Health outcomes of older patients colonized by multi-drug resistant bacteria (MDRB): A one-year follow-up study

2013 ◽  
Vol 56 (1) ◽  
pp. 231-236 ◽  
Author(s):  
Didier Schoevaerdts ◽  
Jean-Philippe Agelas ◽  
Marie-Gabrielle Ingels ◽  
Jacques Jamart ◽  
Malorie Frennet ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Older Patients ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Follow Up Study ◽  
Drug Resistant Bacteria ◽  
One Year

scholarly journals Analysis of migration of pathogenic drug-resistant bacteria to soils and groundwater after fertilization with sewage sludge

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0256936
Author(s):  
Ewa Stańczyk-Mazanek ◽  
Longina Stępniak
Keyword(s):  
Sewage Sludge ◽  
Sandy Soil ◽  
Pathogenic Bacteria ◽  
Water Environment ◽  
Intestinal Bacteria ◽  
Time Frame ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Drug Resistant Bacteria ◽  
One Year

The paper discusses the analysis of the effect of using sewage sludge for fertilization on the level of soil and groundwater contamination with drug-resistant bacteria. Other sanitary contaminants in these environments were also analysed. Composted sewage sludge was introduced into the sandy soil over a period of 6 months. The examinations were conducted under conditions of a lysimetric experiment with the possibility of collecting soil leachates (in natural conditions). The following doses of sewage sludge were used: 0, 10, 20, 30 and 40 t/ha calculated per experimental object containing 10 kg of sandy soil. The research were carried out within the time frame of one year. Dactylis glomerata grass was grown on the fertilized soils. In soils and leachates from soils (which may have polluted groundwater) collected from fertilized experimental objects, the sanitary condition and quantity of drug-resistant bacteria (mainly from the families Enterobacteriaceae and Enterococcus) were analysed one year after fertilization. Their drug resistance to selected antibiotics was also analysed based on current recommendations. The study showed that fertilization with sewage sludge (even after stabilization and hygienization) results in contamination of soil and infiltrating waters with many species of drug-resistant pathogenic bacteria. The lowest level of contamination of soil and water environment was found after the application of sewage sludge at a dose of 10 t/ha. The isolated drug-resistant strains of intestinal bacteria were less sensitive to older generations of antibiotics including cefazolin, ampicillin, and co-amoxiclav.

Comparison of efficiency between VNS and ANT-DBS therapy in drug-resistant epilepsy: A one year follow up study

2021 ◽  
Vol 90 ◽  
pp. 112-117
Author(s):  
Jin Zhu ◽  
Xueyuan Wang ◽  
Cuiping Xu ◽  
Xi Zhang ◽  
Liang Qiao ◽  
...  
Keyword(s):  
Drug Resistant ◽  
Follow Up Study ◽  
Drug Resistant Epilepsy ◽  
One Year

scholarly journals Analysis of migration of pathogenic drug-resistant bacteria to soils and groundwater after fertilization with sewage sludge

2021 ◽  
Author(s):  
Ewa Stańczyk-Mazanek ◽  
Longina Stępniak
Keyword(s):  
Sewage Sludge ◽  
Sandy Soil ◽  
Dactylis Glomerata ◽  
Time Frame ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Natural Conditions ◽  
Sanitary Condition ◽  
Drug Resistant Bacteria ◽  
One Year

The paper discusses the analysis of the effect of using sewage sludge for fertilization on the level of soil and groundwater contamination with drug-resistant bacteria. Other sanitary contaminants in these environments were also analysed. Composted sewage sludge was introduced into the sandy soil over a period of 6 months. The examinations were conducted under conditions of a lysimetric experiment with the possibility of collecting soil leachates (in natural conditions). The following doses of sewage sludge were used: 0, 10, 20, 30 and 40 t/ha calculated per experimental object containing 10 kg of sandy soil. The research were carried out within the time frame of one year. Dactylis glomerata grass was grown on the fertilized soils. In soils and leachates from soils (which may have polluted groundwater) collected from fertilized experimental objects, the sanitary condition and quantity of drug-resistant bacteria (mainly from the families Enterobacteriaceae and Enterococcus ) were analysed one year after fertilization. Their drug resistance to selected antibiotics was also analysed based on current recommendations.

scholarly journals Implications of the Changing Pattern of Bacterial Infections following Total Joint Replacements

2005 ◽  
Vol 13 (2) ◽  
pp. 125-130 ◽  
Author(s):  
D Ip ◽  
SK Yam ◽  
CK Chen
Keyword(s):  
Positive Culture ◽  
Resistant Bacteria ◽  
Multiple Drug ◽  
Drug Resistant ◽  
Female Ratio ◽  
Total Hip ◽  
Multiple Drug Resistant ◽  
The Mean ◽  
One Year

