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Qualite De Lantibioprophylaxie Chirurgicale
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Book Synopsis Qualité de l'antibioprophylaxie chirurgicale by : Camille Porcheron
Download or read book Qualité de l'antibioprophylaxie chirurgicale written by Camille Porcheron and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les infections du site opératoire sont classées au deuxième rang des infections associées aux soins les plus fréquentes. L'antibioprophylaxie (ABP) chirurgicale est une mesure fondamentale de la prévention des ISO. Elle correspond à l'administration d'antibiotiques avant la contamination potentielle du fait d'une situation à risque au cours d'un geste chirurgical. C'est une mesure complémentaire de l'asepsie. Elle est utilisée en pré-opératoire afin d'empêcher la prolifération bactérienne au niveau du site opératoire, de façon à réduire au maximum le risque d'infection post-opératoire. L'ABP doit être la plus efficace possible afin de limiter le risque infectieux mais également les résistances. Afin de préserver la qualité de l'ABP chirurgicale, il est recommandé d'évaluer régulièrement les pratiques au sein de ces établissements de santé en s'appuyant sur les recommandations régulièrement actualisées par la Société Française d'Anesthésie-Réanimation (SFAR). C'est ainsi que nous avons souhaité évaluer les pratiques à travers une une étude rétrospective réalisée au CHU de Poitiers sur des interventions menées en 2018 et en 2019. Les interventions suivantes ont été choisies : prothèse de hanche (PTH), prothèse de genou (PTG), hernie inguinale avec pose d'une plaque prothétique et sleeve gastrique.. Concernant l'ensemble des critères évalués, nous pouvons noter que les pratiques sont globalement tout à fait conformes avec le référentiel institutionnel s'appuyant sur les recommandations de la SFAR. Dans tous les cas l'ABP était limitée à la période opératoire. Que ce soit en ce qui concerne la molécule utilisée, la posologie, le délai entre l'ABP et l'induction ou l'incision, les taux de conformité sont compris entre 85 et 100%. En comparant nos résultats à ceux d'une précédente étude menée sur des PTH et PTG pratiquées en 2013 et 2014, il ressort une amélioration globale des pratiques. La vigilance et l'application des recommandations dans le choix et l'administration de l'ABP chirurgicale restent de mise pour continuer à prodiguer des soins de qualité aux patients opérés.
Book Synopsis Evaluation multicentrique des pratiques d'antibioprophylaxie chirurgicale en région stéphanoise by : François Dufour
Download or read book Evaluation multicentrique des pratiques d'antibioprophylaxie chirurgicale en région stéphanoise written by François Dufour and published by . This book was released on 2007 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectifs : Evaluer l'adéquation de l'antibioprophylaxie chirurgicale par rapport au référentiel national et local dans le cadre d'une action d'évaluation des pratiques professionnelles sur plusieurs établissements, et mettre en place des mesures d'amélioration. Patients et Méthodes : Il s'agit d'une étude observationnelle multicentrique sur cinq établissements de santé de la région stéphanoise. Le plan de l'étude s'est calqué sur le référentiel des pratiques professionnelles sur l'antibioprophylaxie publié en 2005 par le CFAR et l'HAS. Une première phase d'analyse structurelle a été réalisée (qualité et diffusion des protocoles locaux d'antibioprophylaxie) puis une période d'observation de deux semaines (juin2006) a été tirée au sort pour la deuxième phase qui a consisté en une analyse de dossiers visant à évaluer la qualité de l'antibioprophylaxie en terme de prescription, de réalisation et de conformité aux référentiels. Résultats : Au total, 1 100 dossiers ont été analysés correspondant à 585 prescriptions d'antibioprophylaxie. La conformité globale avec les recommandations nationales de l'indication d'antibioprophylaxie était de 88%. Les anomalies étaient principalement liées à l'absence de prescription en consultation d'anesthésie (52,1% de conformité) et au délai, non précisé ou non respecté, entre l'injection de l'antibiotique et l'incision (39,7% de conformité). Conclusion : notre étude a permis d'objectiver les anomalies de prescription. Les médecins, qui pour la plupart y ont participé activement, ont pu en prendre conscience. Elle a initié la mise en place d'actions d'amélioration, notamment la rédaction de nouveaux protocoles par chaque service. Un deuxième audit doit être réalisé afin d'évaluer leur application. Ce travail s'intégrera également dans le processus de certification des établissements.
Book Synopsis Therapeutic Angiography by : C.A. Athanasoulis
Download or read book Therapeutic Angiography written by C.A. Athanasoulis and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: With contributions by numerous experts
Book Synopsis Peripheral Endovascular Interventions by : Thomas J. Fogarty
Download or read book Peripheral Endovascular Interventions written by Thomas J. Fogarty and published by Springer Science & Business Media. This book was released on 2010-06-25 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a comprehensive review of the rapidly advancing field of endovascular therapy, written by internationally recognized authorities in the field, many of whom are the innovators of the techniques and devices involved. Broad in scope, topics covered range from how to obtain training in approved endovascular techniques to promising new lines of investigational therapies.
