scholarly journals Public Knowledge and Attitudes Towards Antibiotics Use and Resistance in Baghdad, Iraq: A Survey Conducted in Outpatient Department of University Teaching Hospital

2019 ◽  
Vol 12 (1) ◽  
pp. 567-574
Author(s):  
Berq J. Hadi Al-Yasseri ◽  
Nibras A. Hussain
Keyword(s):  
Teaching Hospital ◽  
Public Awareness ◽  
University Teaching ◽  
Outpatient Department ◽  
World Health ◽  
Antibiotics Resistance ◽  
Public Knowledge ◽  
Sources Of Information ◽  
Self Medication ◽  
Antibiotics Use

Introduction: Improper antibiotics utilization permits the emergence of resistant organisms. The World Health Organization has highlighted the role of people in preventing and controlling antibiotics resistance. Objectives: To investigate public knowledge and attitude towards antibiotics use and resistance in Baghdad, Iraq; and to identify deficiencies in these areas that need to be addressed. Methods: This was a cross-sectional study with an analytic element involving 500 participants attending outpatient department of university teaching hospital in Baghdad during the period of February through May, 2017. A questionnaire-form paper was used for data collection, including questions about sociodemographic characteristics; sources of information about antibiotics; knowledge about antibiotics indications, resistance, and side effects; and attitudes towards antibiotics self-medication. Results: People who knew antibiotics have no role in managing viral infection, coughs/colds, and pain/inflammation represented 42.4%, 20.0%, and 44.6% of study sample; respectively. Low proportions of participants realized the necessity to complete antibiotics course, 38.2%. Concerning attitude; those who were against keeping leftover antibiotics in home, taking antibiotics for cold/flu, and taking them for fever without consulting doctor were 37.2%, 42.2% and 46.4%; respectively. Higher education showed significant association with good knowledge (p<0.001) and appropriate attitude (p<0.001). The presence of family member with medical profession exhibited significant association with higher knowledge (p=0.011). Better knowledge was a predictor of better attitude (p<0.001). Conclusion: Public awareness about antibiotic resistance remains largely unrecognized in Baghdad. Many participants did not have sufficient knowledge about indications for antibiotics use and consequences of their over/misuse. Inappropriate attitude towards antibiotic self-medication was also identified largely in this study.

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

BioMed_Central_Tex_Template_v1.06 Exploration of Workplace violence experience among nurses at a selected University teaching Hospital in Rwanda

2019 ◽  
Author(s):  
Valens MUSENGAMANA ◽  
Oluyinka Adejumo ◽  
Gilbert BANAMWANA ◽  
Marie Josée MUKAGENDANEZA ◽  
Thimothée Shahidi TWAHIRWA
Keyword(s):  
Teaching Hospital ◽  
Workplace Violence ◽  
Health Sector ◽  
University Teaching ◽  
World Health ◽  
Research Approach ◽  
International Labor Organization ◽  
Chi Square ◽  
Cross Sectional ◽  
Health Organization

Abstract Background Workplace violence is a global problem in the health sector especially in the hospitals affecting healthcare works’ job satisfaction and performance. Workplace violence is present in different forms associated with various factors and the nurses are the most affected. The aim of this study was to explore workplace violence experience among nurses working at a selected University Teaching Hospital in Rwanda.Method The research approach used was quantitative descriptive cross-sectional design. The stratified random sampling was used to recruit 195 participants among 379 nurses. The data was collected using a structured, validated, and self-administered questionnaire that was adapted from the International Labor Organization, International Council of Nurses, World Health Organization and Public Services International. Descriptive statistics were used for analyzing frequencies and percentages. Chi-square test was used for evaluating the association between variables.Results The findings revealed that (58.5%, n=114) of nurses have experienced some types of WPV in the twelve months preceding the study, among them (44.6%, n=108) of nurses were verbally abused. The nurses providing emergency care, the nurses working at the emergency department and nurses working with vulnerable patients like HIV/AIDS patients were associated with workplace violence Chi-square (1, n=195), P=<0.001). The psychological problems has been found as the first consequences of workplace violence.Conclusions Based on the study findings, it was concluded that the hospital management needs to be aware of workplace violence, develop and implement appropriate policies and strategies. These strategies will strengthen nurses’ concentration towards their and will resulting in service delivery improvement.

scholarly journals Patients’ Opinion on Availability and Price of Drugs in the General Outpatient Department of a Teaching Hospital, Southeast Nigeria

2020 ◽  
pp. 200-208
Author(s):  
Edmund O. Ndibuagu ◽  
Onyinye H. Chime ◽  
Ejiofor T. Ugwu
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
University Teaching ◽  
Outpatient Department ◽  
Health Coverage ◽  
Cross Sectional ◽  
Enugu State ◽  
Cross Sectional Design

