POLA PERESEPAN ANTIBIOTIK PADA MANAJEMEN FARINGITIS AKUT DEWASA DI PUSKEMAS

2017 ◽  
Vol 2 (3) ◽  
pp. 252
Author(s):  
Dewi Puspita Apsari ◽  
Ni Made Oka Dwicandra ◽  
Abdul Khodir Jaelani
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Antibiotic Prescription ◽  
Acute Pharyngitis ◽  
Best Management ◽  
Primary Health ◽  
Common Diseases

<p><em>Acute pharyngitis is one of the most common diseases in</em><em> primary health care, Bali</em><em>. However, the best management </em><em>to control the number of antibiotics </em><em>prescribing</em><em> in</em><em> acute</em><em> pharyngitis is not known. This study aims to determine the </em><em>best management to control </em><em>antibiotics prescribing in adult </em><em>who has </em><em>acute pharyngitis. </em><em>This </em><em>prospective cohort study involved 93 patients aged 12-45 years who had been diagnosed with acute pharyngitis by a physician. Measurements were made on the </em><em>number of drugs per</em><em> prescription</em><em>, frequency</em><em> antibiotic</em><em>, quantity</em><em> antibiotic</em><em> and DDD </em><em>antibiotics. </em><em>C</em><em>entor</em><em> C</em><em>riteria</em><em> and RADT can </em><em>reduce</em><em> </em><em>the number of </em><em>antibiotic </em><em>prescriptions</em><em> than</em><em> empirical management </em><em>in primary health care district X, Bali</em><em>. </em><em>Decrease occurred on the</em><em> </em><em>the </em><em>number</em><em> of drugs per</em><em> prescription</em><em>, frequency</em><em> antibiotic</em><em>, quantity</em><em> antibiotic</em><em> and DDD </em><em>antibiotics</em><em>. </em><em>Management centor criteria and RADT are the best strategies to reduce antibiotic prescription in primary health care distict X, Bali. </em></p>

scholarly journals The German MultiCare-study: Patterns of multimorbidity in primary health care – protocol of a prospective cohort study

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Ingmar Schäfer ◽  
Heike Hansen ◽  
Gerhard Schön ◽  
Wolfgang Maier ◽  
Susanne Höfels ◽  
...  
Keyword(s):  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Primary Health ◽  
Care Protocol

scholarly journals Cohort study of ageing from Bagé (SIGa-Bagé), Brazil: profile and methodology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Thumé ◽  
Marciane Kessler ◽  
Karla P. Machado ◽  
Bruno P. Nunes ◽  
Pamela M. Volz ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Rio Grande ◽  
Cognitive Testing ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

scholarly journals Optimal diagnostic accuracy of quantitative faecal immunochemical test positivity thresholds for colorectal cancer detection in primary health care: A community-based cohort study

2020 ◽  
pp. 205064062094971 ◽  
Author(s):  
Noel Pin-Vieito ◽  
Laura García Nimo ◽  
Luis Bujanda ◽  
Begoña Román Alonso ◽  
María Ángeles Gutiérrez-Stampa ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Clinical Laboratory ◽  
Faecal Immunochemical Test ◽  
Primary Health ◽  
Immunochemical Test

Background Optimizing colonoscopy resources is challenging, and information regarding performing diagnostic quantitative faecal immunochemical test (FIT) in daily clinical practice in primary health care is still limited. This study aimed to assess the sensitivity, specificity, positive predictive value and negative predictive value of varying FIT positivity thresholds on colorectal cancer (CRC) detection in primary health care. Methods A retrospective cohort study of 38,675 asymptomatic and symptomatic patients with a FIT (OC-Sensor™) performed between 2012 and 2016 in a primary health-care setting, using a clinical laboratory database of two Spanish areas linked with the National Health System’s Hospital Discharge Records Database. The primary outcome was 2-year CRC incidence. Results The mean age of the participants was 63.2 years; 17,792 (46.0%) were male. CRC prevalence was 1.7% (650/38,675). The percentage of patients with a FIT result above the threshold was 20.7% and 14.6% for 10 µg Hb/g faeces and 20 µg Hb/g faeces thresholds, respectively. Sensitivity was 90.5% (95% confidence interval 88.0–92.5%) at a 10 µg Hb/g faeces threshold, and this decreased by 3.1% when a 20 µg Hb/g faeces threshold was used. The negative predictive value for CRC was at least 99.2% in any subgroup analysed. At a 20 µg Hb/g faeces threshold, less than one additional CRC would be missed per 1000 patients investigated, while approximately 1.3 times more colonoscopy examinations were needed to identify an incidence of CRC using the lowest threshold for any situation analysed. Conclusions In primary health care, a quantitative FIT threshold should be tailored to colonoscopy capacity and CRC prevalence in specific populations.

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