Impact Of Implementing National Guidelines On Antibiotic Prescriptions For Acute Respiratory Tract Infections In Pediatric Emergency Departments

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Impact of Implementing National Guidelines on Antibiotic Prescriptions for Acute Respiratory Tract Infections in Pediatric Emergency Departments

Author : Naïm Ouldali
Publisher :
ISBN 13 :
Total Pages : 102 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Impact of Implementing National Guidelines on Antibiotic Prescriptions for Acute Respiratory Tract Infections in Pediatric Emergency Departments by : Naïm Ouldali

Download or read book Impact of Implementing National Guidelines on Antibiotic Prescriptions for Acute Respiratory Tract Infections in Pediatric Emergency Departments written by Naïm Ouldali and published by . This book was released on 2017 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction. Les infections ORL ou respiratoire aigüe (IORA) sont fréquentes en pédiatrie et sont à l'origine de la majorité des prescriptions d'antibiotiques aux urgences. Bien que nombre de ces prescriptions soient inappropriées peu d'interventions ont été conduites pour tenter de les améliorer. L'objectif de cette étude était d'évaluer l'impact de l'implémentation de recommandations nationales 2011 sur les prescriptions antibiotiques pour IORA.Méthode. Une étude multicentrique, quasi-expérimentale de type série chronologique interrompue avec modèle de régression segmentée a été mise en place, incluant sept services d'urgences pédiatriques. Tout enfant consultant entre Novembre 2009 et Octobre 2014 avec un diagnostic d'IORA a été inclus. L'implémentation a consisté en la rédaction de protocoles locaux, des sessions de formations et un retour d'information systématique. Le critère de jugement principal était le taux de prescription d'antibiotiques pour IORA pour 1000 passages aux urgences pédiatriques.Résultats. 242 534 patients avec IORA ont été inclus. L'intervention a été associée à une baisse du taux de prescription d'antibiotiques pour 1 000 passages (-0.4% par période de 15 jours, p=0.04). La baisse cumulée à la fin de l'étude était de 30.9% (IC 95% [-45.2 ; -20.1]), soit 13 136 prescriptions d'antibiotiques évitées. Les prescriptions d'antibiotiques à large spectre ont fortement chuté (62.7% de baisse relative, IC 95% [-92.8; -32.7]). Conclusion. L'implémentation des recommandations nationales 2011 a permis une réduction des prescriptions d'antibiotiques pour IORA aux urgences pédiatriques et une baisse majeure des prescriptions d'antibiotiques à large spectre.

Insulin

Author : S. G. Th Hulst
Publisher :
ISBN 13 :
Total Pages : 78 pages
Book Rating : 4.:/5 (488 download)

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Book Synopsis Insulin by : S. G. Th Hulst

Download or read book Insulin written by S. G. Th Hulst and published by . This book was released on 1978 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Antimicrobial Stewardship, An Issue of Medical Clinics of North America

Author : Cheston B. Cunha
Publisher : Elsevier Health Sciences
ISBN 13 : 0323613799
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Antimicrobial Stewardship, An Issue of Medical Clinics of North America by : Cheston B. Cunha

Download or read book Antimicrobial Stewardship, An Issue of Medical Clinics of North America written by Cheston B. Cunha and published by Elsevier Health Sciences. This book was released on 2018-08-29 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Medical Clinics, guest edited by Dr. Cheston B. Cunha, is devoted to Antimicrobial Stewardship. Articles in this issue include: Principles of Antimicrobial Stewardship; Antibiotic Resistance in Stewardship; Therapy of Resistant Organisms: A Stewardship Approach; Optimal Antibiotic Dosing Strategies; The Importance of Interdisciplinary Collaboration in Antimicrobial Stewardship; Role of Education in Antimicrobial Stewardship; Role of the Hospital Epidemiologist in Antimicrobial Stewardship; Role of the Clinical Microbiology Laboratory in Antimicrobial Stewardship; Role of New and Rapid Diagnostics In Antimicrobial Stewardship; Antimicrobial Stewardship in the Community Hospital; Antimicrobial Stewardship in Long-Term Care Facilities; Role of the Pharmacist in Antimicrobial Stewardship; Pharmacoeconomic Considerations of Antimicrobial Stewardship Programs; Principles of IV-to-PO Switch and PO therapy; Role of Technology in Antimicrobial Stewardship; and Metrics of Antimicrobial Stewardship Programs.

Red Book

Author : Larry K. Pickering
Publisher :
ISBN 13 : 9781581107036
Total Pages : 0 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Red Book by : Larry K. Pickering

Download or read book Red Book written by Larry K. Pickering and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed by the AAP (American Academy of Pediatrics) Committee on Infectious Diseases in conjunction with the CDC (Centers for disease control), the FDA (Food and drug administration), and other leading institutions with contributions from hundreds of physicians nationwide, the newly revised and updated 2012 Red Book continues the tradition of excellence with the latest findings and clinical recommendations on the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions. [Ed.].

