2547. Prioritizing Antimicrobial Resistance Learning Objectives Through a Modified, Two-Round, One-Day Delphi at a Multidisciplinary Conference

Abstract Background Antimicrobial resistance (AMR) is a global public health problem, but the learning needs of the medical profession on this topic are not well understood. The World Health Organization has called for better educational resources on AMR. Thus, we aimed to identify AMR learning objectives for physicians and medical trainees. Methods We designed a modified, two-round Delphi process to build consensus around these objectives, recruiting attendees at a one-day, multidisciplinary, international AMR symposium. Through review of the literature and discussion with experts in AMR, we generated an initial list of 17 objectives. We asked participants to rate the importance of including each objective in an AMR curriculum for physicians on a 5-point Likert scale, which ranged from “do not include” (1) to “very important to include” (5). Consensus for inclusion was predefined as ≥ 80% of participants rating the objective ≥ 4. Results The first round was completed by 30 participants, and the second by 21. Nobody declined to participate, but several people had to leave between rounds. Participants included physicians, researchers, graduate students, and a pharmacist, foundation manager, patient advocate, leader of an international financial institution, health administrator, and biomedical scientist. After the first round, 16 objectives met the consensus criteria, and participants suggested five additional topics. After the second round, 12 objectives met the consensus criteria (see Table 1). Objectives related to treatment of AMR most frequently met consensus criteria. Specific objectives with the highest consensus ratings were related to identifying infections not requiring antibiotics and recognizing the importance of using the narrowest spectrum antibiotic for the shortest period of time. Conclusion We successfully employed a modified, one-day Delphi process at an international, multidisciplinary AMR symposium to build consensus among experts and stakeholders regarding key learning objectives for AMR. This technique may be useful for guideline committees and other taskforces in the Infectious Diseases community. Our generated list may be useful for those developing AMR training materials for medical students and physicians. Disclosures All authors: No reported disclosures.

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Tackling the threat of antimicrobial resistance: from policy to sustainable action

Philosophical Transactions of the Royal Society B Biological Sciences ◽

10.1098/rstb.2014.0082 ◽

2015 ◽

Vol 370 (1670) ◽

pp. 20140082 ◽

Cited By ~ 67

Author(s):

Laura J. Shallcross ◽

Simon J. Howard ◽

Tom Fowler ◽

Sally C. Davies

Keyword(s):

Antimicrobial Resistance ◽

Action Plan ◽

Animal Health ◽

Public Health Problem ◽

Modern Medicine ◽

Essential Medicines ◽

World Health ◽

Major Surgery ◽

Global Public Health ◽

World Health Assembly Resolution

Antibiotics underpin all of modern medicine, from routine major surgery through to caesarean sections and modern cancer therapies. These drugs have revolutionized how we practice medicine, but we are in a constant evolutionary battle to evade microbial resistance and this has become a major global public health problem. We have overused and misused these essential medicines both in the human and animal health sectors and this threatens the effectiveness of antimicrobials for future generations. We can only address the threat of antimicrobial resistance (AMR) through international collaboration across human and animal health sectors integrating social, economic and behavioural factors. Our global organizations are rising to the challenge with the recent World Health Assembly resolution on AMR and development of the Global Action plan but we must act now to avoid a return to a pre-antibiotic era.

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Medication Error in Anaesthesia A Review

Journal of the Bangladesh Society of Anaesthesiologists ◽

10.3329/jbsa.v27i1.28999 ◽

2016 ◽

Vol 27 (1) ◽

pp. 31-35

Author(s):

Montosh Kumar Mondal ◽

Beauty Rani Roy ◽

Shibani Banik ◽

Debabrata Banik

Keyword(s):

Public Health ◽

Risk Factors ◽

Medication Error ◽

Medication Errors ◽

Health Problem ◽

Preventive Measures ◽

Medical Profession ◽

Public Health Problem ◽

Global Public Health ◽

Global Public Health Problem

Medication error is a major cause of morbidity and mortality in medical profession . There is an increasing recognition that medication errors are causing a substantial global public health problem, as many result in harm to patients and increased costs to health providers.Anaesthesia is now safe and routine, yet anaesthetists are not immune from making medication errors and the consequences of their mistakes may be more serious than those of doctors in other specialties. Steps are being taken to determine the extent of the problem of medication error in anaesthesia. In this review, incidence, types, risk factors and preventive measures of the medication errors are discussed in detail.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 31-35

