Turkiye Klinikleri Journal of Veterinary Sciences

.: REVIEW
Overview of Listeria Monocytogenes as a Foodborne Pathogen: Traditional Review
Gıda Kaynaklı Bir Patojen Olarak Listeria Monocytogenes'e Genel Bakış: Geleneksel Derleme
Zeki EROLa, Fulya TAŞÇIb
aExperimental Animal Production and Experimental Research Center, Burdur Mehmet Akif Ersoy University, Burdur, TURKEY
bDepartment of Food Hygiene and Technology, Burdur Mehmet Akif Ersoy University Faculty of Veterinary, Burdur, TURKEY
Turkiye Klinikleri J Vet Sci. 2021;12(1):37-48
doi: 10.5336/vetsci.2020-78126
Article Language: EN
Full Text
ABSTRACT
There are more than 200 diseases caused by microorganisms such as bacteria, viruses and parasites, which are taken with foods and cause 600 million people to fall ill and about 420 thousand of them lose their lives. These factors arise due to the failure of the heat treatment of the ready to eat foods. One of them, L. monocytogenes, known for many years, is a biofilm-capable psychrophic bacteria with a wide range of physiological response mechanisms that can adapt to different stress conditions. It draws attention with its high mortality rate compared to many other bacteria, especially in pregnant women, the elderly and children. Despite this, it still has not created sufficient awareness among consumers. In addition, it plays an important role in increasing antibiotic resistance in antibiotics used in the poultry industry. This review aims to give information about general features of L. monocytogenes, virulence factors, biofilm resistance and inactivation, prevalence, antibiotic resistance and disease status in humans.

Keywords: Biofilm; listeriosis; prevalance; virulence
ÖZET
Gıdalar ile alınarak, her yıl 600 milyon kişinin hastalanmasına ve bu kişilerin yaklaşık 420 bininin ölümüne neden olan bakteri, virüs ve parazit gibi mikroorganizmalardan kaynaklı 200'den fazla hastalık etkeni bulunmaktadır. Özellikle tüketime hazır gıdaların ısı işlemi uygulanmamasına bağlı olarak bu etkenler ortaya çıkmaktadır. Bunlardan biri olan ve yıllardan beri bilinen Listeria monocytogenes, farklı stres koşullarına karşı adaptasyon sağlayabilen çok çeşitli fizyolojik yanıt mekanizmalarına sahip, biyofilm oluşturabilen psikrotrof özellikte bir bakteridir. Diğer birçok bakteriye göre özellikle hamile kadınlar, yaşlılar ve çocuklar üzerindeki ölüm oranının yüksekliğiyle dikkat çekmektedir. Buna rağmen hâlen tüketiciler arasında yeterli farkındalığı sağlayamamıştır. Bunun yanında kanatlı sektöründe kullanılan antibiyotiklerde, antibiyotik direncinin artmasında önemli rol oynamaktadır. Bu derlemede, L. monocytogenes'in genel özellikleri, virulens faktörleri, biyofilm direnci ve inaktivasyonu, prevalansı, antibiyotik direnci ve insanlarda oluşturdurğu hastalık durumuyla ilgili bilgiler verilmesi amaçlanmıştır.

