scholarly journals Dynamic online antimicrobial guideline with stewardship program: Impact on antimicrobial prescribing

2017 ◽  
Vol 12 (4) ◽  
pp. 364 ◽  
Author(s):  
Syeda Papia Sultana ◽  
Md. Sayedur Rahman
Keyword(s):  
Internal Medicine ◽  
Obstetrics And Gynecology ◽  
Prescribing Pattern ◽  
Program Impact ◽  
Prescription Audit ◽  
Antimicrobial Prescribing ◽  
Stewardship Program ◽  
Medical University

<p>Dynamic online antimicrobial guideline with stewardship program was attempted in Bangabandhu Sheikh Mujib Medical University (BSMMU) to improve the antimicrobial prescribing. The prescribing pattern was evaluated by retrospective prescription audit. Overall 59.4% of admitted patients of four selected departments received antimicrobials. Highest (81.9%) was in the Department of Obstetrics and Gynecology, followed by Surgery (78.5%), Internal Medicine (47.6%) and Pediatrics (46.7%). After launching of guideline, antimicrobial prescribing was significantly reduced in the Department of Internal Medicine (47.6% to 22.2%; p&lt;0.01) and Pediatrics (50.0% to 40.0%; p&lt;0.01). Significant (p&lt;0.05 to p&lt;0.001) change was observed with different antimicrobials in different departments. Consumption of cefixime (8.5 ± 3.7 to 3.9 ± 2.5; p&lt;0.05) and ceftriaxone (6.9 ± 3.4 to 3.1 ± 2.2; p&lt;0.005) was reduced significantly in Internal Medicine. The adherence to guideline was highest in the Department of Obstetrics and Gynecology (91.3%) followed by Pediatrics (86.3%) and Internal Medicine (81.2%).</p>

Nasce uma nova especialidade : osteopatia

2016 ◽  
Vol 2 (3) ◽  
Author(s):  
Marco Antônio Guimarães Da Silva
Keyword(s):  
Internal Medicine ◽  
Emergency Medicine ◽  
Preventive Medicine ◽  
Rio De Janeiro ◽  
Obstetrics And Gynecology ◽  
Physical Medicine ◽  
National Board ◽  
Physical Medicine And Rehabilitation ◽  
Allergy And Immunology ◽  
Medical Examiners

Por circunstâncias relacionadas à minha titulação, acabei designado pela Universidade Castelo Branco do Rio de Janeiro (UCB) para avaliar uma parceria proposta pela Escola de Osteopatia de Madri (EOM). À época, em 1997, a EOM propunha que a UCB passasse a organizar academicamente os cursos de osteopatia que a referida Escola já vinha ministrando no Brasil, com vistas a, no futuro, torná-lo um curso de pós-graduação. Algumas viagens à Madri para observar a estrutura acadêmica e pedagógica da sede da EOM, condição imposta pela UCB para concretizar a parceria, me levaram a conhecer esta modalidade terapêutica, com resultados efetivamente comprovados através de trabalhos científicos.Realizadas as adaptações que se faziam necessárias, a UCB aprovou, em 2000, o curso de osteopatia, com uma carga horária de 1050 horas para a titulação de especialização acadêmica, nível Lato Sensu. A resolução do COFITO, que estabelece a osteopatia como uma especialidade da fisioterapia, levou-nos a propor ao CEPE da UCB uma complementação de 450 horas, alcançando, assim, as 1.500 horas, distribuídas ao longo de cinco anos, exigidas pela referida resolução do COFITO. A introdução desta técnica terapêutica no Brasil pela corrente Européia e a pronta intervenção do COFITO foram fatores decisivos para nos brindar com mais uma especialidade. Houvera sido a Osteopatia implantada no Brasil por influência da escola americana, talvez os rumos tomados fossem outros. Senão, vejamos. Nos EUA, a osteopatia é normalmente exercida pelo médico, que deve obter sua permissão através do National Board of Osteopatic Medical Examiners, e está dividida em Sociedades Osteopáticas que se distribuem por todas as modalidades médicas; a saber: Allergy and Immunology, Anesthesiology, Dermatology ,Emergency Medicine, Internal Medicine, Neurologists and Psychiatrists, Obstetrics and Gynecology, Occupational and Preventive Medicine, Ophthalmology and Otolaryngology, Orthopedics Pathology, Pediatrics Proctology, Radiology, Physical Medicine and Rehabilitation, Rheumatology Sports Surgery Medicine.Com o objetivo de incentivar as linhas de pesquisas na área da osteopatia, estará sendo criado, durante as III Jornadas Hispano-Lusas de Fisioterapia em Terapia Manual (Sevilha-Espanha, 5 de outubro de 2001), o Centro Internacional de Pesquisas em Osteopatia. O referido Centro, dirigido por um fisioterapeuta brasileiro com Doutorado, terá sua sede na Espanha e manterá núcleos, vinculados a Universidades, na Argentina, no Brasil, na Itália, em Portugal e na Venezuela. Esperamos, desta forma, ao lado do reconhecimento profissional já oferecido pela resolução COFITO, dar mais um passo na consolidação acadêmica da nossa mais nova modalidade terapêutica.

