Clinical Reasoning Behind Antibiotic Use in PICUs

Introduction: Healthcare associated infections and antimicrobial use are common among residents of long-term care facilities. Faced to the lack of standardized data, the European Centre for Disease Prevention and Control funded a project with the aim of estimating prevalence of infections and antibiotic use in European long-term care facilities. Aim: The aim of the authors was to present the results of the European survey which were obtained in Hungary. Method: In Hungary, 91 long-term care facilities with 11,823 residents participated in the point-prevalence survey in May, 2013. Results: The prevalence of infections was 2.1%. Skin and soft tissues infections were the most frequent (36%), followed by infections of the respiratory (30%) and urinary tract (21%). Antimicrobials were mostly prescribed for urinary tract infections (40.3%), respiratory tract infections (38.4%) and skin and soft tissue infections (13.2%). The most common antimicrobials (97.5%) belonged to the ATC J01 class of “antibacterials for systemic use”. Conclusions: The results emphasise the need for a national guideline and education for good practice in long-term care facilities. Orv. Hetil., 2014, 155(23), 911–917.

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Testing for resistance: Point-of-care testing as a communicational tool in antibiotic prescribing

Communication & Medicine ◽

10.1558/cam.32191 ◽

2018 ◽

Vol 14 (3) ◽

pp. 229-240

Author(s):

Johanna Lindell

Keyword(s):

Point Of Care ◽

Rapid Test ◽

Antibiotic Use ◽

Treatment Recommendation ◽

Antibiotic Prescribing ◽

Communicative Practices ◽

Effective Strategies ◽

Reactive Protein ◽

Point Of Care Test ◽

Test Result

As antibiotic resistance becomes a growing health emergency, effective strategies are needed to reduce inappropriate antibiotic use. In this article, one such strategy – communicative practices associated with the C-reactive protein point-of care test – is investigated. Building on a collection of 31 videorecorded consultations from Danish primary care, and using conversation analysis, this study finds that the rapid test can be used throughout the consultation to incrementally build the case for a nonantibiotic treatment recommendation, both when the test result is forecast and reported. The study also finds that the format of reports of elevated results differs from that of ‘normal’ results, resulting in a subtle shift of authority from doctor to test.

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Efficiency of β-glucan utilisation in fish culture

Tạp chí Khoa học và Công nghệ Biển ◽

10.15625/1859-3097/19/4a/14583 ◽

2019 ◽

Vol 19 (4A) ◽

pp. 167-174

Author(s):

Do Huu Hoang

Keyword(s):

Human Health ◽

Stress Resistance ◽

Antibiotic Use ◽

Fish Culture ◽

Growth Promoter ◽

Sustainable Aquaculture ◽

Major Benefit

In the last three decades aquaculture is a rapidly developing sector worldwide and antibiotics are used popularly as growth promoter. Antibiotic use was banned because research proved that antibiotic has caused many effects on environment and human health. Therefore, finding antibiotic alternatives is the first priority. The most prospect products today are probiotic and prebiotic. β-glucan is one of the immunostimulants which showed a variety of benefits to the health of many aquaculture species. In this paper only the results of β-glucan, a kind of prebiotic supplied in aquaculture, were summarized. The major benefit of β-glucan are to boost growth, to reduce mortality, to enhance tolerance or stress resistance to environmental or pathogen challenges. Although the applications of β-glucan are popular worldwide, its use in aquaculture in Vietnam is still limited. This paper provides an important reference for β-glucan utilisation which may help to develop a sustainable aquaculture in Vietnam.

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