Anahtar Kelimeler: Biyofilm; listeriosis; prevalans; virulens
REFERENCES:
  1. World Health Organization [İnternet]. © 2020 WHO. [Erişim tarihi:15.03.2020] Food safety. Erişim linki: [Link] 
  2. Shamloo E, Hosseini H, Abdi Moghadam Z, Halberg Larsen M, Haslberger A, Alebouyeh M. Importance of Listeria monocytogenes in food safety: a review of its prevalence, detection, and antibiotic resistance. Iran J Vet Res. 2019;20(4):241-54. [PubMed]  [PMC] 
  3. Buchanan RL, Gorris LG, Hayman MM, Jackson TC, Whiting RC. A review of Listeria monocytogenes: an update on outbreaks, virulence, dose-response, ecology, and risk assessments. Food Control. 2017;75:1-13. [Crossref] 
  4. Gandhi M, Chikindas ML. Listeria: a foodborne pathogen that knows how to survive. Int J Food Microbiol. 2007;1;113(1):1-15. [Crossref]  [PubMed] 
  5. Karina P, Victoria B. Listeria monocytogenes outbreaks: epidemiological update and control possibilities. Listeria Monocytogenes: Incidence, Growth Behavior and Control. UK ed. New York: Nova Science Publishers; 2015. p.59-69. [Link] 
  6. Magalhaes R, Mena C, Ferreira V, Silva J, Almeida G, Gibbs P, et al. Bacteria: Listeria monocytogenes. In: Motarjemi Y, Moy G, Todd E, eds. Encyclopedia of Food Safety. 1st ed. Amsterdam: Academic Pres; 2014. p.450-61. [Crossref]  [PubMed] 
  7. Rees CED, Doyle L, Taylor CM. Listeria monocytogenes. In: Dodd C, Aldsworth TG, Stein RA, eds. Foodborne Diseases (Food Science and Technology). 3rd ed. San Diego, CA: Academic Press; 2017. p.253-76. [Crossref] 
  8. Wagner M McLauchlin J. Biology. In: Liu D, ed. Handbook of Listeria monocytogenes. 1st ed. Newyork: CRC Press; 2008. p.3-20. [Crossref]  [PMC] 
  9. Valladares GL. Human listeriosis-grouping of human Listeria monocytogenes isolates with pfge and asci restriction enzyme. [Doktora Tezi]. Finland: Department of Food Hygiene and Environmental Health Faculty of Veterinary Medicine University of Helsinki; 2019. [Erişim Tarihi: 20.04.2020]. Erişim linki: [Link] 
  10. Ward TJ, Ducey TF, Usgaard T, Dunn KA, Bielawski JP. Multilocus genotyping assays for single nucleotide polymorphism-based subtyping of Listeria monocytogenes isolates. Appl Environ Microbiol. 2008;74(24):7629-42. [Crossref]  [PubMed]  [PMC] 
  11. Orsi RH, den Bakker HC, Wiedmann M. Listeria monocytogenes lineages: genomics, evolution, ecology, and phenotypic characteristics. Int J Med Microbiol. 2011;301(2):79-96. [Crossref]  [PubMed] 
  12. Camejo A, Carvalho F, Reis O, Leitão E, Sousa S, Cabanes D. The arsenal of virulence factors deployed by Listeria monocytogenes to promote its cell infection cycle. Virulence. 2011;2(5):379-94. [Crossref]  [PubMed] 
  13. Paramithiotis S, Hadjilouka A, Drosinos EH. Listeria pathogenicity island 1: structure and functions. In: Hambrick EC, ed. Listeria monocytogenes: Food Sources, Prevalence and Management Strategies. 1st ed. New York: Nova Science Publishers; 2014. p.265-80. [Link] 
  14. Dussurget O, Pizarro-Cerda J, Cossart P. Molecular determinants of Listeria monocytogenes virulence. Annu Rev Microbiol. 2004;58:587-610. [Crossref]  [PubMed] 
  15. Datta AR. Listeria monocytogenes. In: Miliotis MD, Bier JW, eds. International Handbook of Foodborne Pathogens. 3rd ed. New York-Basel: Marcel Dekker Inc; 2003. p.105-22. [Link] 
