Inappropriate Antibiotic Use in a Tertiary Care Center in Thailand: An Incidence Study and Review of Experience in Thailand

The incidence and patterns of and factors associated with inappropriate antibiotic use were studied in a tertiary care center in Thailand. The incidence of inappropriate antibiotic use was 25%. Admission to the surgical department (adjusted odds ratio, 2.0; P = .02) and to the obstetrics and gynecology department (adjusted odds ratio, 2.0; P = .03) were associated with inappropriate antibiotic use, whereas consultation with an infectious diseases specialist was protective against inappropriate antibiotic use (adjusted odds ratio, 0.15; P = .01).

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Risk factors associated with birth defects at a tertiary care center in Pakistan

Italian Journal of Pediatrics ◽

10.1186/1824-7288-38-68 ◽

2012 ◽

Vol 38 (1) ◽

pp. 68 ◽

Cited By ~ 2

Author(s):

Mohammad Zeeshan Raza ◽

Asfandyar Sheikh ◽

Syed Salman Ahmed ◽

Sajid Ali ◽

Syed Mumtaz Ali Naqvi

Keyword(s):

Risk Factors ◽

Birth Defects ◽

Care Center ◽

Tertiary Care ◽

Tertiary Care Center ◽

Factors Associated

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Clinical and laboratory follow-up after hospitalization for COVID-19 at an Italian tertiary care center

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab049 ◽

2021 ◽

Author(s):

Michele Spinicci ◽

Iacopo Vellere ◽

Lucia Graziani ◽

Marta Tilli ◽

Beatrice Borchi ◽

...

Keyword(s):

Infectious Diseases ◽

Care Center ◽

Tertiary Care ◽

University Hospital ◽

Tertiary Care Center ◽

Persistent Symptom ◽

Post Discharge

Abstract We evaluated 100 post-acute COVID-19 patients, a median of 60 days (IQR 48-67) after discharge from the Careggi University Hospital, Italy. Eighty-four (84%) had at least one persistent symptom, irrespective of COVID-19 severity. A considerable number of hospital re-admission (10%) and/or infectious diseases (14%) during the post-discharge period was reported.

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One-year postoperative mortality rate among the elderly with hip fractures at a single tertiary care center

Annals of Saudi Medicine ◽

10.5144/0256-4947.2020.298 ◽

2020 ◽

Vol 40 (4) ◽

pp. 298-304

Author(s):

Khalid A. Alsheikh ◽

Firas M. Alsebayel ◽

Faisal Abdulmohsen Alsudairy ◽

Abdullah Alzahrani ◽

Ali Alshehri ◽

...

Keyword(s):

Postoperative Complications ◽

Mortality Rate ◽

Hip Fractures ◽

Surgical Intervention ◽

Care Center ◽

Tertiary Care ◽

The Elderly ◽

Tertiary Care Center ◽

Factors Associated ◽

One Year

ABSTRACT BACKGROUND: Hip fractures are one of the leading causes of disability and dependency among the elderly. The rate of hip fractures has been progressively increasing due to the continuing increase in average life expectancy. Surgical intervention is the mainstay of treatment, but with an increasing prevalence of comorbid conditions and decreased functional capacity in elderly patients, more patients are prone to postoperative complications. OBJECTIVES: Assess the value of surgical intervention for hip fractures among the elderly by quantifying the 1-year mortality rate and assessing factors associated with mortality. DESIGN: Medical record review. SETTING: Tertiary care center. PATIENTS AND METHODS: All patients 60 years of age or older who sustained a hip fracture between the period of 2008 to 2018 in a single tertiary healthcare center. Data was obtained from case files, using both electronic and paper files. MAIN OUTCOME MEASURES: The 1-year mortality rate for hip fracture, postoperative complications and factors associated with mortality. SAMPLE SIZE: 802 patients. RESULTS: The majority of patients underwent surgical intervention (93%). Intra- and postoperative complications were 3% and 16%, respectively. Four percent of the sample died within 30 days, and 11% died within one year. In a multivariate analysis, an increased risk of 1-year mortality was associated with neck of femur fractures and postoperative complications ( P =.034, <.001, respectively) CONCLUSION: The 1-year mortality risk in our study reinforces the importance of aggressive surgical intervention for hip fractures. LIMITATION: Single-centered study. CONFLICT OF INTEREST: None.

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