Comparative study of the prevalence of sepsis in patients admitted to dermatology and internal medicine wards

BACKGROUND: Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES: To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS: It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS: We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION: It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively.

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The Prevalence of Alprazolam Uses in Geriatric Patients at Dr. Mohammad Hoesin Hospital Palembang

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v5i2.4785 ◽

2016 ◽

Vol 5 (2) ◽

pp. 193

Author(s):

Yohanes Febrianto ◽

Sutomo Tanzil ◽

Theodorus Parulian

Keyword(s):

Internal Medicine ◽

Heart Disease ◽

Medical Records ◽

Geriatric Patients ◽

Age Group ◽

Internal Medicine Ward ◽

Drug Utilization Study ◽

Short Acting ◽

Infectious Origin ◽

Male Patients

One of the most frequently prescribed drugs in geriatric patients is a benzodiazepine, especially a short-acting such as alprazolam. Unfortunately, alprazolam is oftenly used inappropriately because this drug has a short acting effect. Geriatric patients are more sensitive to this drug that can lead to the dependence. However, there is still lack of data on the use of this drug in geriatric patients. The aim of this study was to determine the prevalence of the use of alprazolam. A drug utilization study has been done for 2 months through analysis of patient’s medical records in the internal medicine ward at RSMH Palembang from June 1st, 2012 to May 31st, 2013. There were 25 out of 1634 patients receiving alprazolam, but only 23 patients whose data were obtained from the available medical records. Prevalence of alprazolam use was 1.408%. Based on gender, the prevalence was 1.798% in female and 1.09% in male patients. Proportion by age group was 91.3%, 8.7% and 0% in age group 60-74 years, 75-90 years and over 90 years, respectively. Based on the job, the population study comprised of the housewive (52.1%), unemployment (39.1%), and entrepreneur and farmer (4.3% together). The indication of usage was atheroscerotic heart disease, diarrhoea and gastroenteritis of presumed infectious origin, unspecified gastritis, and thyrotoxic heart disease. In other words, it could be said that the usage of alprazolam was inappropriate.

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Gambaran Faktor Risiko Kejadian Penyakit Jantung Koroner di Poliklinik Jantung RSI Siti Rahmah Padang Tahun 2017-2018

Health & Medical Journal ◽

10.33854/heme.v3i1.352 ◽

2020 ◽

Vol 3 (1) ◽

pp. 20-28

Author(s):

Yushera Atika Sari ◽

Wisda Widiastuti ◽

Betty Fitriyasti

Keyword(s):

Internal Medicine ◽

Medical Records ◽

Univariate Analysis ◽

Secondary Data ◽

Sampling Technique ◽

Cross Sectional ◽

Long Period ◽

Survey Results ◽

Artery Disease ◽

Descriptive Method

Introduction: CAD occurs indirectly, usually a person will experience a process of narrowing of the coronary arteries in quite a long period of time. Primary survey results that researchers have done at Siti Rahmah Padang Hospital, recorded from 2017-2018 the number of CAD events as many as 115 cases. Aims : To obtain information about an overview of risk factors for the occurrence of coronary artery disease in the heart policlinic of Siti Rahmah Hospital Padang in 2017-2018. Method: This research covers the field of internal medicine and cardiology, this study was conducted at the Islamic hospital Siti Rahmah Padang in May to November 2019. This research used a descriptive method with a cross sectional approach using secondary data from medical records. The affordable population of this study is CAD patients who seek treatment at Siti Rahmah Hospital in Padang in 2017-2018 with 51 samples using Total Sampling technique. Univariate analysis is presented in the form of a frequency distribution table. Results: Based on the results of the study the most age was at the age of 50-59 years, 21 people (41.2%), the most sex was female, 26 people (51%), hypertension, 27 people (52,9%), experienced DM 26 people (51%) were obese, 16 people (31,4%) and hyperlipidemia, 13 people (25,5%). Conclusion : Most age 50-59 years, most sexes of women, most have hypertension, less than half are obese, most have DM and less than half have hyperlipidemia.

