scholarly journals Disparities in the regional, hospital and individual levels of antibiotic use in gallstone surgery in Sweden

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Gona Jaafar ◽  
Bahman Darkahi ◽  
Lars Lindhagen ◽  
Gunnar Persson ◽  
Gabriel Sandblom
Keyword(s):  
Antibiotic Use ◽  
Regional Hospital

scholarly journals Antibiotics prescription practices for provisional malaria cases in three hospitals in Moshi, northern Tanzania

2015 ◽  
Vol 17 (3) ◽  
Author(s):  
Jaffu Chilongola ◽  
Elizabeth Msoka ◽  
Adinan Juma ◽  
Elimsaada Kituma ◽  
Edith Kwigizile ◽  
...  
Keyword(s):  
Laboratory Tests ◽  
Strong Association ◽  
Antibiotic Use ◽  
Regional Hospital ◽  
High Rate ◽  
Antibiotic Prescribing ◽  
Prescribing Practices ◽  
Laboratory Findings ◽  
Cross Sectional ◽  
Prescription Practices

Background: Irrational antibiotic use is an important factor for development and spread of resistance to currently used antibiotics. This study was carried out to assess antibiotic prescribing practices among cases diagnosed as malaria at three hospitals in Moshi Municipality in northern Tanzania.Methods: This was a cross sectional, retrospective study that included patients files from Kilimanjaro Christian Medical Centre (KCMC), Mawenzi Regional Hospital and St Joseph Hospital. Patient files whose primary provisional diagnosis was malaria were analysed using a convenient sampling method. Variables of interest were the types of medications prescribed, whether or not a laboratory test was requested and treatment was initiated before laboratory reports.Results: A total of 250 patients’ files were included in the analysis (KCMC=62.8%; Mawenzi=23.2%; St. Joseph=14.0%). In 232 (92.8%) prescriptions made in the three hospitals, laboratory tests were requested to confirm diagnoses. Among laboratory tests requested, 89.2% were blood slides for microscopic detection of malaria parasites, 3.01% malaria rapid diagnostic tests and 3.01% other tests. The majority of prescriptions across all three hospitals (KCMC=86.4%; Mawenzi=91.4%; St. Joseph= 72.4%; X2=7.787). Clinicians at Mawenzi were more likely to start treatment before laboratory findings than their counterparts at KCMC and St Joseph hospitals (X2=7.787, p≤0.05). A significantly higher number of prescriptions made before laboratory findings were observed at KCMC than Mawenzi and St. Joseph hospitals (X2=7.787, p<0.05). Prescriptions from KCMC were more likely to include at least one type of antibiotic than in the other two facilities. Over one third (KCMC=34.0%; St. Joseph=42.1%; Mawenzi=38.1%) of the prescriptions made contained at least one type of an antibiotic. There was a strong association between health facilities and antibiotics prescription in which KCMC prescribed antibiotics at the highest rate while Mawenzi Regional Hospital prescribed antibiotics at the lowest rates (X2=29.234, p<0.001).Conclusion: Antibiotics are prescribed at a high rate among provisionally diagnosed malaria cases before availability of laboratory results. Efforts should be made to improve laboratory services in terms of trained personnel and equipment to reduce irrational use of antibiotics in provisionally diagnosed malaria cases.

scholarly journals Extended-spectrum β-lactamase blaCTX-M-1 group in gram-negative bacteria colonizing patients admitted at Mazimbu hospital and Morogoro Regional hospital in Morogoro, Tanzania

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Nyambura Moremi ◽  
Vitus Silago ◽  
Erick G. Mselewa ◽  
Ashery P. Chifwaguzi ◽  
Mariam M. Mirambo ◽  
...  
Keyword(s):  
Bacterial Infections ◽  
Antibiotic Use ◽  
Regional Hospital ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Duration Of Hospital Stay ◽  
Extended Spectrum ◽  
History Of ◽  
Rectal Colonization ◽  
Previous Admission

