Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Huzurevi Çalışanlarında Uyuz Farkındalığı ve Uyuz Korku Skalasının Değerlendirilmesi: Kesitsel Anket Çalışması
Evaluation of Scabies Awareness and Fear of Scabies Scale Among Geriatric Care Unit Staff: A Cross-Sectional Survey Study
Serap KÖRAN KARADOĞANa , Semra ÇIKMAN TOKERb
aİzmir Büyükşehir Belediyesi Eşrefpaşa Hastanesi, Deri ve Zührevi Hastalıkları Kliniği, İzmir, Türkiye
bBursa Şehir Hastanesi, Deri ve Zührevi Hastalıkları Kliniği, Bursa, Türkiye
Turkiye Klinikleri J Dermatol. 2025;35(2):35-42
doi: 10.5336/dermato.2024-106582
Article Language: TR
Full Text
ÖZET
 Amaç: Uyuz son yıllarda ülkemizde büyük bir sağlık sorunu hâline gelmiştir. Hastalık özellikle okullar, huzurevleri, hapishaneler, askeri koğuşlar gibi kalabalık yerlerde salgınlara yol açabilmektedir. Bu çalışmada huzurevinde hastalarla temas hâlinde bulunan sağlık personelinin uyuz konusunda farkındalığı ve korku düzeyi değerlendirilmiştir. Gereç ve Yöntemler: Bu çalışmada İzmir Büyükşehir Belediyesi Zübeyde Hanım Huzurevi'nde çalışan ve geriatrik populasyonla ve/veya eşyaları ile temas halinde olan 100 personele yüz yüze olarak 3 bölümlük bir anket uygulanmıştır. İlk bölümde personelin yaşı, cinsiyeti, görevi, eğitim düzeyi gibi özellikleri kaydedilmiştir. Diğer 2 bölümde uyuz farkındalığı ve korku düzeyi anketleri uygulandı. Bulgular: Toplam 100 personelin 63'ü acil tıp teknisyeni, hasta/yaşlı bakıcı, paramedik, hemşire, stajyer hemşire, fizyoterapist; 18'i psikolog, sosyolog, sosyal hizmet uzmanı ve sosyal çalışmacı sağlık memuru, teknikeri ve teknisyeni; 19'u temizlik görevlisi ve kuaför olarak çalışıyordu. Ortalama uyuz farkındalık puanı 26,09±4,6 idi. Farkındalık düzeyi personelin %50'sinde yüksek, %48'inde orta, %2'sinde düşük idi. Ortalama uyuz korku skalası puanı 29,26±3,55 idi. Korku düzeyi personelin %15'inde yüksekti. İstatistiksel olarak anlamlı olmamakla birlikte ilkokul ve ortaokul mezunu olanlarda farkındalık puanı ve korku düzeyi hafif yüksekti. Sonuç: Bu çalışmada, genel anlamda huzurevi personelinde uyuz konusunda bilgi ve farkındalık düzeyi iyi, korku düzeyi ise düşüktü. Ancak bulaş ve korunma gibi başlıklarda özellikle eğitim düzeyi daha düşük olanların ve bazı meslek gruplarının yanıtlarında bilgi eksiklikleri mevcuttu. Uyuzun daha sık görüldüğü ve salgınlara yol açabildiği huzurevlerinde uyuzla mücadelede personelin önemi büyük olduğu için, huzurevi çalışanlarına daha ayrıntılı ek eğitimlerin gerekli ve önemli olduğu sonucuna vardık.