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Eosinopenia as predictor of infection in patients admitted to an internal medicine ward: a cross-sectional study

Porto Biomedical Journal ◽

10.1097/j.pbj.0000000000000084 ◽

2020 ◽

Vol 5 (6) ◽

pp. e084

Author(s):

João M. Silva ◽

Artur M. Costa ◽

Célia Tuna ◽

Renato Gonçalves ◽

Sara Ferreira ◽

...

Keyword(s):

Internal Medicine ◽

Cross Sectional Study ◽

Sectional Study ◽

Internal Medicine Ward ◽

Cross Sectional

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Prevalence of hospitalisation caused by adverse drug reactions at an internal medicine ward of a single centre in Japan: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2019-030515 ◽

2019 ◽

Vol 9 (8) ◽

pp. e030515

Author(s):

Junpei Komagamine ◽

Masaki Kobayashi

Keyword(s):

Internal Medicine ◽

Adverse Drug Reactions ◽

Hospital Admissions ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Drug Reactions ◽

Internal Medicine Ward ◽

Single Centre ◽

Cross Sectional

ObjectivesFew studies have investigated the prevalence of adverse drug reactions (ADRs) leading to hospitalisation in Japan. The aim of this study was to determine the prevalence of ADRs leading to hospitalisation and to evaluate the preventability of these ADRs in Japan.DesignA single-centre cross-sectional study using electronic medical records.SettingAcute care hospital.ParticipantsAll 1545 consecutive hospital admissions to an internal medicine ward due to acute medical illnesses from April 2017 to May 2018. The median patient age was 79 years (IQR 66–87), and the proportion of women was 47.9%.Outcome measuresThe primary outcome was the proportion of hospitalisations caused by ADRs among all hospitalisations. All suspected cases of ADRs were independently evaluated by two reviewers, and disagreements were resolved by discussion. The causality assessment for ADRs was performed by using the WHO-Uppsala Monitoring Committee criteria. The contribution of ADRs to hospitalisation and their preventability were evaluated based on the Hallas criteria.ResultsOf the 1545 hospitalisations, 153 hospitalisations (9.9%, 95% CI 8.4% to 11.4%) were caused by 200 ADRs. Cardiovascular agents (n=46, 23.0%), antithrombic agents (n=33, 16.5%), psychotropic agents (n=29, 14.5%) and non-steroidal anti-inflammatory drugs (n=24, 12.0%) accounted for approximately two-thirds of all ADRs leading to hospitalisation. Of 153 hospitalisations caused by ADRs, 102 (66.7%) were judged to be preventable.ConclusionsSimilar to other countries, one in every ten hospitalisations is caused by ADRs according to data from an internal medicine ward of a Japanese hospital. Most of these hospitalisations are preventable. Some efforts to minimise hospitalisations caused by ADRs are needed.

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Contextual characteristics associated with the perceived neighbourhood scale in a cross-sectional study in a large urban centre in Brazil

BMJ Open ◽

10.1136/bmjopen-2017-021445 ◽

2018 ◽

Vol 8 (8) ◽

pp. e021445 ◽

Cited By ~ 4

Author(s):

Fabiano de Almeida Célio ◽

Amélia Augusta de Lima Friche ◽

M Zane Jennings ◽

Amanda Cristina de Souza Andrade ◽

Cesar Coelho Xavier ◽

...

