ÖZET Amaç: Echinococcus granulosus'un etken olduğu Kistik ekinokokkozis (KE), dünyada ve ülkemizde yaygınlık gösteren zoonotik bir hastalık olup önemli bir halk sağlığı problemi olma özelliğini korumaktadır. Hastalığın ilimizdeki durumu ile ilgili ön bilgi edinmek için Kocaeli Derince Eğitim ve Araştırma Hastanesi Merkez Laboratuarı'na KE şüphesiyle gönderilen olguların retrospektif olarak değerlendirilmesi amaçlanmıştır. Yöntemler: Aralık 2009-Mayıs 2011 tarihleri arasında laboratuarımıza başvuran toplam 225 olgunun Echinococcus granulosus indirekt hemaglutinasyon testi (IHA) sonuçları retrospektif olarak incelenmiştir. Pozitif olarak saptanan olgular geriye dönük olarak KE açısından klinik olarak değerlendirilmiştir. Bulgular: Olguların 151'i (%67.11) kadın, 74'ü (%32.8) erkek olup IHA ile 18'inde (%8) pozitif, beş olgu (%2.2) borderline, geriye kalan 202 (%89.8) olguda ise antikor yanıtı belirlenememiştir. Seropozitif ve borderline olarak saptanan 23 olgunun 15'inde radyolojik olarak KE ile uyumlu lezyon belirlenirken, dört olguda tutulum gösterilememiş, dört olgunun radyolojik bilgilerine ise ulaşılamamıştır. Sonuç: Hastane kayıtlarının KE hastalığında olguların sadece az bir kısmını temsil ettiği düşünüldüğünde ilimizde KE görüldüğü üzere varlığını sürdürdüğü ve önemini koruduğu anlaşılmaktadır. Bu nedenle gerek korunma gerekse hastalığın önlenmesinde gerekli önlemlerin alınması gerektiği görüşüne varılmıştır. (Turkiye Parazitol Derg 2012; 36: 219-21 Results: Of the total, 151 (67.1%) were female and 74 (32.8%) were male. The seropositivity ratio of IHA test was found to be 8% (18 patients), borderline ratio as 2.2% (5 patients), and seronegative ratio as 89.8% (202 patients). In 15 of the 23 seropositive and borderline patients, CE compatible radiological lesions were determined, while 4 of the remaining patients showed no lesion and the other 4 had no radiological data. Conclusion: Considering that hospital records can represent only a small part of the CE cases, it can be said that CE still subsists and retains its importance in our city. Essential precautions should be taken for the prevention and protection for this disease. (Turkiye Parazitol Derg 2012; 36: 219-21)

Results: The seropositive rate of anti-Toxoplasma IgG and IgM in the study was 28.5% (N=741), 0.9% (N=898), respectively. Additionally, 10 samples (1.3%) were considered as border-line for IgG antibodies and 4 samples (0.4%) for IgM antibodies against T. gondii. Conclusion: In general, 70.2% of women in the study were seronegative for anti-Toxoplasma IgG antibodies; it can be concluded that most of them were sensitive to a newly acquired infection, and that their babies were at risk of congenital toxoplasmosis in case of a possible

SUMMARYObjectivesThe aim of this study was to determine the antibiotic resistance of infectious and non-infectious E. coli species in order to increase the success of empirical antibiotic treatment in urinary system infections.MethodsThe antibiotic susceptibility of 464 E. coli strains that were isolated from urine samples of patients who visited Derince Training and Research Hospital Emergency Department between January 1 and December 31, 2012 were retrospectively evaluated from records. The antibiogram results were classified as susceptible, moderately susceptible or resistant. Moderately susceptible strains were assumed to be resistant.ResultsBacterial proliferation was seen in 563 (28.1%) of the 1998 urine cultures tested. One hundred and twelve cultures could not be evaluated due to contamination, and there was no proliferation in 1323 cultures. E. coli strains were isolated in 464 (82.4%) of the cultures in which proliferation was seen. Three hundred and sixty seven (79%) of the patients were female, 97 (21%) were male, and the mean age of all of the patients was 41.1±24.1 years (min: 1, max: 90). The antibiograms of the E. coli strains revealed that meropenem had the lowest resistance (0%), while ampicillin-sulbactam had the highest resistance (36.8%).ConclusionsIn this study, we investigated the antibiotic resistance of E. coli strains isolated from urine cultures in our region. Future studies, perhaps similar to this one, can be performed in the future to increase the success of treatments.