Effect of Outside Provider Interventions on Severity and Management of Odontogenic Infections in a Hospital Setting

2020 ◽  
Vol 78 (10) ◽  
pp. e70-e71
Author(s):  
H. Afwerke-Lynch ◽  
M. Sabino ◽  
L. Christensen ◽  
S. McGowan ◽  
L. Svoboda
Keyword(s):  
Hospital Setting ◽  
Odontogenic Infections

Pediatric Odontogenic Infections and Prescription Antibiotic Use

2020 ◽  
Author(s):  
Keri Discepolo
Keyword(s):  
Clinical Presentation ◽  
Vital Signs ◽  
Hospital Setting ◽  
Retrospective Chart Review ◽  
Antibiotic Use ◽  
High Variability ◽  
Odontogenic Infections ◽  
Prescription Practices ◽  
Different Types

Objectives: In the past several years worldwide, the discussion has developed about antibiotic resistance. Dentists, although a small percentage of the prescribers of antibiotics, can play a role in reducing antibiotic use and therefore help address this growing problem. Highly variable prescription practices illustrate the dentist’s contribution to the overuse of antibiotics. An investigation into antibiotic use and subsequent effects on clinical presentation odontogenic infections. Described are the variances in the clinical presentation of subjects who received antibiotics and those that had no antimicrobial therapy before presentation in the hospital setting. Methods: A retrospective chart review was conducted for subjects who presented with odontogenic infections to a children’s hospital emergency department. Variables collected were: pre-hospital antibiotic use, vital signs on admission, site of infection, quality of infection, and dental involvement. Results: 112 subjects: 73 male and 39 females. 49 received pre-hospital antibiotics while 63 did not have previous antibiotic therapy. Pre-hospital antimicrobials consisted of 10 different types of antibiotic therapies. No significance was found between the two groups and the clinical presentation of infection or admission vital signs. Conclusion: High variability of antibiotic use for orofacial infections was observed including the type of antimicrobial utilized and prescribing provider (non-dentist). This study provided information correlating patient physiology and the lack of clinical impact by pre-hospital antibiotic use. Due to high variability in providers' type administering antibiotic prescriptions and irregular drug and dosage practices, detailed practice guidelines and antibiotic stewardship programs should be augmented for assistance concerning odontogenic infection treatments.

Knowledge about Prescription of the Antibiotic for Endodontic’s Treatment among Final Year Students.

2021 ◽  
pp. 2901-2904
Author(s):  
Mawra Hyder ◽  
Muhammad Ali ◽  
Isma Sajjad ◽  
Nousheen Khan ◽  
Muhammad Ahmed ◽  
...  
Keyword(s):  
Drug Prescription ◽  
Hospital Setting ◽  
Sinus Tract ◽  
Good Doctor ◽  
Odontogenic Infections ◽  
Prescription Practices ◽  
Prosthetic Joint ◽  
Uncontrolled Diabetes ◽  
Radio Therapy ◽  
Dental Hospital

Background: Since antibiotic’s discovery, they have been widely utilized for treatment of the odontogenic infections. Writing a prescription is a vital determining factor of the good doctor/clinician. Drug Prescription is a dynamic and personalized clinical process, which is established as a result of necessities of the patient & acquaintance of practitioner & is also the component of curriculum of graduation. Aim: To evaluate and assess knowledge about prescription of the antibiotic during the endodontics’s treatment and the errors made by final year students at the dental hospital. Setting: Multan Medical & Dental College Multan Methodology: This survey-based research was led among 48 students of Multan Dental College Multan. A form was designed, regarding pattern of the antibiotic’s prescription & conditions/situations for which the drugs were recommended by students of final year. Results: The medication of choice was mostly Amoxicillin alone (75%) and Amoxicillin + clavulanic acid (55%). Most of antibiotic prescriptions were written for Perio-endo lesion (85%), acute apical abscess (80%). Chronic apical abscess with sinus tract (80%), Ch. apical abscess with periodontitis (65%), Patients with swelling & difficulty in swallowing (62%). In this study the greatest numbers of antibiotics prescribed were prophylactically for congenital cardiac sicknesses 69.7%, and uncontrolled diabetes mellitus 60%. Prosthetic joint in past 2 years 40% & Chemo/radio therapy 30%. Conclusion: There is a dearth of knowledge as well as information concerning the suitable indication, kind, & dose of the antibiotics in practice of dentistry. The curriculum should propose great accent on prescription, and decent prescription practices should also be taught in clinical rotation’s, using actual or imaginary cases. Keywords: Antibiotics, Endodontics, Prescription writing, prophylaxis, Root canal treatment (RCT)