scholarly journals Changes in antimicrobial prescribing behavior after the introduction of the antimicrobial stewardship program: A pre- and post-intervention survey

2017 ◽  
Vol 9 (3) ◽  
Author(s):  
Ruchir Chavada ◽  
Harry N. Walker ◽  
Deborah Tong ◽  
Amy Murray
Keyword(s):  
Antimicrobial Stewardship ◽  
Evidence Based ◽  
Post Intervention ◽  
Electronic Decision Support ◽  
Prescribing Behavior ◽  
Antimicrobial Prescribing ◽  
Stewardship Program ◽  
Wilcoxon Rank Sum Test ◽  
Therapeutic Guidelines ◽  
Evidence Based Guidelines

The introduction of an antimicrobial stewardship (AMS) program is associated with a change in antimicrobial prescribing behavior. A proposed mechanism for this change is by impacting the <em>prescribing</em> <em>etiquette</em> described in qualitative studies. This study sought to detect a change in prescribing attitudes 12 months after the introduction of AMS and gauge utility of various AMS interventions. Surveys were distributed to doctors in two regional Australian hospitals on a convenience basis 6 months before, and 12 months after, the introduction of AMS. Agreement with 20 statements describing attitudes (cultural, behavioral and knowledge) towards antimicrobial prescribing was assessed on a 4-point Likert scale. Mean response scores were compared using the Wilcoxon Rank sum test. 155 responses were collected before the introduction of AMS, and 144 afterwards. After the introduction of AMS, an increase was observed in knowledge about available resources such as electronic decision support systems (EDSS) and therapeutic guidelines, with raised awareness about the support available through AMS rounds and the process to be followed when prescribing restricted antimicrobials. Additionally, doctors were less likely to rely on pharmacy to ascertain when an antimicrobial was restricted, depend on infectious diseases consultant advice and use past experience to guide antimicrobial prescribing. Responses to this survey indicate that positive changes to the antimicrobial prescribing etiquette may be achieved with the introduction of an AMS program. Use of EDSS and other resources such as evidence-based guidelines are perceived to be important to drive rational antimicrobial prescribing within AMS programs.

scholarly journals Antimicrobial stewardship program in China’s tertiary hospitals in 2018: a nationwide cross-sectional online survey

2020 ◽  
Author(s):  
Yue Zhou ◽  
Haishaerjiang Wushouer ◽  
Xi Zhang ◽  
Jiajia Feng ◽  
Likai Lin ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Evaluation System ◽  
Clinical Pathways ◽  
Popular Science ◽  
Outcome Evaluation ◽  
Antimicrobial Use ◽  
Cross Sectional ◽  
Prescription Audit ◽  
Stewardship Program ◽  
Tertiary Hospitals