Keyword(s):

Contextual Factors ◽

Epidemiological Studies ◽

Individual Characteristics ◽

Ordinal Scale ◽

Social Characteristics ◽

Urban Centre ◽

Cross Sectional ◽

Contextual Characteristics ◽

Belo Horizonte ◽

Neighbourhood Scale

IntroductionHealth outcomes have been associated with physical and social characteristics of neighbourhoods, but little is known about the relationship between contextual factors and perceived neighbourhood scale.ObjectiveTo identify the contextual factors associated with self-perceived neighbourhood scale.MethodsWe analysed data from a cross-sectional population-based study in Belo Horizonte, Brazil, that took place in 2008–2009. The dependent variable was perceived neighbourhood, encoded as an ordinal scale based on a brief description of the concept of the neighbourhood, and two independent scales relating distance, expressed in terms of geography and time. Street connectivity, demographic density and residents’ perceptions of the neighbourhoods’ physical and social environment were used as contextual predictors. Individual characteristics were used as covariates. Multilevel ordinal logistic regression models estimated the association between perceived neighbourhood scale and contextual characteristics.ResultsResidents that perceive better walkability (OR 2.96; 95% CI 1.29 to 3.82) and high amounts of violence (OR 1.35; 95% CI 1.12 to 1.62) perceived their neighbourhoods to be larger, even after adjusting for individual characteristics.ConclusionThere are contextual factors that are associated with self-perceived neighbourhood scale. Careful definition of neighbourhood scale is a key factor in improving the results of eco-epidemiological studies. Although these findings must be further explored in other studies, these results can contribute to a better understanding of an appropriate choice of neighbourhood scale, especially for cities in Latin America.

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GAMBARAN PERAN PERAWAT DALAM PENCEGAHAN DEKUBITUS DI BANGSAL PENYAKIT DALAM RUMAH SAKIT DI YOGYAKARTA

Media Ilmu Kesehatan ◽

10.30989/mik.v7i1.272 ◽

2018 ◽

Vol 7 (1) ◽

pp. 89-96

Author(s):

Muhamat Nofiyanto ◽

Erna Ivana

Keyword(s):

Internal Medicine ◽

Risk Factor ◽

Nutritional Status ◽

Sampling Technique ◽

Support Surface ◽

Internal Medicine Ward ◽

Cross Sectional ◽

Nurses Role ◽

And Behavior ◽

Status Enhancement

Background : Decubitus prevention need the knowledge, attitude, motivation, and behavior of nurses. Objective : To identify the description of nurses role’s in decubitus prevention in Internal medicine ward of hospital in Yogya. Method : This was a descriptive design by using cross sectional time approach. The number of samples was 15 respondents selected through total sampling technique. The analysis applied descriptive statistic. Result : The majority of nurses had positive role’s in decubitus prevention as many as 10 respondents (66.7%), the nurses role’s according to some characteristics were as follows; The nurses role in the assessment on decubitus risk factor was in good category as many as 9 respondents (60.0%), the nurses role in skin care for patients was in good category as many as 9 respondents (60.0%), the nurses role in patients nutritional status enhancement was in good category as many as 10 respondents (66.7%), the nurses role in support surface was in sufficient category as many as 12 respondents (80.0%), and the nurses role in providing education was in good category as many as 13 respondents (86.7%). Conclusion : The nurses role’s in decubitus prevention in internal medicine ward of hospital in Yogya is in good category. Keywords : Decubitus prevention, Nurses role’s,Positive role’s

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Life worth living: cross-sectional study on the prevalence and determinants of the wish to die in elderly patients hospitalized in an internal medicine ward

BMC Geriatrics ◽

10.1186/s12877-020-01762-x ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Marc-Antoine Bornet ◽

Eve Rubli Truchard ◽

Gérard Waeber ◽

Peter Vollenweider ◽

Mathieu Bernard ◽

...