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Evaluation of the roles of HIV co-infection and socio-demographic factors as determinants of Quality of Life among Nigerians with Tuberculosis

Bangladesh Journal of Medical Science ◽

10.3329/bjms.v17i1.35274 ◽

2018 ◽

Vol 17 (1) ◽

pp. 21-29

Author(s):

Peter J Olagunju ◽

Olukemi O Odukoya ◽

Andrew T Olagunju ◽

Mobolanle R Balogun

Keyword(s):

Quality Of Life ◽

Medical Science ◽

Demographic Factors ◽

Public Health Problem ◽

World Health ◽

Physical Aspect ◽

Global Public Health ◽

World Health Organization Quality ◽

Socio Demographic Factors

Background: Tuberculosis [TB] remains a major global public health problem, and particularly in resource-restricted settings with disproportionately high burden. This study is aimed at assessing quality of life [QoL] and the roles of HIV co-infection along with socio-demographic factors on QoL among subjects with TB.Methodology: This is a multi-center cross-sectional study among 440 participants recruited by multi-stage sampling technique across 40 Directly Observed Treatment Short-course [DOTS] centres. Interviews were done using designed questionnaire to collect information on socio-demographic and clinical details of respondents. Subsequently, the World Health Organization Quality of Life-BREF [WHOQOL-BREF] questionnaire was used to evaluate QoL.Results: Most (61.1%) of the participants was aged between 21 and 40 years, 61.6% were married and 74.5% had a paid job. Majority of the subjects reported fair QoL across all domains. Employment status and monthly income were significantly associated with participants overall QoL and their satisfaction with health (p<0.05). Also, age, gender, marital status, ethnicity and educational status were significantly associated with the social domain of QoL. The HIV co-infection was found to be significantly associated with the physical aspect of their QoL (p<0.05).Conclusion: Optimal treatment of HIV co-infection and incorporation of psychosocial medicine into TB management are indicated for improved QoL. Similarly, routine assessment of QoL is desirable.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.21-29

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Knowledge and Belief towards Infertility among Undergraduate Students of Selected Colleges of Pokhara Metropolitan City

Journal of Health and Allied Sciences ◽

10.37107/jhas.123 ◽

2019 ◽

Vol 9 (2) ◽

pp. 24-28

Author(s):

Alisha Dhungana ◽

Kalpana Jnawali

Keyword(s):

Undergraduate Students ◽

Public Health Problem ◽

Knowledge Score ◽

Female Students ◽

World Health ◽

Global Public Health ◽

Cross Sectional ◽

Metropolitan City ◽

Good Level ◽

Level Of Knowledge

Introduction: Infertility is the global public health problem with adverse social and economic consequences. World Health Organization states that infertility affects 1 in every 10 couples worldwide. This study was carried out with an objective to find out the level of knowledge and belief regarding infertility among undergraduate students. Methods: This was a cross-sectional and quantitative study, carried out among 420 undergraduate students of 7 selected colleges of Pokhara Metropolitan city from July to September 2019. Study populations were selected through simple random sampling method. Data collection was carried out using self-administered questionnaire. Results: Study revealed that 51.9% students had good level of knowledge with the female students having greater knowledge (57%) than male (48%). The study found that students’ knowledge score related to infertility was significantly associated with gender (p<0.05) and parental advices (p<0.05). Conclusions: More than half of the participants had good level of knowledge. Female students were more knowledgeable than male students. Less than half of the participants had ever attended on sexual and reproductive training programs.

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Latent Tuberculosis Infection

European Respiratory & Pulmonary Diseases ◽

10.17925/erpd.2018.4.1.21 ◽

2018 ◽

Vol 4 (1) ◽

pp. 21 ◽

Cited By ~ 2

Author(s):

Jean-Pierre Zellweger ◽

Keyword(s):

Latent Tuberculosis ◽

Public Health Problem ◽

World Health Organisation ◽

Pulmonary Involvement ◽

World Health ◽

Global Public Health ◽

Expert Interview ◽

Immunodeficiency Virus ◽

Latent Tb ◽

Latent Tb Infection

Tuberculosis (TB) is a major global public health problem and is the leading cause of death linked to a single pathogen, ranking above human immunodeficiency virus (HIV).1 Clinically, TB has been categorised as active disease (patients who are generally symptomatic and may be infectious if pulmonary involvement is present) and latent infection (asymptomatic and not infectious, but at variable risk for progression to active TB disease). It is increasingly being recognised that latent TB infection (LTBI) reflects diverse responses to infection with Mycobacterium tuberculosis and may lead to heterogeneous clinical outcomes. In an expert interview, Jean-Pierre Zellweger discusses the latest World Health Organisation (WHO) guidelines on the management of LTBI.