Abstract Background The study aimed to assess the development of antimicrobial stewardship (AMS) program in China’s tertiary hospitals to identify the potential challenges for AMS program and provide references and benchmarks for strategic policymaking. Methods A nationwide cross-sectional study was conducted online by sending questionnaires to tertiary hospitals under China Antimicrobial Resistance Surveillance System (CARSS) between November 1, 2018 and December 10, 2018. The questionnaire included 5 sections regarding structure, technical support, antimicrobial use management, antimicrobial use surveillance and education. Descriptive statistics were used for data analysis. Results Of 1044 tertiary hospitals under CARSS, 13.4% (140) hospitals participated in the study. Among them, 99.3% (139/140) set up AMS program. Hospital president (82.1%, 115/140) and medical service department (59.3%, 83/140) were responsible for AMS outcomes in most hospitals. Structured antimicrobial formulary restriction management was adopted by 99.3% (139/140) hospitals. Infection disease department, infection control department and microbiological laboratories were established in 87.1% (122/140), 99.3% (139/140), and 100% (140/140) hospitals, respectively. Up to 85.6% (124/140) hospitals applied clinical pathways and 33.6% (47/140) hospitals implemented hospital-specific guidelines for infectious diseases. Outpatient prescription audit, inpatient prescription audit and prophylactic antimicrobial prescription audit of aseptic operation were performed in 99.3% (139/140), 98.6% (138/140) and 95.7% (134/140) hospitals, respectively. Up to 97.1% (136/140) hospitals participated in antimicrobial use surveillance network and 99.3% (139/140) hospitals established the specialized management of carbapenem and tigecycline. Staff education and AMS-related popular science education were provided with different ways and frequency in 100% (140/140) and 88.6% (124/140) hospitals, respectively. Conclusions AMS in China’s tertiary hospitals were primarily headed by hospital presidents and involved collaboration among various disciplines and administrative departments. More efforts should be put into further promoting and strengthening the development of hospital-specific guidelines and the establishment of progress and outcome evaluation system.

scholarly journals System of Educational Process Organization at the Department of Endocrinology and the Department of Internal Medicine No 1, Immunopathology and Allergology named after academician Neiko Ye.M. of Ivano-Frankivsk National Medical University

2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Oksana Didushko ◽  
Petro Herych ◽  
Iryna Cherniavska
Keyword(s):  
Internal Medicine ◽  
Medical School ◽  
Educational Process ◽  
National Medical ◽  
The Subject ◽  
Medical University ◽  
Long Term Experience ◽  
Module System

The The article highlights the system of educational process organization during module 1 of the subject “Internal Medicine” at the Department of Endocrinology and the Department of Internal Medicine No 1, Immunopathology and Allergology named after academician Neiko Ye.M. of Ivano-Frankivsk National Medical University. The possibilities of combining long-term experience and the traditions of national medical school with the principles of the credit-module system are described.

scholarly journals 100th Anniversary of the Department of Obstetrics and Gynecology at the Pavlov State Medical University

1999 ◽  
Vol 48 (3) ◽  
pp. 67-71
Author(s):  
E. K. Ailamazyan ◽  
B. N. Novikov ◽  
V. A. Starovoitov
Keyword(s):  
Medical Education ◽  
100Th Anniversary ◽  
Medical Institute ◽  
Obstetrics And Gynecology ◽  
Female Physicians ◽  
Children's Diseases ◽  
Male Doctor ◽  
Gynecological Care ◽  
The Times ◽  
Medical University

One of the motives behind the establishment of the Women's Medical Institute (WMI) in 1897 was the need to radically improve the delivery of obstetric and gynecological care to the population. At that time, qualified medical aid could only be provided by a male doctor, which severely limited the demand for it by women, who were more willing to use the services of midwives and obstetricians-practitioners. The training of female physicians, specialists in obstetrics and gynecology, was the dictate of the times. In the "Regulations" on the establishment of the Institute, its main objective was formulated: "to provide women with a medical education, mainly adapted to the treatment of women's and children's diseases and obstetric activities.