Keyword(s):

Internal Medicine ◽

Quality Of Life ◽

Elderly Patients ◽

Cross Sectional Study ◽

Worth Living ◽

Sectional Study ◽

Internal Medicine Ward ◽

Cross Sectional ◽

Wish To Die

Abstract Background Elderly people frequently express the wish to die: this ranges from a simple wish for a natural death to a more explicit request for death. The frequency of the wish to die and its associated factors have not been assessed in acute hospitalization settings. This study aimed to investigate the prevalence and determinants of the wish to die in elderly (≥65 years) patients hospitalized in an internal medicine ward. Methods This cross-sectional study was conducted between 1 May, 2018, and 30 April, 2019, in an acute care internal medicine ward in a Swiss university hospital. Participants were a consecutive sample of 232 patients (44.8% women, 79.3 ± 8.1 years) with no cognitive impairment. Wish to die was assessed using the Schedule of Attitudes toward Hastened Death-senior and the Categories of Attitudes toward Death Occurrence scales. Results Prevalence of the wish to die was 8.6% (95% confidence interval [CI]: 5.3–13.0). Bivariate analysis showed that patients expressing the wish to die were older (P = .014), had a lower quality of life (P < .001), and showed more depressive symptoms (P = .044). Multivariable analysis showed that increased age was positively (odds ratio [OR] for a 5-year increase: 1.43, 95% CI 0.99–2.04, P = .048) and quality of life negatively (OR: 0.54, 95% CI 0.39–0.75, P < 0.001) associated with the likelihood of wishing to die. Participants did not experience stress during the interview. Conclusions Prevalence of the wish to die among elderly patients admitted to an acute hospital setting is low, but highly relevant for clinical practice. Older age increases and better quality of life decreases the likelihood of wishing to die. Discussion of death appears to be well tolerated by patients.

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Gender differences in pain prevalence, characteristics, assessment and treatment in internal medicine patients: a post-hoc analysis of the FADOI-DOMINO study

Italian Journal of Medicine ◽

10.4081/itjm.2018.1008 ◽

2018 ◽

Vol 12 (3) ◽

pp. 213-218 ◽

Cited By ~ 1

Author(s):

Giuseppe Civardi ◽

Patrizia Mordenti ◽

Gualberto Gussoni ◽

Cecilia Politi ◽

Pietro Seghini ◽

...

Keyword(s):

Internal Medicine ◽

Sex Differences ◽

Epidemiological Studies ◽

Cross Sectional ◽

Pain Anxiety ◽

Post Hoc Analysis ◽

Assessment And Treatment ◽

Pain Prevalence ◽

Strong Opioids ◽

Post Hoc

Conflicting results come from epidemiological studies on the correlations between gender and pain in hospitalized patients. No specific data are reported in patients admitted to Internal Medicine Units (IMUs). Post-hoc analysis of the FADOI-DOMINO study, performed in 26 IMUs in Italy, with two cross-sectional surveys interspersed with an educational program. The 5200 medical charts of the FADOI-DOMINO study were re-analyzed. The following sex differences were highlighted: i) a greater pain prevalence was evidenced in women in the Pre-phase; ii) among patients with chronic pain, anxiety and depression were significantly more present in women compared with men; iii) oncologic pain was more prevalent in men; in a specular way, nononcologic pain showed a greater prevalence in women in both phases; iv) strong opioids therapy was higher for men. Some sex differences in pain seem to exist in IMUs, although less evident if compared with those previously reported in other settings. A more careful assessment of coexisting conditions such as anxiety, depression or cognitive impairment can result in a better management of these problems.

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Detection and Management of Common Medication Errors inInternal Medicine Wards: Impact on Medication Costs and Patient Care

Advanced Pharmaceutical Bulletin ◽

10.15171/apb.2019.020 ◽

2019 ◽

Vol 9 (1) ◽

pp. 174-179 ◽

Cited By ~ 3

Author(s):

Kamal Boostani ◽

Hamid Noshad ◽

Farahnoosh Farnood ◽

Haleh Rezaee ◽

Soheil Teimouri ◽

...