  16. Kocot AM, Olszewska MA. Biofilm formation and microscopic analysis of biofilms formed by Listeria monocytogenes in a food processing context. LWT-Food Sci Technol. 2017;84(8):47-57. [Crossref] 
  17. Jadhav S, Gulati V, Bhave M, Palombo EA. Prevalence and control of Listeria monocytogenes in Food processing environments. In: Hambrick EC, ed. Listeria monocytogenes: Food Sources, Prevalence and Management Strategies. 1st ed. New York, USA: Nova Science Publishers; 2014. p.167-203. [Link] 
  18. Ashraf MA, Ullah S, Ahmad I, Qureshi AK, Balkhair KS, Abdur Rehman M. Green biocides, a promising technology: current and future applications to industry and industrial processes. J Sci Food Agric. 2014;94(3):388-403. [Crossref]  [PubMed] 
  19. Bridier A, Sanchez-Vizuete P, Guilbaud M, Piard JC, Naïtali M, Briandet R. Biofilm-associated persistence of food-borne pathogens. Food Microbiol. 2015;45(Pt B): 167-78. [Crossref]  [PubMed] 
  20. Lu TK, Collins JJ. Dispersing biofilms with engineered enzymatic bacteriophage. Proc Natl Acad Sci U S A. 2007;3;104(27):11197-202. [Crossref]  [PubMed]  [PMC] 
  21. Korea CG, Ghigo JM, Beloin C. The sweet connection: solving the riddle of multiple sugar-binding fimbrial adhesins in Escherichia coli: multiple E. coli fimbriae form a versatile arsenal of sugar-binding lectins potentially involved in surface-colonisation and tissue tropism. Bioessays. 2011;33(4):300-11. [Crossref]  [PubMed] 
  22. Ni N, Li M, Wang J, Wang B. Inhibitors and antagonists of bacterial quorum sensing. Med Res Rev. 2009;29(1):65-124. [Crossref]  [PubMed] 
  23. Bucur FI, Grigore-Gurgu L, Crauwels P, Riedel CU, Nicolau AI. Resistance of Listeria monocytogenes to stress conditions encountered in food and food processing environments. Front Microbiol. 2018;13;9:2700. [Crossref]  [PubMed]  [PMC] 
  24. Liu D. Identification, subtyping and virulence determination of Listeria monocytogenes, an important foodborne pathogen. J Med Microbiol. 2006;55(Pt 6):645-59. [Crossref]  [PubMed] 
  25. Ferreira V, Wiedmann M, Teixeira P, Stasiewicz MJ. Listeria monocytogenes persistence in food-associated environments: epidemiology, strain characteristics, and implications for public health. J Food Prot. 2014;77(1):150-70. [Crossref]  [PubMed] 
  26. Kaptchouang Tchatchouang CD, Fri J, De Santi M, Brandi G, Schiavano GF, Amagliani G, et al. Listeriosis outbreak in South Africa: a comparative analysis with previously reported cases worldwide. Microorganisms. 2020;17;8(1):135. [Crossref]  [PubMed]  [PMC] 
  27. Molla B, Kleer J, Sinell HJ. Antibiotic resistance pattern of foodborne Salmonella isolates in Addis Ababa (Ethiopia). Berl Munch Tierarztl Wochenschr. 1999;112(2):41-3. [PubMed] 
  28. Alemayehu D, Molla B, Muckle A. Prevalence and antimicrobial resistance pattern of Salmonella isolates from apparently healthy slaughtered cattle in Ethiopia. Trop Anim Health Prod. 2003;35(4):309-19. [PubMed] 
  29. Lianou A, Sofos JN. A review of the incidence and transmission of Listeria monocytogenes in ready-to-eat products in retail and food service environments. J Food Prot. 2007;70(9):2172-98. [Crossref]  [PubMed] 
  30. İşleyici Ö, Sancak YC, Tuncay RM, Atlan M. Presence of Listeria species in ready-made meatballs offered by sale under freezing or cooling preservation. Ankara Üniv Vet Fak Derg. 2019;66(3):280-8. [Crossref] 