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COMMERCIAL SEX WORKER COMPLIANCE WITH USING CONDOMS IN THE LOCALIZATION OF MANGROVE BAY, BATAM CITY

Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam ◽

10.37776/zked.v10i2.515 ◽

2021 ◽

Vol 10 (2) ◽

pp. 51-55

Author(s):

Rosyadi Aziz Rahmat ◽

Devy Lestari Nurul Aulia

Keyword(s):

Sex Workers ◽

Public Health Problem ◽

Sub Saharan Africa ◽

World Health ◽

People Living With Hiv ◽

Commercial Sex ◽

Global Public Health ◽

Commercial Sex Workers ◽

Hiv Virus ◽

Living With Hiv

Background : According to the World Health Organization (WHO) HIV continues to be a global public health problem, claiming more than 70 million people are infected with the HIV virus and around 35 million people have died. In 2015, approximately 1.1 (940 000-1300000) million people have died due to being infected with the HIV virus. There were an estimated 36.7 (34.0-39.8) million people living with HIV at the end of 2016. Globally, Sub-Saharan Africa is the most affected region, with nearly 1 in 25 adults living with HIV. (WHO 2016). The purpose of this study was to determine the compliance of commercial sex workers on using condoms in the localization of Teluk Bakau, Batam City. Method : This study used a descriptive research design. The location of this research was carried out in the localization of Teluk Bakau, Batam City. The population in this study were all commercial sex workers (CSWs) in the Teluk Bakau brothels with a total of 95 people. The sample is an object under study and is considered to represent the entire population, here the writer uses a purposive technique, namely by means of sampling based on criteria. The measuring instrument in this study using a questionnaire. This analysis was carried out on each variable. These results are in the form of distribution and percentage of each variable. Data analysis was carried out in a univariate manner by looking at the results of the frequency calculation and the presentation of the results which could later be used as benchmarks for discussion and conclusions. Results and conclusions : It can be seen that the compliance of CSWs using condoms in the Bakau Bay brothel, Batam City is the majority of the majority behave obediently as many as 46 respondents (93.9%)

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Antimicrobial Resistance Expressed by Neisseria gonorrhoeae: A Major Global Public Health Problem in the 21st Century

Emerging Infections 10 ◽

10.1128/9781555819453.ch12 ◽

2016 ◽

pp. 213-237

Author(s):

Magnus Unemo ◽

Carlos Del Rio ◽

William M. Shafer

Keyword(s):

Public Health ◽

Antimicrobial Resistance ◽

Neisseria Gonorrhoeae ◽

21St Century ◽

Health Problem ◽

Public Health Problem ◽

Global Public Health ◽

Global Public Health Problem

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Burden, Access, and Disparities in Kidney Disease

Blood Purification ◽

10.1159/000497498 ◽

2019 ◽

Vol 48 (1) ◽

pp. 32-39

Author(s):

Deidra C. Crews ◽

Aminu K. Bello ◽

Gamal Saadi ◽

Keyword(s):

Kidney Disease ◽

Universal Health Coverage ◽

Kidney Injury ◽

Public Health Problem ◽

World Health ◽

Health Coverage ◽

Global Public Health ◽

Health Organization ◽

Basic Infrastructure ◽

Universal Health

Kidney disease is a global public health problem, affecting over 750 million persons worldwide. The burden of kidney disease varies substantially across the world. In many settings, rates of kidney disease and the provision of its care are defined by socioeconomic, cultural, and political factors leading to significant disparities. World Kidney Day 2019 offers an opportunity to raise awareness of kidney disease and highlight disparities in its burden and current state of global capacity for prevention and management. Here, we highlight the need for strengthening basic infrastructure for kidney care services for early detection and management of acute kidney injury and chronic kidney disease across all countries and advocate for more pragmatic approaches to providing renal replacement therapies. Achieving universal health coverage worldwide by 2030 is a World Health Organization Sustainable Development Goal. While universal health coverage may not include all elements of kidney care in all countries, understanding what is locally feasible and important with a focus on reducing the burden and consequences of kidney disease would be an important step towards achieving kidney health equity.

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