Antibiotics are natural or synthetic substances that are used to control bacterial infections because antibiotics are by definition only effective against bacteria. A 30-year-old female came to our emergency clinic complaining rubor in both eyes, especially in the left eye, with swelling, rubor and pain in ears, and eruption in lips extremities. In her anamnesis, it has been determined that she did not have any medical disease that requires regular utilization of drugs. After the patient received cefuroxime axetil for acute tonsillitis, she observed eruptions in lip extremities on the 3rd day, but she did not care about it. On the 5th day, rubor in both eyes and, especially in the left eye, have been developed, and complaints such as unable to look toward light and pain have started together with swelling, rubor, and pain in both ears. She came to our clinic because she was very much worried about the situation. In this study, we aimed to discuss a drug reaction characterized by face and ear skin observations, due to uveitis after the use of antibiotics including cefuroxime axetil for acute tonsillitis.
15 December 2018 in Archives of Health Science and Research
Aim: Suicide is a person's voluntary self-harm. The cost factors that can be measured by money are defined as cost analysis. In this study, the cost analysis of the patients' emergency and hospital processes was investigated in the suicide actions in almost all of the referral, diagnosis and treatment processes in the Emergency Department (ED). Methods: In the study, the data of 18 years old and over 120 patients who had applied to the Emergency Department of Kanuni Sultan Süleyman Education and Research Hospital of Health Sciences University with suicide attempt and computer records were retrospectively evaluated. The cost of examination, examination, treatment and consultation recorded in each hospital's hospital automation system was evaluated. Results: The mean age of the patients was 30.35 ± 10.18, while there were more patients between the ages of 18-24. 73.3% of the patients were female and 56.7% of all patients were married. 10.8% of the patients had suicide history previously. The most frequent type of suicide attempt was drug or toxic substance intake (94.2%). 33.3% of the patients were asked for a psychiatric consultation. 53.3% of the patients were discharged with ED, 18.4% were given intensive care and 5% were hospitalized. Only one patient died in the ED. Costs of the patients in ED (average 172.25 ± 76.65 TL) were close to hospital cost values (76.50 ± 78.81 TL). There was a statistically significant relationship between the length of stay (LOS) in ED and service cost (r = 0.491, p = 0.001). Conclusion: Approximately half of the patients who applied with suicidal action completed the diagnosis and treatment process in ED. The LOS in the ED increases the total patient cost. New protocols should be developed in the diagnosis and follow-up of these patients.