scholarly journals Comparative evaluation of consecutive antibiograms in Urinary isolates from indoor cases of Gynaecology ward, AMCH before and after implementation of Antibiotic policy

2021 ◽  
Vol 39 ◽  
pp. S4
Author(s):  
Arunjyoti Sarmah ◽  
Prapti Bora ◽  
Reema Nath
2011 ◽  
Vol 56 (2) ◽  
pp. 989-994 ◽  
Author(s):  
C. Plüss-Suard ◽  
A. Pannatier ◽  
C. Ruffieux ◽  
A. Kronenberg ◽  
K. Mühlemann ◽  
...  

ABSTRACTThe original cefepime product was withdrawn from the Swiss market in January 2007 and replaced by a generic 10 months later. The goals of the study were to assess the impact of this cefepime shortage on the use and costs of alternative broad-spectrum antibiotics, on antibiotic policy, and on resistance ofPseudomonas aeruginosatoward carbapenems, ceftazidime, and piperacillin-tazobactam. A generalized regression-based interrupted time series model assessed how much the shortage changed the monthly use and costs of cefepime and of selected alternative broad-spectrum antibiotics (ceftazidime, imipenem-cilastatin, meropenem, piperacillin-tazobactam) in 15 Swiss acute care hospitals from January 2005 to December 2008. Resistance ofP. aeruginosawas compared before and after the cefepime shortage. There was a statistically significant increase in the consumption of piperacillin-tazobactam in hospitals with definitive interruption of cefepime supply and of meropenem in hospitals with transient interruption of cefepime supply. Consumption of each alternative antibiotic tended to increase during the cefepime shortage and to decrease when the cefepime generic was released. These shifts were associated with significantly higher overall costs. There was no significant change in hospitals with uninterrupted cefepime supply. The alternative antibiotics for which an increase in consumption showed the strongest association with a progression of resistance were the carbapenems. The use of alternative antibiotics after cefepime withdrawal was associated with a significant increase in piperacillin-tazobactam and meropenem use and in overall costs and with a decrease in susceptibility ofP. aeruginosain hospitals. This warrants caution with regard to shortages and withdrawals of antibiotics.


Author(s):  
Deebah Choudhary

Aim: To evaluate the influence of various obturating techniques on retreatment teeth. Place and Duration of Study: Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Jammu and Kashmir, India between December 2019 and February 2020. Methodology: Sixty extracted mandibular premolars were randomly divided into three groups (n=20) based on the obturation technique adopted which endodontic treatment i.e., cold lateral compaction, thermoplasticized and GuttaFlow techniques. The samples were evaluated using micro-computed tomography for the volume before and after the retreatment to assess the remaining amount of filling material in the canals, and also the time taken for the removal of filling material during the retreatment. Data were analyzed using ANOVA followed by Post hoc test at P < 0.05. Results: The percentage of remaining filling material was between 17%-27%. The highest percentage of remaining filling material was seen in samples obturated with GuttaFlow (P < 0.05). The time required for retreatment was highly significant in thermoplasticized technique (P < 0.05). Conclusion: The type of obturating technique influenced the amount of filling material remained in the canal after retreatment and also the time taken during this removal.


Author(s):  
Bilal Ismael Hamad Ameen ◽  
Ali Fakhree Alzubaidee ◽  
Sarkawt Majid

Oral mucositis is a complication of systemic anticancer therapies. This study aimed at investigating the use of ice cubes and sodium bicarbonate mouthwash as a preventive and a treatment measure for oral mucositis in patients receiving systemic anticancer therapies. The two measures were given to 50 patients, 24 of whom already had oral mucositis at Oncology Department in Rizgary Teaching Hospital in Erbil/ Iraq. Patients’ grades for oral mucositis were recorded before and after receiving the two measures. After treatment of the 24 patients with Oral Mucositis, the number decreased to 9 patients. The grades of patients’ oral mucositis also decreased to lower grades The two measures were effective but sodium bicarbonate mouthwash was more significant effective as a treatment and preventive measure for oral mucositis (p=0.044) than ice cubes (p=0.022).


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