  31. Di Pinto A, Novello L, Montemurro F, Bonerba E, Tantillo G. Occurrence of Listeria monocytogenes in ready-to-eat foods from supermarkets in Southern Italy. New Microbiol. 2010;33(3):249-52. [PubMed] 
  32. Büyükünal SK, Şakar FŞ, Turhan I, Erginbaş Ç, Altunatmaz SS, Aksu, YF, Eker EY, Kahraman T. Presence of Salmonella spp, Listeria monocytogenes, Escherichia coli O157 and nitrate-nitrite residue levels in Turkish traditional fermented meat products (sucuk and pastırma). Kafkas Univ Vet Fak Derg. 2016;22(2):233-6. [Crossref] 
  33. Angelidis AS, Koutsoumanis K. Prevalence and concentration of Listeria monocytogenes in sliced ready-to-eat meat products in the Hellenic retail market. J Food Prot. 2006;69(4):938-42. [Crossref]  [PubMed] 
  34. Vitas AI, Garcia-Jalon VA. Occurrence of Listeria monocytogenes in fresh and processed foods in Navarra (Spain). Int J Food Microbiol. 2004;1;90(3):349-56. [Crossref]  [PubMed] 
  35. Acargil M. [Determination of Salmonella and Listeria Monocytogenes in Hot Smoked and Vacuum Packed Rainbow Trout Fillets]. [Yüksek Lisans Tezi]. Aydın: Adnan Menderes Üniversitesi; 2015. [Erişim Tarihi: 13.06.2021]. Erişim linki: [Link] 
  36. Loncarevic S, Tham W, Danielsson-Tham ML. Prevalence of Listeria monocytogenes and other Listeria spp.in smoked and 'gravad' fish. Acta Vet Scand. 1996;37(1):13-8. [Crossref]  [PubMed]  [PMC] 
  37. Dominguez C, Gomez I, Zumalacarregui J. Prevalence and contamination levels of Listeria monocytogenes in smoked fish and pâté sold in Spain. J Food Prot. 2001;64(12):2075-7. [Crossref]  [PubMed] 
  38. Gombas DE, Chen Y, Clavero RS, Scott VN. Survey of Listeria monocytogenes in ready-to-eat foods. J Food Prot. 2003;66(4):559-69. [Crossref]  [PubMed] 
  39. Gözütok E. Karadeniz kaynaklı balıklardan izole edilen Listeria monocytogenes suşlarının virülens özelliklerinin incelenmesi. [Doktora Tezi]. İstanbul: İstanbul Üniversitesi; 2019. [Erişim Tarihi: 13.06.2021]. Erişim linki: [Link] 
  40. Altun SK. Keçi sütlerinde listeria pp. prevalansı ve virülent Listeria monocytogenes' in real-time PCR ile belirlenmesi. [Prevalance of Listeria spp. and detection of virulent Listeria monocytogenes in goat milk by real-time PCR]. MAE Vet Fak Derg. 2017;2(1):41-6. [Crossref] 
  41. Şanlıbaba P, Tezel BU, & Çakmak GA. Detection of Listeria spp. in raw milk and dairy products retailed in Ankara. Gıda. 2018;43(2):273-82. [Crossref] 
  42. Frye C, Donnelly CW. Comprehensive survey of pasteurized fluid milk produced in the United States reveals a low prevalence of Listeria monocytogenes. J Food Prot. 2005;68(5):973-9. [Crossref]  [PubMed] 
  43. Soriano JM, Rico H, Moltó JC, Ma-es J. Listeria species in raw and ready-to-eat foods from restaurants. J Food Prot. 2001;64(4):551-3. [Crossref]  [PubMed] 
  44. Kara R, Acaröz U, Gürler Z, Soylu A, Küçükkurt O. Taze marul örneklerinde Escherichia coli O157 ve Listeria monocytogenes varlığının belirlenmesi. [Determination of the presence of Escherichia coli O157 and Listeria monocytogenes in]. Avrupa Bilim ve Teknoloji Dergisi. 2019;16:871-3. [Crossref] 
  45. Mena C, Almeida G, Carneiro L, Teixeira P, Hogg T, Gibbs PA. Incidence of Listeria monocytogenes in different food products commercialized in Portugal. Food Microbiol. 2004;21(2):213-6. [Link] 
