title: Predicting tularemia with clinical, laboratory and demographical findings in the ED.
abstract: BACKGROUND
  We aimed to determine clinical, laboratory and demographical characteristics of tularemia on admission to Emergency Department (ED).
  
  
  METHODS
  Medical data of 317 patients admitted to ED and subsequently hospitalized with suspected tularemia between January 1, 2011, and May 31, 2015, were collected. Patients were divided into 2 groups according to microagglutination test results, as tularemia (+) and tularemia (-).
  
  
  RESULTS
  Of the 317 patients involved, 49 were found to be tularemia (+) and 268 were tularemia (-). Mean age of the tularemia (+) patients was found to be higher than that of tularemia (-) patients. When compared to tularemia (-) patients, a significant portion of patients in tularemia (+) patients were elderly, living in rural areas and had contact with rodents. When clinical and laboratory findings of the 2 groups were compared, any statistical significance could not be determined.
  
  
  CONCLUSIONS
  Tularemia is a disease of elderly people living in rural areas. Contact with rodents also increases risk of tularemia in suspected patients.
authors.affiliation: Infectious Diseases, Hitit University Çorum Education and Research Hospital, Department of Infectious Diseases, Çorum, Turkey. Electronic address: drderyayapar@hotmail.com.
authors.forename: Derya
authors.initials: D
authors.lastname: Yapar
authors.affiliation: Emergency Medicine, Hitit University Çorum Education and Research Hospital, Department of Emergency Medicine, Bahçelievler Mah. 19200, Çorum, Turkey. Electronic address: akerenler@hotmail.com.
authors.forename: Ali Kemal
authors.initials: AK
authors.lastname: Erenler
authors.affiliation: Public Health, Ondokuzmayis University, Department of Public Health, Samsun, Turkey. Electronic address: ozlemzelterzi@hotmail.com.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Terzi
authors.affiliation: Infectious Diseases, Hitit University Çorum Education and Research Hospital, Department of Infectious Diseases, Çorum, Turkey. Electronic address: akdoganozlem@hotmail.com.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Akdoğan
authors.affiliation: Hitit University Çorum Education and Research Hospital, Department of Emergency Medicine, Çorum, Turkey. Electronic address: yasemin_dr@yahoo.com.
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Ece
authors.affiliation: Infectious Diseases, Hitit University Çorum Education and Research Hospital, Department of Infectious Diseases, Çorum, Turkey. Electronic address: nbaykam@yahoo.com.
authors.forename: Nurcan
authors.initials: N
authors.lastname: Baykam
mesh_terms: D000293:Adolescent; D000328:Adult; D000372:Agglutination Tests; D002648:Child; D002675:Child, Preschool; D003710:Demography; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011237:Predictive Value of Tests; D012307:Risk Factors; D014406:Tularemia / Q000175:diagnosis*