Current practice of pre-anaesthesia preparation and perioperative parental satisfaction during paediatric ambulatory procedures in a developing country — An observational study

2020 ◽  
Vol 39 (5) ◽  
pp. 667-672
Author(s):  
Preethy J. Mathew ◽  
Sadikshya Regmi ◽  
Vighnesh Ashok ◽  
Prema Menon
Keyword(s):  
Observational Study ◽  
Developing Country ◽  
Current Practice ◽  
Parental Satisfaction ◽  
Ambulatory Procedures

scholarly journals Current Practice and Barriers to an Early Antimicrobial Conversion from Intravenous to Oral among Hospitalized Patients at Jimma University Specialized Hospital: Prospective Observational Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Alemseged Beyene Berha ◽  
Gizat Molla Kassie
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Current Practice ◽  
Significant Proportion ◽  
Severe Infection ◽  
Hospitalized Patients ◽  
P Values ◽  
Specialized Hospital ◽  
Jimma University ◽  
Clinical Stability

Objective. The aim of the present study was to explore the current practice and its barriers to an early antimicrobial conversion from intravenous (IV) to oral (PO) therapy among hospitalized patients.Method. Hospital based prospective observational study was conducted to assess the practice of an early antimicrobial IV to PO conversion and its barriers using medical chart and case-specific physicians’ interviews, respectively, from February to September, 2014. Patient charts and medication records were reviewed for appropriateness of IV to PO conversion program every 24hrs using a pretested data collection abstraction format. Independent samplest-test was used to compare the duration of therapy and time to clinical stability between converted and nonconverted patients. Two-tailed P values of < 0.05 were regarded as statistically significant.Results. One hundred forty-two patients were included in the study, of whom two-thirds (67.6%) of the patients were eligible for IV to PO antimicrobial conversion. However, only 20.9% of patients’ timely conversion was made. A shorter duration of IV therapy was recorded for converted (2.80±1.87) versus nonconverted patients (8.50±6.32), (P=0.009). The most important barriers of not converting IV to PO in clinically stable patients were presence of comorbidity; clinicians perceived that the patient should always complete IV course of antimicrobials as a standard practice.Conclusion. Conversion from IV to PO antimicrobials was found to be unnecessarily delayed in a significant proportion of patients hospitalized with moderate to severe infection due to a range of different barriers. Addressing these issues has the potential to reduce inappropriate antimicrobial use and resistance.

scholarly journals Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: A prospective observational study

2020 ◽  
Vol 11 ◽  
pp. 290
Author(s):  
Toyin Ayofe Oyemolade ◽  
Amos Olufemi Adeleye ◽  
Oluwakemi C. Ogunyileka ◽  
Folawemimo M. Arogundade ◽  
Ayodele J. Olusola ◽  
...  
Keyword(s):  
Health Literacy ◽  
Observational Study ◽  
Developing Country ◽  
Financial Constraints ◽  
Prospective Observational Study ◽  
Medical Advice ◽  
Contributory Factor ◽  
Against Medical Advice ◽  
Common Causes ◽  
Discharge Against Medical Advice

Background: In low-resource regions of the world, discharge against medical advice (DAMA) is one empiric contributory factor to poor in-hospital outcome that is not often mentioned. This study aims to investigate the determinants of DAMA from a rural neurosurgical service in a developing country. Methods: This was a prospective observational study of all patients who discharged against medical advice in our service between November 2018 and October 2019. Results: There were 88 patients, 67 (76.1%) males, in the study, (M:F = 3.2:1), representing 17.4% of our patient population in the study period. The peak incidence was in the 20–29 years age group which accounted for 37.5% of the cases. About 55% of the patients presented directly to our center; 31.8% were referred from other hospitals, while 3.4% came from traditional caregivers and 1.1% from religious homes. Head injury was the most common indication for presentation (76.1% of the cases). The duration of hospital stay ranged from 2 h to 14 days. Majority of the patients (87.5%) left the hospital within 8 h of presentation. The reason for DAMA was financial constraints in 50% of cases, inadequate health literacy in 20.5%, financial constraints and poor health literacy together in 12.5%, religious misgivings in 4.5%, and traditional belief in 2.3%. Neurotrauma was predictive of early DAMA (P = 0.001). Conclusion: The rate of DAMA was high in our study. Financial constraints with other socioeconomic limitations were the most common causes of DAMA in our environment.

scholarly journals Cost comparison of gynecologic procedures between the US and a developing country: An observational study

2020 ◽  
Author(s):  
Bassel Abouzeid ◽  
Georges Elhasbany ◽  
Jawad Abouzeid ◽  
souheil Hallit ◽  
Karl Jallad
Keyword(s):  
Observational Study ◽  
Developing Country ◽  
Cost Comparison ◽  
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