Aim: Patients perception of health care delivery system can be expressed as an opinion. The aim of the study is to assess patients’ opinion on availability and cost of drugs in the General Outpatient Department of a state teaching hospital in Nigeria. Study Design: The study was of descriptive, cross-sectional design. Place and Duration of Study: This study was conducted at the General Outpatient department, Enugu State University Teaching Hospital, Enugu state, Nigeria. It was conducted between August 1st and October 31st, 2017. Methodology: Information was collected from 313 patients exiting the Pharmacy unit, using structured interviewer-administered questionnaire. Statistical Package for Social Sciences (SPSS) was used for analysis, and the results expressed as frequencies and percentages. Education, sex, and age patterns of the responses were looked at. Results: A total of 313 patients responded, 131 (41.9%) males and 182 (58.1%) females. Out of these, 91 (29.0%) were of the opinion that drugs were reasonably or completely available, while 184(58.8%) reported that it was either few or completely unavailable; with 38(12.1%) having no opinion on availability. With respect to price; 198(63.3%) believed that price is affordable or very affordable, while 78(24.9%) thought it was exorbitant or very exorbitant; with 37(11.8%) being uncertain about the price of drugs. Conclusions: In LMIC, inadequate stock of drugs in health facilities is a common occurrence. More than half of patients that presented in the study health facility were of the opinion that only few prescribed drugs, or completely none were available. However, most of them believed that the price of drugs was affordable or very affordable. It is crucial that governments and health care managers redouble their efforts towards provision of drugs, if meaningful progress will be made in the area of global Universal Health Coverage.

scholarly journals Improving hand hygiene measures in low-resourced intensive care units: experience at the Kigali University Teaching Hospital in Rwanda

2021 ◽  
Author(s):  
Jean Paul Mvukiyehe ◽  
Eugene Tuyishime ◽  
Anne Ndindwanimana ◽  
Jennifer Rickard ◽  
Olivier Manzi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hand Hygiene ◽  
Teaching Hospital ◽  
Low Income ◽  
University Teaching ◽  
World Health ◽  
Low Income Countries ◽  
Improvement Project ◽  
Hygiene Measures ◽  
Intervention Adherence

Background: Proper hand hygiene (HH) practices have been shown to reduce healthcare-acquired infections. Several potential challenges in low-income countries might limit the feasibility of effective HH, including preexisting knowledge gaps and staffing. Aim: We sought to evaluate the feasibility of the implementation of effective HH practice at a teaching hospital in Rwanda. Methods: We conducted a prospective quality improvement project in the intensive care unit (ICU) at the Kigali University Teaching Hospital. We collected data before and after an intervention focused on HH adherence as defined by the World Health Organization ‘5 Moments for Hand Hygiene’ and assuring availability of HH supplies. Pre-intervention data were collected throughout July 2019, and HH measures were implemented in August 2019. Post-implementation data were collected following a 3-month wash-in. Results: In total, 902 HH observations were performed to assess pre-intervention adherence and 903 observations post-intervention adherence. Overall, HH adherence increased from 25% (222 of 902 moments) before intervention to 75% (677 of 903 moments) after intervention (P < 0.001). Improvement was seen among all health professionals (nurses: 19–74%, residents: 23–74%, consultants: 29–76%). Conclusions: Effective HH measures are feasible in an ICU in a low-income country. Ensuring availability of supplies and training appears key to effective HH practices.

scholarly journals Prevalence of post-operative anaemia in surgical patients at the Rivers State University Teaching Hospital

2021 ◽  
Vol 10 (1) ◽  
pp. 218-223
Author(s):  
Kalio DGB ◽  
Eli S ◽  
Okagua KE ◽  
Allagoa DO
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Surgical Patients ◽  
State University ◽  
Cross Sectional ◽  
Health Organization ◽  
Rivers State ◽  
Work Up