Abstract Objective The objective of this study was to determine the proportion of extended spectrum β-lactamase producing gram-negative bacteria (ESBL-GNB) colonizing patients admitted at Mazimbu hospital and Morogoro Regional hospital, in Morogoro, Tanzania. Rectal colonization with ESBL-GNB increases the risks of developing bacterial infections by extra-intestinal pathogenic ESBL-GNB. Results Of the 285 patients investigated, 123 (43.2%) carried ESBL-GNB in their intestines. Five of the 123 ESBL positive patients were colonized with two different bacteria, making a total of 128 ESBL producing isolates. Escherichia coli (n = 95, 74.2%) formed the majority of ESBL isolates. The proportion of CTX-M-1 group genes among ESBL isolates tested was 94.9% (93/98). History of antibiotic use (OR: 1.83, 95% CI: 1.1–3.2, P = 0.03), being on antibiotic treatment (OR: 2.61, 95% CI: 1.5–4.53, P = 0.001), duration of hospital stay (OR: 1.2, 95% CI: 1.1–1.3, P < 0.001) and history of previous admission (OR: 2.24, 95% CI: 1.2–4.1, P = 0.009) independently predicted ESBL-GNB carriage.

scholarly journals Patients’ knowledge, attitudes and practices regarding antibiotic use at a regional hospital in KwaZulu-Natal, South Africa 2017

2018 ◽  
Vol 33 (5) ◽  
Author(s):  
K. Ramchurren ◽  
Y. Balakrishna ◽  
S. Mahomed
Keyword(s):  
Antibiotic Resistance ◽  
Bacterial Infections ◽  
Public Health Problem ◽  
Antibiotic Use ◽  
Regional Hospital ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Validated Questionnaire ◽  
Knowledge Attitudes And Practices

Background: Antibiotic resistance is a major public-health problem globally and inappropriate antibiotic use is being increasingly recognised as the main force driving this resistance. Communities can contribute to the reduction of antibiotic resistance by using antibiotics appropriately and as prescribed. The purpose of this study was to assess the knowledge, attitudes and practices of patients regarding antibiotic use at a regional hospital in South Africa.Method: An observational analytic, cross-sectional study was conducted at Prince Mshiyeni Memorial Hospital between May and June 2017. A validated questionnaire consisting of closed-ended questions was administered to outpatients. Patients’ responses were scored and categorised as poor or good for knowledge, attitude and practice.Results: A total of 386 patients were interviewed. Only 205 (53%) patients had a good level of knowledge. Although 270 (70%) patients knew that antibiotics are indicated for the treatment of bacterial infections, 211 (55%) patients incorrectly thought that antibiotics are also used to treat viral infections. Only 168 (44%) patients were aware of the resistance associated with overusing antibiotics. With regard to patients’ attitudes, 164 (42%) patients believed that taking antibiotics for the common cold helped them to recover faster and 178 (46%) patients expected the doctor to prescribe more than one antibiotic for a severe cold. Overall, 157 patients (40%) reported having shared antibiotics with friends or family. Patients with good knowledge were six times more likely to have good antibiotic practices (OR 5.8; 95% CI 0.3–10.6; p 0.001).Conclusion: A well-planned education programme for the public should be undertaken to improve the knowledge and uses of antibiotics among patients.

Angka Kuman Pada Tempat Tidur di Rumah Sakit Daerah Madani Palu Bacterial numbers on ward beds in Rumah Sakit Daerah Madani Palu

2019 ◽  
Vol 13 (2) ◽  
pp. 81
Author(s):  
Monica Cecilia ◽  
Novarianti Novarianti ◽  
Christine Christine
Keyword(s):  
Public Health ◽  
Nosocomial Infections ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Regional Hospital ◽  
Hospital Environment ◽  
Sanitation Services ◽  
Treatment Room ◽  
Study Population

The unhygienic environment of the hospital will allow the transmission of diseases that can affect public health in that hospital.  Therefore, hospital sanitation services need to be organized in order to create a comfortable and clean hospital environment, so that it can support efforts to cure and prevent the transmission of nosocomial infections in the hospital environment.  The purpose of this study was to determine the number of germs on the inpatient bed of District Madani Hospital of Palu.  The method of this study used descriptive with observational approach. The study population was all inpatient beds in Melon, Jambu, Rambutan, Nangka, Semangka, dan Markisa treatment rooms at Madani Regional Hospital of Palu.  The sample of this study was a part of the impatient bed in rooms of Melon 10, Jambu 10, Rambutan 10, Rambutan 9,  Semangka 7, and Markisa 4, which were taken by simple random sampling.  The results showed that the number of germs did not meet the requirements of> 10 colonies / cm².  So it can be concluded that the number of germs on the inpatient bed of the treatment room at the Palu Madani Regional Hospital does not meet the requirements.

Sign in / Sign up

Export Citation Format

Share Document