RESEARCH ARTICLE
Nobel Med 2026; 22(1): 35-45
FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem AydınABSTRACT
Material and Method: This retrospective single-center cohort study was conducted on 105 patients who followed up for Skin Soft Tissue Infections (SSTIs) at Prof. Dr. Süleyman Yalçın Göztepe City Hospital between 2021 and 2022. Demographic, clinical, laboratory, imaging, and treatment data were collected. Patients were grouped by hospital stay length: <14 days and ≥14 days. Group comparison was made using chi-square and Student’s t-test or Mann–Whitney U test. Univariable and multivariable logistic regression analyses were conducted.
Results: The mean age was 61.3±16.2 years old (48.6% female). Comorbidities were present in 87.6%, especially diabetes (50.5%) and hypertension (40%). SSTIs mainly affected the lower extremities (71.4%). Erythema (87.6%), fever (43.8%), and warmth (42.9%) were the most common symptoms. Cellulitis (66.7%) and diabetic foot infections (22.9%) were the main diagnoses. Prior antibiotic use was reported in 62.9%. Tissue cultures were positive in 72.2% of the 54 cases, frequently identifying Enterococcus faecalis and Staphylococcus aureus. Empirical treatments included piperacillin-tazobactam and clindamycin; 38.1% required antibiotic changes. Median hospital stay was 8 days; 24.8% stayed ≥14 days. Longer stays were significantly associated with diabetes (39.6% vs. 9.6%, p=0.001), abnormal Doppler ultrasound (38.7% vs. 10.0%, p=0.01), and need for surgery (85.7% vs. 20.4%, p=0.001). CRP values were significantly higher in patients hospitalized for long periods. Culture positivity and pathogen type did not affect length of stay.
Conclusion: Identifying high-risk patients early, using imaging and culture-guided therapy, and timely surgical intervention can help reduce hospital stays and improve outcomes in SSTI cases.
MEASUREMENT OF MONTELUKAST AND LEVOCETIRIZINE SERUM LEVELS IN ALLERGIC RHINITIS PATIENTS AND INVESTIGATION OF THEIR EFFECTS ON TREATMENT
05-11Ümmügülsüm Can, Fatma Humeyra Yerlikaya Aydemir, Duygu Eryavuz Onmaz, Cengiz Burnik
RESEARCH ARTICLE Nobel Med 2026; 22(1): 5-11THE MEDIATING ROLE OF ABUSIVE MANAGEMENT IN THE EFFECT OF CYBER OSTRACISM ON WORKPLACE LONELINESS
12-22Funda Öztürk, Selma Doğanalp Çoban, Ayşe İspirli Turan
RESEARCH ARTICLE Nobel Med 2026; 22(1): 12-22EXAMINATION OF THE RELATIONSHIP BETWEEN PROBLEMATIC INTERNET USE AND EATING ATTITUDES AND SELF-HARM BEHAVIOR IN HIGH SCHOOL STUDENTS
23-34Batuhan Horasan, Selma Karabey, Nurhan Meydan Acımış, Sevgi Canbaz
RESEARCH ARTICLE Nobel Med 2026; 22(1): 23-34FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY
35-45Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın
RESEARCH ARTICLE Nobel Med 2026; 22(1): 35-45COMBINING HIGH-FIDELITY SIMULATION AND STANDARDIZED PATIENT SIMULATION AS A HYBRID TEACHING STRATEGY: EFFECTS ON NURSING STUDENTS’ ANXIETY, KNOWLEDGE, AND SKILLS
46-54Atiye Erbaş, Sevilay Şenol Çelik
RESEARCH ARTICLE Nobel Med 2026; 22(1): 46-54THE EFFECT OF SMARTPHONE ADDICTION LEVEL ON NECK PAIN, FUNCTIONAL STATUS, AND MUSCLE ACTIVATION
55-63Menekşe Şafak, Zeliha Başkurt, Ferdi Başkurt, Hasan Rifat Koyuncuoğlu
RESEARCH ARTICLE Nobel Med 2026; 22(1): 55-63FRANCHISING IN HEALTHCARE MANAGEMENT
64-72Aygül Yanık, İpek Bilgin
REVIEW Nobel Med 2026; 22(1): 64-72A SIGNIFICANT CONTRIBUTION TO THE DEVELOPMENT OF NURSING IN TURKEY: THE ACTIVITIES OF SAFIYE HÜSEYİN ELBİ (1882-1964)
73-78Banu Berber Babalık
A PORTRAIT Nobel Med 2026; 22(1): 73-78LIVER AND SYSTEMIC DISEASES
05-09Sebati Özdemir
REVIEW Nobel Med 2013; 9(2): 5-9AGING KIDNEY: SENESCENCE OR DISEASE?
10-14Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk
REVIEW Nobel Med 2013; 9(2): 10-14IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS
15-20Faruk Sönmezışık, Esma Sürmen Gür, Burak Asıltaş
RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER
21-25Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan
RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25COMPARISON OF RISK INDEXES USED IN DETERMINING THE POSTOPERATIVE RESPIRATORY INSUFFICIENCY RISK
26-31Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı
RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT
32-37Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir
RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37REOPERATIONS AND MORBIDITY IN THYROID SURGERY
38-42Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin
RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY
43-46İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun
RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY
47-51İbak Gönen
RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES
52-56Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu
RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56-
Pubmed Style
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın. [FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY]. Nobel Med 2026; 22(1): 35-45, English. -
Web Style
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın. [FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], English. -
AMA (American Medical Association) Style
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın. [FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY]. Nobel Med 2026; 22(1): 35-45, English. -
Vancouver/ICMJE Style
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın. [FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY]. Nobel Med (2026); 22(1): 35-45, [cited Mayıs 24, 2021], English. -
Harvard Style
Hülya Çaşkurlu, Merve Sarı, Sevim Güngören Ocak, Halenur Vural Akbal, Ahmet Naci Emecen, Kadriye Savurmuş, Yasemin Çağ, Pınar Ergen, Özlem Aydın. (2026) [FACTORS INFLUENCING PROLONGED HOSPITALIZATION IN SKIN AND SOFT TISSUE INFECTIONS: A SINGLE-CENTRE RETROSPECTIVE COHORT STUDY]. Nobel Med, 22(1): 35-45, English.