Anahtar Kelimeler: Uyuz; huzurevi çalışanları; farkındalık; bilgi; korku
ABSTRACT
 Objective: Scabies has been a great health problem in our country throughout recent years. The disease causes epidemics particularly in overcrowded settings such as schools, geriatric care units, prisons and military wards. Here, the levels of awareness, knowledge and fear of scabies among health care staff working in a geriatric care unit have been evaluated. Material and Methods: A total of 100 subjects working in İzmir Metropolitan Municipality Zübeyde Hanım Geriatric Care Unit and in touch with the geriatric population and/or their fomites were requested to perform a questionnaire consisting of 3 main parts. The 1st part included demographic characteristics such as age, occupation in the facility, gender and education level. The other 2 parts were questionnaires of awareness and fear. Results: Sixty-three of 100 were emergency medical technicians, health caregivers, paramedics, nurses, trainee nurses, physiotherapists; 18 were psychologists, sociologists/social workers and medical officers, health technicians; 19 were cleaners and hair-dressers. The mean awareness score was 26.09±4.6. The level of awareness was high in 50%, moderate in 48% and low in 2% of the staff. The mean fear score was 29.26±3.55. The level of fear was high in 15% of the staff. Although not significant statistically, the awareness scores and the level of fear were relatively higher among subjects with lower education levels. Conclusion: In this study, the total score of awareness and knowledge was high, and the level of fear was low among our geriatric care unit staff. However there are still some unknowns especially for some subtitles such as contamination and prevention, particularly among staff with lower education levels and some occupational groups. Since the staff has an important role in struggling with scabies, which is obviously a more frequent entity, and may lead to epidemics in these units, we concluded that more detailed additional education programmes for the geriatric care unit staff are of critical importance and needed.

Keywords: Scabies; geriatric care unit staff; awareness; knowledge; fear
REFERENCES:
  1. Leung AKC, Lam JM, Leong KF. Scabies: a neglected global disease. Curr Pediatr Rev. 2020;16(1):33-42. [Crossref]  [PubMed] 
  2. Buehlmann M, Beltraminelli H, Strub C, Bircher A, Jordan X, Battegay M, et al. Scabies outbreak in an intensive care unit with 1,659 exposed individuals--key factors for controlling the outbreak. Infect Control Hosp Epidemiol. 2009;30(4):354-60. [PubMed] 
  3. Falay T, Gürel MS. Uyuz [Scabies]. Türkiye Klinikleri J Dermatol- Special Topics 2017;10(2):143-53. [Link] 
  4. Stoevesandt J, Carlé L, Leverkus M, Hamm H. Control of large institutional scabies outbreaks. J Dtsch Dermatol Ges. 2012;10(9):637-47. English, German. [PubMed] 
  5. Sule HM, Hassan ZI, Gyang MD, Yakubu K. Knowledge of scabies among cohort of medical students. Open Sci J Clin Med 2015;3(5):177-81. [Link] 
  6. Liu N, Bai Y, Li X, Zhang Y. Scabies knowledge among undergraduate nursing students in China: a questionnaire survey. Clin Cosmet Investig Dermatol. 2022;15:133-8. [Crossref]  [PubMed]  [PMC] 
  7. Lapeere H, Brochez L, De Weert J, Pasteels I, De Maeseneer J, Naeyaert JM. Knowledge and management of scabies in general practitioners and dermatologists. Eur J Dermatol. 2005;15(3):171-5. [PubMed] 
  8. Rathi SK, Rathi HS, Lakhani H, Hansotia MF. Awareness about scabies among general medical practitioners (GPs) of Karachi, Pakistan. J Pak Med Assoc. 2001;51(10):370-2. [PubMed] 
  9. Alharthi AS, Alsofyani MA, Alharthi WK, Alsalmi SA, Altalhi AS, Alswat KA. assessment of knowledge and fear of scabies in a Saudi population. J Multidiscip Healthc. 2021;14:1361-71. [Crossref]  [PubMed]  [PMC] 
  10. Jira SC, Matlhaba KL, Mphuthi DD. Healthcare users' knowledge and experiences regarding the management of scabies in the Deder district, Ethiopia. J Public Health Afr. 2023;14(11):2305. [Crossref]  [PubMed]  [PMC] 
  11. Alsaidan MS, Alhaqbani YJ, Alfaifi AM, Alotaibi FG, Alsomari AK, Alzhrani AA, et al. Assessing knowledge of scabies among physicians working in primary health care setting. J Family Med Prim Care. 2020;9(10):5320-6. [Crossref]  [PubMed]  [PMC] 