Purpose. To retrospectively review the causative organisms isolated from infected hip and knee replacements requiring revision. Methods. We reviewed a consecutive series of 36 patients who underwent revision hip or knee arthroplasties due to bacterial infection at Pamela Youde Nethersole Eastern Hospital in Hong Kong between 1995 and 2003. The male to female ratio was 1:2, and the mean age of patients was 70 years (range, 54–82 years). The mean duration of follow-up was 3.8 years (range, 1.1–8.3 years). No patient was lost to follow-up. All 14 revision knee patients had previously undergone cemented and patella-resurfacing total knee arthroplasties. Of the 22 revision hip patients, 9 had cementless, 6 had cemented, and 7 had hybrid total hip arthroplasties previously. Results. None of the bacteria isolated from 1995 to 1996 were multiple-drug resistant. Subsequently, however, most of the isolates were multiple-drug resistant, with methicillin-resistant Staphylococcus aureus (MRSA) being the most common. Half of the isolates of Staphylococcus epidermidis and Escherichia coli demonstrated multiple-drug resistance. The incidence of positive culture in revision hip patients was 59%, 46% of which were MRSA. All 13 revision hips with positive cultures showed chronic sepsis: 4 occurred within one year and 10 occurred 2 or more years after the index arthroplasty. The incidence of positive culture in revision knee patients was 57%, 46% of which were MRSA. All 8 revision knees with positive cultures showed chronic sepsis: 3 occurred within one year, 5 occurred 2 or more years after the index arthroplasty. Only one patient, who was infected with gram-negative bacilli, required a second revision for residual sepsis. Harris hip scores for the revision hip patients improved from a mean of 65 (range, 55–75) to 85 (range, 75–90). Knee Society knee scores of the revision knee patients improved from a mean of 68 (range, 55–75) to 80 (range, 70–85). There were no radiological signs suggestive of loosening in the 2 groups at the latest follow-up. Conclusion. This study found a definite increase in multiple-drug–resistant bacteria isolated from periprosthetic infections around total hip and knee prostheses.

Frequency of drug consumption and falls in a one-year follow-up study among the inhabitants of nursing homes

2008 ◽  
Vol 149 (43) ◽  
pp. 2053-2059
Author(s):  
Mária Bényi ◽  
Zsuzsanna Kéki ◽  
Péter Rákos-Zichy ◽  
Vilmosné Panics ◽  
Ivett Honvéd
Keyword(s):  
Nursing Homes ◽  
Drug Consumption ◽  
Follow Up Study ◽  
One Year

Az időskori esések egészségügyi, szociális, gazdasági terhe igen jelentős napjainkban is. A demográfiai változások következtében a problémával továbbra is számolni kell. Európa-szerte nagy figyelem hárul az időskori balesetek megelőzésére. A szerzők egy európai uniós program keretében kutatást végeztek a szociális otthoni körülmények között élők esési gyakoriságáról, illetve annak okairól. Cél: A kutatás célja az volt, hogy az esések gyakoriságán kívül azok háttere is feltárásra kerüljön, különös tekintettel a gyógyszerfogyasztásra. Adatok, módszer: Egységes kérdőív alapján két szociális otthonban, amelyeknek együtt 1016 lakója van, egyéves vizsgálat történt. A munka során az ápolószemélyzet rögzített minden esést és azok körülményeit, következményeit. Az okok között kiemelt helyen szerepeltek a környezeti tényezők mellett a fogyasztott gyógyszerek. Ez utóbbiakat az elnevezésük alapján tovább vizsgáltuk, a hatásukat és az elesést okozó mellékhatásukat illetően. Az adatfeldolgozás SPSS 14.0 programmal történt. Eredmények: A szociális otthonok lakói között 1013 esés történt a 12 hónap során. Az esetek kétharmadában valamilyen egészségügyi ellátást igényelt az elesett személy. A leggyakrabban horzsolás, zúzódás, illetve bőrsérülés jött létre (20–24%). Combnyaktörés 3%-ban, egyéb törés 1,8%-ban következett be. Szinte minden lakó fogyaszt gyógyszert: 19% háromfélét vagy annál kevesebbet, a többség ennek a többszörösét. Az egy főre jutó maximális gyógyszerfogyasztás 19 volt, az átlag 6. Az esést okozó mellékhatások tekintetében a maximum 43 volt, az átlag 14. Az egyes mellékhatások gyakoriságát, halmozódását külön is bemutatjuk. Következtetések: Az időskori esések száma, aránya jelentős a szociális otthonban élők körében. Ennek egyik oka lehet az igen nagy mennyiségű gyógyszerfogyasztás, amelynek mellékhatása következtében nő az elesés rizikója.

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