  46. Chen M, Wu Q, Zhang J, Wu S, Guo W. Prevalence, enumeration, and pheno- and genotypic characteristics of Listeria monocytogenes isolated from raw foods in South China. Front Microbiol. 2015;29;6:1026. [Crossref]  [PubMed]  [PMC] 
  47. Lee S, Çetinkaya F, Soyutemiz GE. İhracata yönelik üretilen bazı gıdalarda Listeria monocytogenes varlığının araştırılması. [Investigation on the presence of Listeria monocytogenes in some foods produced for exporting]. İstanbul Üniv Vet Fak Derg. 2007;33(2):1-11. [Link] 
  48. Letchumanan V, Wong PC, Goh BH, Ming LC, Pusparajah P, Wong SH, et al. A review on the characteristics, taxanomy and prevalence of Listeria monocytogenes. Prog Biophys Mol Biol. 2018;1(1):a0000007. [Crossref] 
  49. Centers for Disease Control and Prevention [İnternet]. [Erişim tarihi: 07.03.2020]. Listeria (Listeriosis). Erişim linki: [Link] 
  50. Crim SM, Iwamoto M, Huang JY, Griffin PM, Gilliss D, Cronquist AB, et al; Centers for Disease Control and Prevention (CDC). Incidence and trends of infection with pathogens transmitted commonly through food--Foodborne Diseases Active Surveillance Network, 10 U.S. sites, 2006-2013. MMWR Morb Mortal Wkly Rep. 2014;18;63(15):328-32. [PubMed]  [PMC] 
  51. European Centre for Disease Prevention and Control [İnternet]. © European Centre for Disease Prevention and Control (ECDC) 2020. [Erişim tarihi: 16.03.2020]. Listeriosis - annual epidemiological report. Erişim linki: [Link] 
  52. European Centre for Disease Prevention and Control [İnternet]. [Erişim tarihi: 16.03.2020]. Listeriosis - annual epidemiological report. Erişim linki: [Link] 
  53. Europan Food Safety Authority. The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2017. EFSA Journal 2018;16(12):5500. [Crossref]  [PubMed]  [PMC] 
  54. Das A. Listeriosis in Australia-January to July. Global Biosecurity. 2019;1(1):150-8. [Crossref] 
  55. National Institute for Communicable Diseases [İnternet]. © NICD 2020. [Erişim tarihi: 09.07.2020]. Listeriosis outbreak situation report. Erişim linki: [Link] 
  56. National Institute for Communicable Diseases [İnternet]. © NICD 2020. [Erişim tarihi: 09.07.2020]. Listeriosis cases: South Africa. Erişim linki: [Link] 
  57. Feng Y, Wu S, Varma JK, Klena JD, Angulo FJ, Ran L. Systematic review of human listeriosis in China, 1964-2010. Trop Med Int Health. 2013;18(10):1248-56. [Crossref]  [PubMed] 
  58. Fan Z, Xie J, Li Y, Wang H. Listeriosis in mainland China: a systematic review. Int J Infect Dis. 2019;81:17-24. [Crossref]  [PubMed] 
  59. Okutani A, Okada Y, Yamamoto S, Igimi S. Overview of Listeria monocytogenes contamination in Japan. Int J Food Microbiol. 2004;1;93(2):131-40. [Crossref]  [PubMed] 
  60. Özgenç O, Çoşkuner SA, Demirci M, Sop G, Avcı M. Listeriyoz ve infeksiyon acilleri: üç olgu. [Listeriosis and infectious disease emergencies: three cases]. Flora. 2014;19(2):96-9. [Link] 
  61. Doganay M. Listeriosis: clinical presentation. FEMS Immunol Med Microbiol. 2003;1;35(3):173-5. [Crossref]  [PubMed] 
  62. Yavuz M, Korukluoğlu M. Listeria monocytogenes'in gıdalardaki önemi ve insan sağlığı üzerine etkileri. [The importance of Listeria monocytogenes in foods and its effect on human health]. Bursa Uludag Üniv Ziraat Fak Derg. 2010;24(1):1-10. [Link] 