Exploring the Validity and Operational Impact of Using Allied Health Assistants to Conduct Dysphagia Screening for Low-Risk Patients Within the Acute Hospital Setting

2020 ◽  
Vol 29 (4) ◽  
pp. 1944-1955 ◽  
Author(s):  
Maria Schwarz ◽  
Elizabeth C. Ward ◽  
Petrea Cornwell ◽  
Anne Coccetti ◽  
Pamela D'Netto ◽  
...  
Keyword(s):  
At Risk ◽  
Allied Health ◽  
Assessment Tool ◽  
Hospital Setting ◽  
Low Risk ◽  
False Negatives ◽  
Exact Agreement ◽  
Risk Patients ◽  
Impact Phase ◽  
Operational Impact

Purpose The purpose of this study was to examine (a) the agreement between allied health assistants (AHAs) and speech-language pathologists (SLPs) when completing dysphagia screening for low-risk referrals and at-risk patients under a delegation model and (b) the operational impact of this delegation model. Method All AHAs worked in the adult acute inpatient settings across three hospitals and completed training and competency evaluation prior to conducting independent screening. Screening (pass/fail) was based on results from pre-screening exclusionary questions in combination with a water swallow test and the Eating Assessment Tool. To examine the agreement of AHAs' decision making with SLPs, AHAs ( n = 7) and SLPs ( n = 8) conducted an independent, simultaneous dysphagia screening on 51 adult inpatients classified as low-risk/at-risk referrals. To examine operational impact, AHAs independently completed screening on 48 low-risk/at-risk patients, with subsequent clinical swallow evaluation conducted by an SLP with patients who failed screening. Results Exact agreement between AHAs and SLPs on overall pass/fail screening criteria for the first 51 patients was 100%. Exact agreement for the two tools was 100% for the Eating Assessment Tool and 96% for the water swallow test. In the operational impact phase ( n = 48), 58% of patients failed AHA screening, with only 10% false positives on subjective SLP assessment and nil identified false negatives. Conclusion AHAs demonstrated the ability to reliably conduct dysphagia screening on a cohort of low-risk patients, with a low rate of false negatives. Data support high level of agreement and positive operational impact of using trained AHAs to perform dysphagia screening in low-risk patients.

Triumphs and Challenges of Implementing a Nursing Bedside Swallow Screening Tool: A Stroke Coordinator's Perspective

2009 ◽  
Vol 18 (4) ◽  
pp. 129-133 ◽  
Author(s):  
Kelly Poskus
Keyword(s):  
Screening Tool ◽  
Hospital Setting ◽  
Swallow Screening

Abstract The bedside swallow screen has become an essential part of the evaluation of a patient after stroke in the hospital setting. Implementing this type of tool should be simple. However, reinforcement and monitoring of the tool presents a challenge. Verifying the consistency and reliability of nurses performing the bedside swallow screen can be a difficult task. This article will document the journey of implementing and maintaining a reliable and valid nursing bedside swallow screen.

Topographische Orientierung bei Patienten mit erworbener Hirnschädigung

1999 ◽  
Vol 10 (2) ◽  
pp. 77-86
Author(s):  
Martina Kindsmüller ◽  
Andrea Kaindl ◽  
Uwe Schuri ◽  
Alf Zimmer
Keyword(s):  
Brain Damage ◽  
Cognitive Deficits ◽  
Hospital Setting ◽  
Hospital Staff ◽  
Reading Test ◽  
Map Reading ◽  
Several Variables ◽  
Topographical Orientation ◽  
The One ◽  
Behavioral Memory

Topographical Orientation in Patients with Acquired Brain Damage Abstract: A study was conducted to investigate the abilities of topographical orientation in patients with acquired brain damage. The first study investigates the correlation between wayfinding in a hospital setting and various sensory and cognitive deficits as well as the predictability of navigating performance by specific tests, self-rating of orientation ability and rating by staff. The investigation included 35 neuropsychological patients as well as 9 control subjects. Several variables predicted the wayfinding performance reasonably well: memory tests like the one introduced by Muramoto and a subtest of the Rivermead Behavioral Memory Test, the Map Reading Test and the rating by hospital staff. Patients with hemianopia experienced significant difficulty in the task.

Human factors evaluation of automatic external defribillators in a hospital setting

2006 ◽  
Author(s):  
Munira Jessa ◽  
Joseph Cafazzo ◽  
Anjum Chagpar ◽  
Richard Cooper ◽  
Randy Wax ◽  
...  
Keyword(s):  
Human Factors ◽  
Hospital Setting
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