Background: Post-operative anaemia is often a reflection of pre-operative pre-operative work-up and pre-operative anaemia. In addition. Post-operative anaemia is also determined by co-morbidities of patients prior to surgery. The prevalence of post-operative anaemia varies based on surgical specialties and the experience of the surgeon; prevalence rates as high as 85% have been recorded in orthopaedic surgeries. Aim: To determine the prevalence of post-operative anaemic in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This was a six months cross sectional study of the post-operative anaemia of patients who had operation at the Surgery and Obstetrics/Gyaecology departments of The Rivers State University Teaching Hospital. The permission for the study was granted by the head of department of obstetrics and gynaecology in conjunction with the head of .the hospital management. The yard stick for anaemia was packed cell volume less than 33% in line with the World Health Organization (WHO). A structured proforma was used to obtain information from patient’s case notes and analyzed using SPSS version 25. Result: Three hundred and eigthy subjects were recruited for the study. Males subjects were 150 (39.5%) while females were 230 (60.5%) respectively. The mean age was 31 years. One hundred and ninety nine (52.4%) were obstetrics and gynaecological surgeries while 181 (47.6 %) were non-gynaecological surgeries. The commonest indication for surgery was caesarean section representing 130 (34.2%) of the subjects. Two hundred and sixty six of the subjects (70%) had PCV less than 33%. One hundred and fifty two (40%) women had PCV less than 33% while 114 (30%) of the men had PCV less than 33%. Conclusion: The study revealed that prevalence of post-operative anaemia amongst surgical patients at RSUTH was 70 %. The post-operative anaemia amongst women was worrisome. The need to optimize patients prior to surgery cannot be over-emphasized to prevent morbidities and mortalities post-operative.

Prevalence of Otomycosis in Outpatient Department of Otolaryngology in Tribhuvan University Teaching Hospital, Kathmandu, Nepal

2003 ◽  
Vol 112 (4) ◽  
pp. 384-387 ◽  
Author(s):  
Bibhu Pradhan ◽  
Nhuchhe Ratna Tuladhar ◽  
Ramchaya Man Amatya
Keyword(s):  
Candida Albicans ◽  
Teaching Hospital ◽  
Fungal Pathogen ◽  
Clinical Problem ◽  
University Teaching ◽  
Outpatient Department ◽  
Results Of Treatment ◽  
Causative Factors ◽  
Microbiological Examination

Otomycosis is a not-uncommon clinical problem encountered in our otolaryngology practice. We report 100 diagnoses (107 ears) of otomycosis, of which, on microbiological examination, 87 specimens (81.3%) showed positive fungal cultures. Of these, a single isolate was found in 85 cases (79.4%), mixed isolates were found in 2 cases, and 20 cases (18.7%) had no growth. The most common fungal pathogen found was Aspergillus, followed by Candida albicans. The causative factors for otomycosis were examined. The results of treatment with clotrimazole were analyzed.

scholarly journals Public awareness of ear health and hearing loss in Jeddah, Saudi Arabia

2019 ◽  
Vol 66 (1) ◽  
Author(s):  
Khalid A. Alshehri ◽  
Waleed M. Alqulayti ◽  
Bassam E. Yaghmoor ◽  
Hisham Alem
Keyword(s):  
Hearing Loss ◽  
Saudi Arabia ◽  
Family History ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
World Health ◽  
Public Knowledge ◽  
Cross Sectional ◽  
Significant Difference ◽  
Health Organization

Background: Knowledge of ear health and hearing loss is essential for early intervention and treatment, but the state of public knowledge of such in Jeddah, Saudi Arabia, remains unknown.Objectives: To measure public knowledge of ear health and hearing loss.Method: This cross-sectional study was conducted during August 2018 in Jeddah, Saudi Arabia. An electronic survey questionnaire was distributed to 2372 residents of various districts in Jeddah. The survey was created in 2013 by adopting previously published World Health Organization material, designed to assess knowledge and perception of ear health. All males and females aged 10 years or older living in Jeddah had the chance to participate in this study. A total of 2372 people participated. Percentages mean ± standard deviation, one-way analysis of variance (ANOVAs) and independent t-tests were applied to determine the significant difference. p-values of 0.05 or less were considered significant.Results: The overall mean number of correct responses on the survey’s true/false questionnaire was 10.66 ± 1.92 out of 14. Female participants gave a higher mean number of correct answers than did male participants (10.73 ± 2.03 vs. 10.54 ± 2.03, respectively). Participants with a family history of hearing loss gave a higher mean number of correct answers compared with participants who reported a negative family history (10.89 ± 1.82 vs. 10.53 ± 1.97, respectively).Conclusion: Overall awareness of ear health and hearing loss management is fair. However, the results indicate a need for more integrated educational materials to be made available both to the general population as well as to hearing loss individuals and their families.

scholarly journals Changes in public knowledge and perceptions about antibiotic use and resistance in Jordan: a cross-sectional eight-year comparative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Suzanne Abdelmalek ◽  
Rowan AlEjielat ◽  
Walid Abu Rayyan ◽  
Nidal Qinna ◽  
Dana Darwish
Keyword(s):  
Multiple Testing ◽  
Public Awareness ◽  
Age Groups ◽  
Antibiotic Use ◽  
Public Knowledge ◽  
Snowball Sampling ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Social Settings