Antibiotics and Acute Respiratory Tract Infections

Author : Benjamin Ely
Publisher :
ISBN 13 :
Total Pages : 95 pages
Book Rating : 4.:/5 (11 download)

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Book Synopsis Antibiotics and Acute Respiratory Tract Infections by : Benjamin Ely

Download or read book Antibiotics and Acute Respiratory Tract Infections written by Benjamin Ely and published by . This book was released on 2017 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute respiratory tract infections (ARTIs) account for >20% of all outpatient visits in adults. Many of these patients are prescribed antibiotics that are inappropriate based on clinical practice guidelines (CPGs). Over the last 15+ years the Center for Disease Control (CDC) has conducted the Get Smart about Antibiotics (GSA) campaign to reduce over-prescribing to patients with self-limiting ARTIs that are non-indicated for antibiotics. I analyzed the impact of three nationally-focused GSA campaign activities (i.e., publishing CPGs, a national media campaign, and re-publishing material for Spanish-speaking populations) and two state-level GSA campaign activities (i.e., state-level funding and state-level participation in the GSA Week) on antibiotic prescribing in adult patients with office-diagnosed, non-indicated ARTIs (i.e., acute bronchitis, acute pharyngitis, acute rhino-sinusitis, and the common cold or acute non-specific upper respiratory tract infections). The analyses used two primary datasets: (1) Medical Expenditure Panel Survey (MEPS), which is nationally representative, and (2) the MarketScan claims database, which includes patients enrolled in large employer-sponsored health insurance plans. The odds that any antibiotics were prescribed were reduced after the publication of CPGs (MEPS: OR=0.68, p-value=0.01) and after the national media campaign (MEPS: ORR=0.76, p-value=0.01), which was driven by lower antibiotic prescribing to patients diagnosed with the common cold or acute non-specific upper respiratory tract infections. I did not find evidence of code-shifting into antibiotic-indicated ARTIs (i.e., streptococcal pharyngitis and pneumonia) associated with these campaign events. I also found that the odds of antibiotics prescribing were reduced with each additional year of state-level funding (MEPS: ORR=0.96, p-value=0.03; MarketScan: ORR=0.97, p-value

Highlights in General Pediatrics and Pediatric Emergency Care: 2021

Author : Martin Chalumeau
Publisher : Frontiers Media SA
ISBN 13 : 2889712095
Total Pages : 75 pages
Book Rating : 4.8/5 (897 download)

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Book Synopsis Highlights in General Pediatrics and Pediatric Emergency Care: 2021 by : Martin Chalumeau

Download or read book Highlights in General Pediatrics and Pediatric Emergency Care: 2021 written by Martin Chalumeau and published by Frontiers Media SA. This book was released on 2021-08-24 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Antimicrobial Stewardship in Non-Traditional Settings

Author : Shira Doron
Publisher : Springer Nature
ISBN 13 : 3031217101
Total Pages : 221 pages
Book Rating : 4.0/5 (312 download)

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Book Synopsis Antimicrobial Stewardship in Non-Traditional Settings by : Shira Doron

Download or read book Antimicrobial Stewardship in Non-Traditional Settings written by Shira Doron and published by Springer Nature. This book was released on 2023-03-01 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evolution of Antimicrobial Resistance is outpacing the ability to create novel antibiotics, which is proving to be a global problem in the fact of climate change, population growth, demographic shifts toward aging populations, emerging infections, and other crises. Therefore, clinicians are forced to use the existing antimicrobials more responsibly to preserve their longevity for generations to come. In a parallel vein, there has been a recent regulatory acknowledgement of the importance of prudent antimicrobial prescribing, mandating the implementation of Antimicrobial Stewardship across all healthcare settings. This is harder to manage in a non-traditional setting, which include long-term care facilities, outpatient care clinics, urgent care centers, and others. Given the trends in patient care in these settings—particularly where the aging community is concerned—this is proving to be a growing problem. This is troublesome even for spaces that have university and large hospital affiliations. There is a plethora of data describing the implementation and outcomes of Antimicrobial Stewardship Programs in acute-care hospitals with open-access, evidence-based guidelines endorsed by the Infectious Diseases Society of America. However, non-traditional settings often find themselves struggling to implement the same practices and procedures due to their unique needs and limited resources. There may be variability in access to resources, applicability, and patient-type. This book seeks to inform those in non-traditional healthcare settings on the principles, practice, and outcomes of Antimicrobial Stewardship Programs to improve patient care across all settings. The text begins by unpacking Antimicrobial Stewardship in nontraditional settings then covers specific environments, including long-term care facilities, outpatient clinics, and emergency departments. The text also covers special topics, including veterinary medicine, HIV, oncology, and immunocompromised patients, pediatrics, neonates, transplant, and critical care patients.