Book Synopsis Surgical Site Infection by : Andrew Welsh
Download or read book Surgical Site Infection written by Andrew Welsh and published by . This book was released on 2008 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infections that occur in the wound created by an invasive surgical procedure are generally referred to as surgical site infections (SSIs). SSIs are one of the most important causes of healthcare-associated infections (HCAIs). A prevalence survey undertaken in 2006 suggested that approximately 8% of patients in hospital in the UK have an HCAI. SSIs accounted for 14% of these infections and nearly 5% of patients who had undergone a surgical procedure were found to have developed an SSI. However, prevalence studies tend to underestimate SSI because many of these infections occur after the patient has been discharged from hospital. SSIs are associated with considerable morbidity and it has been reported that over one-third of postoperative deaths are related, at least in part, to SSI. However, it is important to recognise that SSIs can range from a relatively trivial wound discharge with no other complications to a life-threatening condition. Other clinical outcomes of SSIs include poor scars that are cosmetically unacceptable, such as those that are spreading, hypertrophic or keloid, persistent pain and itching, restriction of movement, particularly when over joints, and a significant impact on emotional wellbeing. SSI can double the length of time a patient stays in hospital and thereby increase the costs of health care. Additional costs attributable to SSI of between £814 and £6626 have been reported depending on the type of surgery and the severity of the infection. The main additional costs are related to re-operation, extra nursing care and interventions, and drug treatment costs. The indirect costs, due to loss of productivity, patient dissatisfaction and litigation, and reduced quality of life, have been studied less extensively.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1995 with total page 1556 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Wide Awake Hand Surgery by : Donald Lalonde
Download or read book Wide Awake Hand Surgery written by Donald Lalonde and published by CRC Press. This book was released on 2016-01-27 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wide awake hand surgery (WALANT) represents a breakthrough in surgery of the hand and upper extremity. It can be performed with no preoperative testing, no intravenous insertion, and no monitoring. Like a dental procedure, the patient simply gets up and goes home after the procedure. Presented in an easy-to-read, bullet-point format, Wide Awake Hand Surgery guides surgeons through all aspects of WALANT. The book covers a wide variety of topics including minimal pain injection of local anesthesia, nerve and tendon decompression, wrist surgery, repair of lacerated tendons, tendon transfers, finger fractures, lacerated nerves, metacarpal fractures, arthritis surgery and complex reconstructions in hand surgery. The book includes more than 150 step-by-step surgical and instructional videos as well as numerous color clinical photographs. Color drawings clearly guide the surgeon to the correct anatomic locations for anesthetic injections, and the book includes an atlas of tumescent local anesthesia distribution anatomy. Featuring a complimentary eBook, this valuable resource offers chapters written by worldwide experts, making it the definitive guide to wide awake hand surgery.
Book Synopsis Control of Human Parasitic Diseases by :
Download or read book Control of Human Parasitic Diseases written by and published by Elsevier. This book was released on 2006-06-15 with total page 690 pages. Available in PDF, EPUB and Kindle. Book excerpt: Control of parasitic infections of humans has progressed rapidly over the last three decades. Such advances have resulted from focal disease control efforts based on historically effective interventions to new approaches to control following intensive research and pilot programs. Control of Human Parasitic Diseases focuses on the present state of control of the significant human parasitic infectious diseases. Includes the impact of recent research findings on control strategy Discusses the health policy implications of these findings and the importance of evaluation and monitoring Highlights the lessons learned and the interactions between control programs and health systems Foreword by Jeffrey D. Sachs
Book Synopsis Focal Therapy in Prostate Cancer by : Hashim Uddin Ahmed
Download or read book Focal Therapy in Prostate Cancer written by Hashim Uddin Ahmed and published by John Wiley & Sons. This book was released on 2011-12-27 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book comprehensively reviews the potential of focal therapy and discusses why the changing face of prostate cancer warrants a change in the way we treat men with the disease. It deals with the mechanisms by which disease can be localized within the gland and then the different technologies used for focal ablation. Bringing together eminent contributors in one accessible reference, this book introduces focal therapy to all urologists, oncologists, and radiologists who are involved in the treatment of men with prostate cancer.