Keyword(s):

Internal Medicine ◽

Pharmaceutical Care ◽

Medication Errors ◽

Clinical Pharmacist ◽

Health Care Team ◽

Inappropriate Drug ◽

Cross Sectional ◽

Medication Therapy ◽

Medication Costs ◽

Internal Medicine Wards

Introduction: Medication errors (MEs) are a leading cause of morbidity and mortality, yet they have remained as confusing and underappreciated concept. The complex pharmacotherapy in hospitalized patients and sometimes serious clinical consequences of MEs necessitate continued report and surveillance of MEs as well as persistent pharmaceutical care for patients at medical wards. This study evaluated the frequency, types, clinical significance, and costs of MEs in internal medicine wards. Method: In this 8-month prospective and cross-sectional study, an attending clinical pharmacist, as an integral member of a health care team, visited the patients during each physician's ward round at the morning. All MEs including prescription, transcription, and administration errors were detected, recorded, and subsequently appropriate corrective interventions were proposed during these rounds. The changes in the medications' cost after implementing clinical pharmacist's interventions were compared to the calculated medications' cost, assuming that the MEs would not have been detected by clinical pharmacist and continued up to discharge time of the patients. Results: 89% of the patients experienced at least one ME during their hospitalization. A mean of 2.6 errors per patient or 0.2 errors per ordered medication occurred in this study. More than 70% of MEs happened at the prescription stage by treating physicians. The most prevalent prescription errors were inappropriate drug selection, unauthorized drugs and untreated indication. The highest MEs occurred on cardiovascular agents followed by antibiotics, and vitamins, minerals, and electrolytes. Total number of MEs showed a marked correlation with the total number of ordered medications and patients’ length of hospitalization. The net effect of clinical pharmacist’s contributions in medication therapy management was to decline medications’ costs by 33.9%. None of the MEs caused the patients harm. Conclusion: The role of clinical pharmacy services in detection, prevention and reducing the cost of MEs is of paramount importance to internal medicine wards. Key words: clinical pharmacist; medication errors; pharmaceutical care; internal medicine.

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BAKTERI AEROB PATOGEN DAN UJI KEPEKAAN ANTIMIKROBA DI RUANGAN PERAWATAN PENYAKIT DALAM

INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY ◽

10.24293/ijcpml.v18i3.374 ◽

2016 ◽

Vol 18 (3) ◽

pp. 168

Author(s):

Fedelia Raya ◽

Nurhayana Sennang ◽

Suci Aprianti

Keyword(s):

Internal Medicine ◽

Nosocomial Infection ◽

Pathogenic Bacteria ◽

Acinetobacter Calcoaceticus ◽

Cross Sectional Study ◽

Internal Medicine Ward ◽

Cross Sectional ◽

Airborne Infection ◽

Air Sampler ◽

Hospital Patients

Pathogenic bacteria are the major causes of airborne infection at the hospital ward. Nosocomial infection can occur at the opened as well as at the closed room. Nosocomial infection influences the morbidity and mortality in the hospital and need an extra attention, because of the increased number of hospital patients, micro organism mutation and increased of bacteria resistance to antibiotics. The aim of this study was to quantify the number of aerobic bacteria, and to know the pathogenic bacteria identification and its determination on the susceptibility of the antimicrobial problems at the internal medicine ward. This research was carried by a cross sectional study, which performed by collecting air samples in eight internal medicine ward of Dr. Wahidin Sudirohusodo Hospital using Microbiology Air Sampler 100 (MAS 100). The bacterial identification and the antimicrobial susceptibility test (AST) were conducted at the Balai Besar Laboratorium Kesehatan (July to August 2009). In this study were found the numbers of bacteria colonies about 580–6040 CFU/m3. The pathogenic bacteria that identified were Acinetobacter calcoaceticus, Staphylococcus saprohpyticus, Enterobacter hafniae and Stomatococcus mucilaginosus that were sensitive to Amikasin, Gentamicyn, Azitromycin and Norfloxacyn but resistant to Ampicillin. The number of bacterial colonies exceeded the established number standard by Decree of the Indonesian Health Minister. The pathogenic bacteria showed the most sensitive result of AST were Acinetobacter calcoaceticus, Enterobacter hafniae, Stomatococcus mucilaginosus and Staphylococcus saprohpyticus.

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