  12. Ahmed AE, Jradi H, AlBuraikan DA, ALMuqbil BI, Albaijan MA, Al-Shehri AM, et al. Rate and factors for scabies recurrence in children in Saudi Arabia: a retrospective study. BMC Pediatr. 2019;19(1):187. [Crossref]  [PubMed]  [PMC] 
  13. Bouvresse S, Chosidow O. Scabies in healthcare settings. Curr Opin Infect Dis. 2010;23(2):111-8. [Crossref]  [PubMed] 
  14. Cassell JA, Middleton J, Nalabanda A, Lanza S, Head MG, Bostock J, et al. Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes. Lancet Infect Dis. 2018;18(8):894-902. [Crossref]  [PubMed]  [PMC] 
  15. Micallef D, Boffa MJ. Worldwide prevalence of scabies: Some knowns but still many unknowns. J Eur Acad Dermatol Venereol. 2023;37(9):1687-8. [Crossref]  [PubMed] 
  16. Morrison EJ, Middleton J, Lanza S, Cowen JE, Hewitt K, Walker SL, et al. Do we know how scabies outbreaks in residential and nursing care homes for the elderly should be managed? A systematic review of interventions using a novel approach to assess evidence quality. Epidemiol Infect. 2019;147:e250. [Crossref]  [PubMed]  [PMC] 
  17. Sponselli S, De Maria L, Caputi A, Stefanizzi P, Bianchi FP, Delvecchio G, et al. Infection control among healthcare workers and management of a scabies outbreak in a large Italian University Hospital. J Clin Med. 2023;12(11):3830. [Crossref]  [PubMed]  [PMC] 
  18. White LC, Lanza S, Middleton J, Hewitt K, Freire-Moran L, Edge C, et al. The management of scabies outbreaks in residential care facilities for the elderly in England: a review of current health protection guidelines. Epidemiol Infect. 2016;144(15):3121-30. [Crossref]  [PubMed]  [PMC] 
  19. Hewitt KA, Nalabanda A, Cassell JA. Scabies outbreaks in residential care homes: factors associated with late recognition, burden and impact. A mixed methods study in England. Epidemiol Infect. 2015;143(7):1542-51. [Crossref]  [PubMed]  [PMC] 
  20. Makigami K, Ohtaki N, Ishii N, Tamashiro T, Yoshida S, Yasumura S. Risk factors for recurrence of scabies: a retrospective study of scabies patients in a long-term care hospital. J Dermatol. 2011;38(9):874-9. [PubMed] 
  21. Schmidt-Guerre AR, Aranda-Hulin B, Maumy-Bertrand M, Aubin F. Description des pratiques des médecins généralistes dans le diagnostic et la prise en charge de la gale commune [Diagnosis and treatment of scabies by general practitioners: a survey of practices in France]. Ann Dermatol Venereol. 2018;145(2):89-94. French. [Crossref]  [PubMed] 
  22. Walton SF, McBroom J, Mathews JD, Kemp DJ, Currie BJ. Crusted scabies: a molecular analysis of Sarcoptes scabiei variety hominis populations from patients with repeated infestations. Clin Infect Dis. 1999;29(5):1226-30. [Crossref]  [PubMed] 
  23. Alharbi AHH, Alrashdi MN, Alrashidi RN, Alighadaf G, Aljohani AM. Awareness about scabies symptoms, transmission ways and prevention among population in Al-Madinah Almunawarh, Saudi Arabia. Pharmacophore. 2018;9(6):1-10. [Link] 
  24. Bilal M, Abdell H, Medawi A, Mahmoud MA. Knowledge, attitude and practice in preventing transmission of scabies among Nurses Students at Sabia University College Jazan University 2018. Austin J Nurs Health Care. 2018;5(1):1043. [Link] 
  25. Alshehri OM, Alharbi RA, Alsoraya BM. Assessment of knowledge, attitude and practice towards scabies among medical students in Kingdom of Saudi Arabia, 2018. Egyp J Hosp Med. 2018;73(6):6897-9. [Link] 
  26. Rawat R, Thakur S. Lack of awareness and knowledge among people with scabies in a questionnaire based cross sectional and observational study. Int J Community Med Public Health 2020;7(2):595-8. [Crossref] 
  27. Ali A. An endemic of scabies in Kahuta, Azad Kashmir. The study shows a lack of awareness of scabies; mass treatment is needed. J Pak Med Assoc. 2017;67(9):1432-3. [PubMed] 
  28. Yusof MBM, Silvita FR, Damopolii Y. A study on knowledge, attitude and practice in preventing transmission of scabies in Pesantren Darul Fatwa, Jatinangor. AMJ. 2015;2(1):131-7. [Link] 
  29. Singg S. Scabies Awareness and Fear of Scabies Scale-10. J Clin Case Stu. 2015;1(1). [Crossref] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 154 - 153
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 197
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 197
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com