-Propanol (ND2M416302) ; Ethanol (3K9958V90M)
Language	English
Publishing date	2023-12-12
Publishing country	Netherlands
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	1355399-9
ISSN	1437-7780 ; 1341-321X
ISSN (online)	1437-7780
ISSN	1341-321X
DOI	10.1016/j.jiac.2023.12.001
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