Practical Implementation of an Antibiotic Stewardship Program

Author : Tamar F. Barlam
Publisher : Cambridge University Press
ISBN 13 : 1107166179
Total Pages : 343 pages
Book Rating : 4.1/5 (71 download)

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Book Synopsis Practical Implementation of an Antibiotic Stewardship Program by : Tamar F. Barlam

Download or read book Practical Implementation of an Antibiotic Stewardship Program written by Tamar F. Barlam and published by Cambridge University Press. This book was released on 2018-04-26 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical reference guide from experts in the field details why and how to establish successful antibiotic stewardship programs.

OECD Health Policy Studies Stemming the Superbug Tide

Author : OECD.
Publisher : Org. for Economic Cooperation & Development
ISBN 13 : 9789264307582
Total Pages : 224 pages
Book Rating : 4.3/5 (75 download)

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Book Synopsis OECD Health Policy Studies Stemming the Superbug Tide by : OECD.

Download or read book OECD Health Policy Studies Stemming the Superbug Tide written by OECD. and published by Org. for Economic Cooperation & Development. This book was released on 2019-01-21 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antimicrobial resistance (AMR) is a large and growing problem with the potential for enormous health and economic consequences, globally. As such, AMR has become a central issue at the top of the public health agenda of OECD countries and beyond. In this

Pocket Book of Hospital Care for Children

Author : World Health Organization
Publisher : World Health Organization
ISBN 13 : 9241548371
Total Pages : 442 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Pocket Book of Hospital Care for Children by : World Health Organization

Download or read book Pocket Book of Hospital Care for Children written by World Health Organization and published by World Health Organization. This book was released on 2013 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

Antimicrobial Resistance

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309060842
Total Pages : 128 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Antimicrobial Resistance by : Institute of Medicine

Download or read book Antimicrobial Resistance written by Institute of Medicine and published by National Academies Press. This book was released on 1998-06-13 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antibiotic resistance is neither a surprising nor a new phenomenon. It is an increasingly worrisome situation, however, because resistance is growing and accelerating while the world's tools for combating it decrease in power and number. In addition, the cost of the problemâ€"especially of multidrug resistanceâ€"in terms of money, mortality, and disability are also rising. This book summarizes a workshop on antimicrobial resistance held by the Forum on Emerging Infections. The goal of the Forum on Emerging Infections is to provide an opportunity for representatives of academia, industry, government, and professional and interest groups to examine and discuss scientific and policy dilemmas of common interest that are specifically related to research on and the prevention, detection, and management of emerging infections. Organized as a topic-by-topic synthesis of presentations and exchanges during the workshop, the book highlights lessons learned, delineates a range of pivotal issues and the problems they raise, and proposes some simplified ideas about possible responses.

Respiratory Tract Infections

Author :
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (746 download)

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Book Synopsis Respiratory Tract Infections by :

Download or read book Respiratory Tract Infections written by and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory tract infection (RTI) is defined as any infectious disease of the upper or lower respiratory tract. Upper respiratory tract infections (URTIs) include the common cold, laryngitis, pharyngitis/tonsillitis, acute rhinitis, acute rhinosinusitis and acute otitis media. Lower respiratory tract infections (LRTIs) include acute bronchitis, bronchiolitis, pneumonia and tracheitis. Antibiotics are commonly prescribed for RTIs in adults and children in primary care. General practice consultation rates in England and Wales show that a quarter of the population will visit their GP because of an RTI each year. RTIs are the reason for 60% of all antibiotic prescribing in general practice, and this constitutes a significant cost to the NHS. Annual prescribing costs for acute cough alone exceed 15 million. There is evidence from randomised placebo-controlled trials (RCTs) that antibiotics have limited efficacy in treating a large proportion of RTIs in adults and children. These include acute otitis media (AOM), acute cough/acute bronchitis, acute sore throat/acute pharyngitis/acute tonsillitis, acute rhinosinusitis and the common cold. These conditions are largely self-limiting and complications are likely to be rare if antibiotics are withheld. Therefore, these five common RTIs are the focus of this guideline. The inappropriate prescribing of antibiotics has the potential to cause drug-related adverse events, escalate the prevalence of antibiotic-resistant organisms in the community and increase primary care consultation rates for minor illness.

Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine

Author : National Academies Of Sciences Engineeri
Publisher : National Academies Press
ISBN 13 : 9780309269452
Total Pages : pages
Book Rating : 4.2/5 (694 download)

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Book Synopsis Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine by : National Academies Of Sciences Engineeri

Download or read book Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine written by National Academies Of Sciences Engineeri and published by National Academies Press. This book was released on 2022-07-20 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Strategy for Combating Antibiotic Resistant Bacteria, published in 2014, sets out a plan for government work to mitigate the emergence and spread of resistant bacteria. Direction on the implementation of this strategy is provided in five-year national action plans, the first covering 2015 to 2020, and the second covering 2020 to 2025. Combating Antimicrobial Resistance and Protecting the Miracle of Modern Medicine evaluates progress made against the national strategy. This report discusses ways to improve detection of resistant infections and estimate the risk to human health from environmental sources of resistance. In addition, the report considers the effect of agricultural practices on human and animal health and animal welfare and ways these practices could be improved, and advises on key drugs and diseases for which animal-specific test breakpoints are needed.

Manual of Childhood Infections

Author : Mike Sharland
Publisher : Oxford University Press, USA
ISBN 13 : 0199573581
Total Pages : 913 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Manual of Childhood Infections by : Mike Sharland

Download or read book Manual of Childhood Infections written by Mike Sharland and published by Oxford University Press, USA. This book was released on 2011-04-07 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual gives information on the causative organisms, epidemiology and clinical features of all important childhood infections. It includes guidance on the clinical management of the infections and on steps to be taken to prevent future cases.

Behavioral Economics and Healthy Behaviors

Author : Yaniv Hanoch
Publisher : Routledge
ISBN 13 : 1317269519
Total Pages : 345 pages
Book Rating : 4.3/5 (172 download)

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Book Synopsis Behavioral Economics and Healthy Behaviors by : Yaniv Hanoch

Download or read book Behavioral Economics and Healthy Behaviors written by Yaniv Hanoch and published by Routledge. This book was released on 2017-05-18 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of behavioural economics can tell us a great deal about cognitive bias and unconscious decision-making, challenging the orthodox economic model whereby consumers make rational and informed choices. But it is in the arena of health that it perhaps offers individuals and governments the most value. In this important new book, the most pernicious health issues we face today are examined through a behavioral economic lens. It provides an essential and timely overview of how this growing field of study can reframe and offer solutions to some of the biggest health issues of our age. The book opens with an overview of the core theoretical concepts, after which each chapter assesses how behavioral economic research and practice can inform public policy across a range of health issues. Including chapters on tobacco, alcohol and drug use, physical activity, dietary intake, cancer screening and sexual health, the book integrates the key insights from the field to both developed and developing nations. Also asking important ethical questions around paternalism and informed choice, this book will be essential reading for students and researchers across psychology, economics and business and management, as well as public health professionals wishing for a concise overview of the role behavioral economics can potentially play in allowing people to live healthier lives.

Paediatric Respiratory Medicine

Author : Jeremy Hull
Publisher : OUP Oxford
ISBN 13 : 0191510718
Total Pages : 833 pages
Book Rating : 4.1/5 (915 download)

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Book Synopsis Paediatric Respiratory Medicine by : Jeremy Hull

Download or read book Paediatric Respiratory Medicine written by Jeremy Hull and published by OUP Oxford. This book was released on 2015-02-26 with total page 833 pages. Available in PDF, EPUB and Kindle. Book excerpt: Paediatric Respiratory Medicine Second edition remains the first point of reference for those faced with treating acute or chronic respiratory problems. The handbook discusses the approach to clinical problems, specific conditions, supportive care and practical procedures, and includes vital appendices covering specific tests and statistics. Designed as a practical guide, it serves general and specialist paediatricians at both consultant and trainee level. The book is divided into five parts. Part I provides a practical approach to acute and non-acute clinical problems. Part II provides detailed information about common and more rare clinical conditions. Part III provides useful information on supportive care, including for example, use of non-invasive ventilation and the care of a child with a tracheotomy. Part IV gives details on how to perform several practical procedures, such as ciliary brush biopsy, flexible bronchoscopy, and inserting a chest drain. The appendices provide information on lung function testing and tables of age-corrected normal values for several respiratory parameters. Written by three consultants in paediatric respiratory medicine, their expertise in the subject provides all levels of paediatricians with practical guide on a subject that is increasingly relevant in paediatrics.

Severe Community Acquired Pneumonia

Author : Jordi Rello
Publisher : Springer Science & Business Media
ISBN 13 : 9780792373384
Total Pages : 216 pages
Book Rating : 4.3/5 (733 download)

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Book Synopsis Severe Community Acquired Pneumonia by : Jordi Rello

Download or read book Severe Community Acquired Pneumonia written by Jordi Rello and published by Springer Science & Business Media. This book was released on 2001-06-30 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Severe Community Acquired Pneumonia is a book in which chapters are authored and the same topics discussed by North American and European experts. This approach provides a unique opportunity to view the different perspectives and points of view on this subject. Severe CAP is a common clinical problem encountered in the ICU setting. This book reviews topics concerning the pathogenesis, diagnosis and management of SCAP. The discussions on the role of alcohol in severe CAP and adjunctive therapies are important topics that further our understanding of this severe respiratory infection.