  63. Centers for Disease Control and Prevention [İnternet]. [Erişim tarihi: 03.09.2020]. Listeria outbreaks. Erişim linki: [Link] 
  64. World Health Organisation [İnternet]. © 2020 WHO. [Erişim tarihi: 04.09.2020]. Listeriosis-Spain. Erişim linki: [Link] 
  65. European Centre for Disease Prevention and Control [İnternet]. © European Centre for Disease Prevention and Control 2020. [Erişim tarihi: 01.09.2020]. Multi-country outbreak of Listeria monocytogenes clonal complex 8 infections linked to consumption of cold-smoked fish products. Erişim linki: [Link] 
  66. European Centre for Disease Prevention and Control [İnternet]. © European Centre for Disease Prevention and Control (ECDC) 2020. [Erişim tarihi: 01.09.2020]. Multi-country outbreak of Listeria monocytogenes sequence type 8 infections linked to consumption of salmon products. Erişim linki: [Link] 
  67. European Centre for Disease Prevention and Control [İnternet]. © European Centre for Disease Prevention and Control (ECDC) 2020. [Erişim tarihi: 01.09.2020]. Rapid risk assessment: multi-country outbreak of Listeria monocytogenes serogroup IVb, multi-locus sequence type 6, infections probably linked to frozen corn. Erişim linki: [Link] 
  68. European Centre for Disease Prevention and Control [İnternet]. © European Centre for Disease Prevention and Control (ECDC) 2020. [Erişim tarihi: 01.09.2020]. Epidemiological update: multi-country outbreak of Listeria monocytogenes PCR serogroup IVb, MLST 6. Erişim linki: [Link] 
  69. Gelbíčová T, Zobaníková M, Tomá?tíková Z, Van Walle I, Ruppitsch W, Karpí?ková R. An outbreak of listeriosis linked to turkey meat products in the Czech Republic, 2012-2016. Epidemiol Infect. 2018;146(11):1407-12. [Crossref]  [PubMed] 
  70. Makino SI, Kawamoto K, Takeshi K, Okada Y, Yamasaki M, Yamamoto S, et al. An outbreak of food-borne listeriosis due to cheese in Japan, during 2001. Int J Food Microbiol. 2005;104(2):189-96. [Crossref]  [PubMed] 
  71. Schoder D. Listeria: Listeriozis. In: Caballero B, Finglas PM, Toldra F, eds. Encyclopedia of Food and Health. 1st ed. Oxford; Waltham, MA: Acedemic Press; 2016. p.561-66. [Link] 
  72. Farley MM. Etiologic agents of ınfectious diseases, bacteria, gram pozitif bacilli, Listeria monocytogenes. In: Long SS, Prober CG, Fischer M eds. Principles and Practice of Pediatric Infectious Diseases. 5th ed. Canada: Elseiver; 2017. p.781-5. [Crossref] 
  73. Maia RL, Teixeira P, Mateus TL. Risk communication strategies (on listeriosis) for high-risk groups. Trends Food Sci Technol. 2019;84:68-70. [Crossref] 
  74. Xu W, Cater M, Gaitan A, Drewery M, Gravois R, Lammi-Keefe CJ. Awareness of Listeria and high-risk food consumption behavior among pregnant women in Louisiana. Food Control. 2017;76:62-5. [Crossref] 
  75. Preußel K, Milde-Busch A, Schmich P, Wetzstein M, Stark K, Werber D. Risk factors for sporadic non-pregnancy associated listeriosis in Germany-immunocompromised patients and frequently consumed ready-to-eat products. PLoS One. 2015;23;10(11): e0142986. Erratum in: PLoS One. 2016;11(10): e0165990. [Crossref]  [PubMed]  [PMC] 

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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