Abstract Background Resistance to antibiotics is a growing problem, worldwide and particularly in developing countries like Jordan. Raising public awareness on appropriate antibiotic use is crucial to combat this problem. The current study describes the change in public Knowledge and attitudes towards the use of antibiotics over a period of 8 years. Methods Two cross-sectional studies were performed 8 years apart on Jordanians of different age groups, and social settings, residing in Amman, Jordan. Convenience non-probability sampling techniques were used. In 2010, a questionnaire was distributed in paper form, whereas in 2018 snowball sampling was used to disseminate an identical electronic questionnaire. Chi-square test and post hoc analysis were done using the z-test to compare column proportions, adjustment for multiple testing using the Bonferroni method. Multiple logistic regression was used to adjust for case mix for each survey. Comparisons were made across the two studies and within each study. Results A total of 711 participants in 2010 and 436 participants in 2018 were surveyed. Over the 8-year period, there was a significant improvement in the beliefs regarding the use of antibiotics such as disagreeing to keeping left over antibiotics for later use from 57 to 70% (p < 0.05) and disagreeing to buying antibiotics without physicians’ consent increased from 80 to 89% (P value < 0.001). There was no significant change in the beliefs that support self-medication such as: using antibiotics from a friend (72 to 77%) buying antibiotics without a prescription (42 to 45%), and getting information about medication use from leaflet without referring to a health care professional (60 to 63%). There were some areas of confusion regarding antibiotic range of effectiveness, and origin of resistance. Agreement about antibiotic resistance being a problem in Jordan increased significantly from 44 to 60% (p < 0.001). In addition, there was a significant increase in the percentage of participants who said that they don’t request antibiotics from physicians (56 to 75% (P ≤ 0.001) and who said they would trust physicians’ decisions about the necessity of antibiotics (70 to 83% P < 0.05). Conclusion Findings indicate the need for better suited, and more inclusive, public educational campaigns.

scholarly journals Cutaneous Manifestations in Renal Transplant Recipients

2021 ◽  
Vol 19 (1) ◽  
pp. 42-49
Author(s):  
Anil Kumar Das ◽  
Ramesh Sharma ◽  
Ashish Karn
Keyword(s):  
Renal Transplant ◽  
Teaching Hospital ◽  
University Teaching ◽  
Outpatient Department ◽  
Renal Transplant Recipients ◽  
Gingival Hyperplasia ◽  
Transplant Recipients ◽  
Term Survival ◽  
Cutaneous Manifestations

Background: The availability of potent immunosuppressants has paved the path towards decreased incidence of graft rejection and long term survival of the renal transplant recipients. But, with the increased life span of the patients and long term use of immunosuppressants, there has been an increase in various skin conditions; ranging from various infections to some life-threatening cutaneous malignancies. Objectives: This study was carried out to determine the pattern of different cutaneous manifestations in renal transplant recipients at Tribhuvan University Teaching Hospital, to identify the infectious and non-infectious skin manifestations in these patients and their relation with the duration of transplantation. Methodology: The present study was a hospital based cross-sectional descriptive study conducted at Tribhuvan University Teaching Hospital, Kathmandu; Department of Internal Medicine, Transplant Outpatient department and Outpatient department of Department of Dermatology from June 2013 to May 2014. A total of 114 renal transplant recipients were enrolled in the study. Results: A total of 114 renal transplant recipients with a mean age of 37.56±11.10 years were studied. The immunosuppressive regimen consisted of combinations including tacrolimus, prednisolone,   mycophenolate mofetil/azathioprine along with supportive medications like antivirals, antibiotics and antihypertensives. Out of all those studied, 60 patients had a total of 61 cutaneous manifestations. The mean duration from date of transplantation to presentation to the transplant OPD for infectious dermatoses was 688.4 days (1.88 years) and for iatrogenic dermatoses was 67.5 days. The most common cutaneous manifestation was acne (41%) followed by fungal infections (27.9%) consisting of pityriasis versicolor (n=9), dermatophytosis (n=6) and candidiasis (n=2); viral infections (18%) consisting of verruca (n=4), herpes zoster (n=4) and herpes simplex (n=3); bacterial infections (4.9%) consisting of folliculitis (n=2) and erythema chronicum migrans (n=1). Gingival hyperplasia was observed in a single patient. Other cutaneous manifestations like seborrheic dermatitis and xerosis were also observed in 2 patients each during the study.   Conclusion: Renal transplant recipients are susceptible to acquire various cutaneous manifestations as a result of long term immunosuppression and also due to adverse effects of the drugs used. This knowledge helps the transplant physicians for regular dermatologic screening of these patients for early diagnosis and treatment of the skin lesions.

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