Student questionnaire as assessment of quality monitoring of e-learning in medical education

2021 ◽  
Vol 43 (3-4) ◽  
pp. 23-26
Author(s):  
I. M. Skrypnyk ◽  
◽  
N. P. Prykhodko ◽  
G. S. Maslova ◽  
O. A. Shaposhnyk ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Student Satisfaction ◽  
Online Survey ◽  
Teaching Quality ◽  
Average Score ◽  
Point System ◽  
Student Questionnaire ◽  
E Learning ◽  
Teacher Mentor ◽  
Medical University

The aim of the work is a comprehensive assessment of the teaching quality at the Department of Internal Medicine №1 of the Poltava State Medical University. The assessment of monitoring was an anonymous online survey of VI year education medical students that was trained at the modules “Current practice of internal medicine” and “Emergency conditions in the clinic of Internal Medicine” in the context of the COVID-19 pandemic. It was shown that, despite the greatest difficulty of the “Cardiology” and “Hematology” cycles, the overall assessment of the teaching availability for all cycles was 4,16±0,416 points and the value of any cycle was not lower than 4 (5-point system). Given the conditions of distance learning in connection with the COVID-19 pandemic caused by the coronavirus SARS-CoV-2 the average score of student satisfaction with the skills acquired was 3.59 ± 0.593. Students noted that the most difficult mastering practical skills were on the “Emergency” (16.14%) and “Cardiology” (15.18%) cycles. This indicates that any cases, situational tasks, demonstration videos can’t replace live communication with the patient, under the guidance of a teacher-mentor, work with modern equipment and simulators. These results reflect that students need bedside teaching activities on patients’ experiences with teacher-mentor. A targeted approach to teaching and evaluating the learning process encourages feedback from students to improve the quality of educational services. Thus, the data allow us to analyze the effectiveness of distance educational quality using anonymous questionnaires, to get feedback and respond to the identified shortcomings.

Menopause Management Knowledge in Postgraduate Family Medicine, Internal Medicine, and Obstetrics and Gynecology Residents: A Cross-Sectional Survey

2019 ◽  
Vol 94 (2) ◽  
pp. 242-253 ◽  
Author(s):  
Juliana M. Kling ◽  
Kathy L. MacLaughlin ◽  
Peter F. Schnatz ◽  
Carolyn J. Crandall ◽  
Lisa J. Skinner ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Family Medicine ◽  
Obstetrics And Gynecology ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Management Knowledge

scholarly journals Infection surveillance analysis of catheter associated urinary tract infections in obstetrics and gynecology department of a tertiary care hospital of Central India

2017 ◽  
Vol 7 (1) ◽  
pp. 215
Author(s):  
Mudita Jain ◽  
Rituja Kaushal ◽  
Malini Bharadwaj
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Tertiary Care ◽  
Central India ◽  
Integrated Approach ◽  
Obstetrics And Gynecology ◽  
Care Hospital ◽  
Stewardship Program ◽  
Tract Infections ◽  
A Prospective Study

Background: The prevalence of catheter associated urinary tract infections (CAUTIs) in the catheterized patients in acute care settings (catheter used for <7 days) is 3%-7%, in patients who require a urinary catheter for >7 days, it is up to 25% and it approaches 100% after 30 days. As device related hospital acquired infections are imposing major threats in surgical realm of medical sciences, this study was undertaken with the objective to asses catheter related urinary tract infections magnitude.Methods: This study was undertaken in a tertiary care setting of Obstetrics and Gynecology Department of a Central Indian city. It is a prospective study conducted over a full year span from April 2016 to March 2017.Results: CAUTI was calculated as 8.95 per thousand catheter days for the whole study period. Out of the total number of 18 urinary isolates, E. Coli and Enterococcus species were more commonly implicated.Conclusions: In order to restraint the enigma, a multidisciplinary integrated approach including periodic training sessions for all health care workers based on bundled care interventions supervisory checklists etc. is needed. Aseptic techniques along with IDSA (Infectious disease society of America) guidelines/other similar protocols are recommended to bring down overall prevalence. Prudent use of antibiotics is to be accorded as per antibiotic stewardship program to combat drug resistance.

Sign in / Sign up

Export Citation Format

Share Document