Book Synopsis Renal Stone Disease 2 by : Andrew P. Evan
Download or read book Renal Stone Disease 2 written by Andrew P. Evan and published by American Institute of Physics. This book was released on 2008-11-04 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Indianapolis, Indiana, 17-18 April 2008
Book Synopsis Diagnosis Related Groups (DRGs) and the Medicare Program by :
Download or read book Diagnosis Related Groups (DRGs) and the Medicare Program written by and published by . This book was released on 1983 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Health System Performance Comparison: an Agenda for Policy, Information and Research by : Irene Papanicolas
Download or read book Health System Performance Comparison: an Agenda for Policy, Information and Research written by Irene Papanicolas and published by McGraw-Hill Education (UK). This book was released on 2013-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: International comparison of health system performance has become increasingly popular, made possible by the rapidly expanding availability of health data. It has become one of the most important levers for prompting health system reform. Yet, as the demand for transparency and accountability in healthcare increases, so too does the need to compare data from different health systems both accurately and meaningfully. This timely and authoritative book offers an important summary of the current developments in health system performance comparison. It summarises the current state of efforts to compare systems, and identifies and explores the practical and conceptual challenges that occur. It discusses data and methodological challenges, as well as broader issues such as the interface between evidence and practice. The book draws out the priorities for future work on performance comparison, in the development of data sources and measurement instruments, analytic methodology, and assessment of evidence on performance. It concludes by presenting the key lessons and future priorities, and in doing so offers a rich source of material for policy-makers, their analytic advisors, international agencies, academics and students of health systems.
Author :Jean-Philippe Bastard Publisher :Springer Science & Business Media ISBN 13 :2817803434 Total Pages :432 pages Book Rating :4.8/5 (178 download)
Book Synopsis Physiology and Physiopathology of Adipose Tissue by : Jean-Philippe Bastard
Download or read book Physiology and Physiopathology of Adipose Tissue written by Jean-Philippe Bastard and published by Springer Science & Business Media. This book was released on 2012-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: The scientific advances in the physiology and pathophysiology of adipose tissue over the last two decades have been considerable. Today, the cellular and molecular mechanisms of adipogenesis are well known. In addition, adipose tissue is now recognized as a real endocrine organ that produces hormones such as the leptin acting to regulate food intake and energy balance in the central nervous system, a finding that has completely revolutionized the paradigm of energy homeostasis. Other adipokines have now been described and these molecules are taking on increasing importance in physiology and pathophysiology. Moreover, numerous works have shown that in obesity, but also in cases of lipodystophy, adipose tissue was the site of a local low-grade inflammation that involves immune cells such as macrophages and certain populations of lymphocytes. This new information is an important step in the pathophysiology of both obesity and related metabolic and cardiovascular complications. Finally, it is a unique and original work focusing on adipose tissue, covering biology and pathology by investigating aspects of molecular and cellular biology, general, metabolic, genetic and genomic biochemistry.
Download or read book Noma written by K.W. Marck and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis ABO-incompatible Kidney Transplantation by : Kōta Takahashi
Download or read book ABO-incompatible Kidney Transplantation written by Kōta Takahashi and published by . This book was released on 2001 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABO incompatible kidney transplantation is indicated for patients for whom no ABO-identical or minor mismatch donor is available. Since the author and his colleagues performed the first ABO-incompatible kidney transplantation in Japan in 1989, 400 such transplantations have been performed in 41 hospitals in Japan and this practice has contributed to a number of new developments. One is a clearer and more suitable model for conceptualising the mechanism of humoral immune response which enables identification of antigens and antibodies and a therapeutic strategy against rejection. The rejection mechanisms are discussed not only from the perspective of immunology but also viewed from different angles, including anatomy, microscopic and macroscopic pathology, molecular biology and haematology. Immunosuppressive therapy is discussed, divided in four categories: extracorporeal immunomodulation with removal of humoral antibodies; drug therapy to suppress cellular immunity; splenectomy; and anticoagulation therapy. Surgical procedures for kidney transplantation and splenectomy are treated, including discussion of the best timing for the latter. The book gives an overview of the current status with statistics and results of questionnaires and ends with discussions of 17 case histories.
Book Synopsis Snake Venoms and Envenomations by : Jean-Philippe Chippaux
Download or read book Snake Venoms and Envenomations written by Jean-Philippe Chippaux and published by Krieger Publishing Company. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presenting a synthesis of the principal discoveries on venoms and envenomations, this text describes the paleontology and classification of snakes as well as the biochemistry and toxicology of venoms to explain the theoretical basis of the envenomation and its treatment.
Book Synopsis Vertical Mammaplasty and Liposuction by : Madeleine Lejour
Download or read book Vertical Mammaplasty and Liposuction written by Madeleine Lejour and published by CRC Press. This book was released on 1994-01-01 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using a multidisciplinary approach, Human Respiratory Viral Infections is set at the level between the definitive reference work and an essential clinical manual. Exploring recent advances in human respiratory viral research, the text builds on the basic sciences of epidemiology, virology, molecular biology, and immunology to cover clinical diagnosis, mechanism of pathogenesis, manifestations of disease, impact, treatment, and management strategies. Provides a comprehensive review of all the major human respiratory viral infections Supplies a detailed description of the anatomy of the respiratory system Discusses the salient features of specific viruses Examines the latest diagnostic tools Covers risk factors associated with incidence of respiratory viral infections in children and adults in different occupational and environmental settings Presenting the latest knowledge in human respiratory viral infections, this text will be immensely valuable for pulmonologists, biomedical scientists, research scholars, virologists, vaccinologists, immunologists, clinicians, pharmacologists, and public health specialists.
