Etude Prospective Des Prescriptions Dantibiotiques Aux Urgences Adultes Dun Centre Hospitalier Universitaire

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Etude prospective des prescriptions d'antibiotiques aux urgences adultes d'un centre hospitalier universitaire

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Author : Sophie Chamla
Publisher :
ISBN 13 :
Total Pages : 122 pages
Book Rating : 4.:/5 (1 download)

Book Synopsis Etude prospective des prescriptions d'antibiotiques aux urgences adultes d'un centre hospitalier universitaire by : Sophie Chamla

Download or read book Etude prospective des prescriptions d'antibiotiques aux urgences adultes d'un centre hospitalier universitaire written by Sophie Chamla and published by . This book was released on 2016 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Résumé en français : Introduction: Le problème de la résistance aux antibiotiques est directement corrélé à leur consommation qui demeure trop élevée en France.L'objectif est de décrire les caractéristiques des prescriptions d'antibiotiques pour les principales pathologies infectieuses prises en charge aux urgences ainsi que leur adéquation avec les recommandations actuelles. Matériels et méthodes: Etude prospective monocentrique observationnelle réalisée sur 6 mois dans un service d'accueil des urgences adultes. Les critères d'inclusion étaient tous les patients de plus de 16 ans pour lesquels une antibiothérapie a été prescrite pour une de ces indications: pneumopathies, infections urinaires, dermo-hypodermites et fasciites nécrosantes, méningites, diarrhées aiguës fébriles, angines, neutropénies fébriles post chimiothérapie, infections sexuellement transmissibles. Le caractère approprié des prescriptions a été évalué en fonction des recommandations locales, nationales et internationales. Résultats : 219 patients ont été inclus. Le sex-ratio était de 0,8 et la moyenne d'âge de 57,7 ans. 114 (52%) patients étaient porteurs d'au moins une comorbidité. 162 (76%) prescriptions étaient réalisées par un médecin sénior et 51 (24%) par un interne.120 (55%) patients ont été hospitalisés. 14 (12%) ont présenté une évolution clinique défavorable au 5ème jour d'hospitalisation. Il existait une corrélation statistiquement significative entre mauvaise évolution clinique au 5ème jour d'hospitalisation et antibiothérapie inappropriée aux urgences (OR= 3,5 ; IC 95% : 1,03 - 16,26). Parmi les patients hospitalisés, 25 (21%) ont présenté un diagnostic final différent de celui posé aux urgences et 11 (9%) ne présentaient pas de processus infectieux nécessitant un traitement par antibiotique. Parmi les patients hospitalisés, 25 (21%) ont présenté un diagnostic final différent de celui posé aux urgences et 11 (9%) ne présentaient pas de processus infectieux nécessitant un traitement par antibiotique. 124 (56,6%) prescriptions étaient appropriées et 95 étaient inappropriées (43,4%). Parmi les antibiothérapies inappropriées, les critères de non-conformité étaient: molécule inappropriée (n= 86 ; 91%) ; spectre insuffisant (n=35 ; 37%) ; voie d'administration inappropriée (n=18 ; 19%).

Évaluation de l'antibiothérapie à partir de sa prescription aux urgences du centre hospitalier de Cambrai

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Author : Romain Lecomte
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (974 download)

Book Synopsis Évaluation de l'antibiothérapie à partir de sa prescription aux urgences du centre hospitalier de Cambrai by : Romain Lecomte

Download or read book Évaluation de l'antibiothérapie à partir de sa prescription aux urgences du centre hospitalier de Cambrai written by Romain Lecomte and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : La résistance bactérienne est un véritable problème de santé publique au niveau mondial. Celle-ci est responsable de 25 000 décès et coûte 1,5 milliard d'euros par an en Europe. Les causes de cette résistance sont liées à une utilisation inappropriée des antibiotiques et à un ralentissement dans la découverte de nouvelles molécules. La mise en route d'une antibiothérapie entraîne des conséquences individuelles et collectives, il apparaît donc nécessaire que celle-ci soit optimale. L'objectif de cette étude est d'évaluer la qualité de l'antibiothérapie à partir de sa prescription aux urgences du centre hospitalier de Cambrai. Méthode : Il s'agit d'une étude prospective, observationnelle, menée durant quatre semaines consécutives, du 21 mars au 17 avril 2016, portant sur l'ensemble des patients ayant reçu au moins une dose d'antibiotiques aux urgences de l'hôpital de Cambrai. L'antibiothérapie à été classée selon la méthode Gyssens. Résultats : 124 dossiers ont été analysés. Ils ont été classés Gyssens 0, c'est-à-dire conformes aux recommandations dans 45.53 % des cas. Les erreurs d'antibiothérapie non acceptables (Gyssens IV ou V), celles ne justifiant pas de l'instauration d'un antibiotique (20,33 %) ou l'utilisation d'une molécule non adaptée (18,7 %), représentaient 39,03 % des cas. Les erreurs d'administration concernaient un mauvais timing lors de l'introduction de l'antibiothérapie (GYSSENS I) dans 9,76 % des situations. Une erreur de voie d'administration (GYSSENS IIc) a été retrouvée dans 1,63 % des dossiers. Les doses étaient incorrectes (GYSSENS IIa) pour 0,81 % des patients, et enfin, la durée de traitement était incorrecte (GYSSENS III) dans 2,44 % des cas. L'origine infectieuse était pulmonaire pour 49,59 % des patients, suivie principalement par les infections digestives (12,2 %) et cutanées (10,57 %). Un référentiel local était applicable dans 78,86 % des situations. Les principaux schémas antibiotiques utilisés concernaient l'association AMOXICILLINE-ACIDE CLAVULANIQUE, représentant 55,28 % des prescriptions, suivi par les Céphalosporines (12,1 %), puis par l'association CÉPHALOSPORINE-FLUOROQUINOLONES (9,76 %). Conclusion : Nos prescriptions d'antibiotiques ne sont pas optimales. Une amélioration apparaît nécessaire, et doit passer par un travail de réflexion multidisciplinaire afin de renforcer l'adhésion des prescripteurs aux référentiels locaux.

Antimicrobial Stewardship

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Author : Kerry LaPlante
Publisher : CABI
ISBN 13 : 1780644396
Total Pages : 451 pages
Book Rating : 4.7/5 (86 download)

Book Synopsis Antimicrobial Stewardship by : Kerry LaPlante

Download or read book Antimicrobial Stewardship written by Kerry LaPlante and published by CABI. This book was released on 2016-12-23 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an age where antimicrobial resistance amongst pathogens grows more prevalent, particularly in the hospital setting, antimicrobial stewardship is an evidence-based, proven measure in the battle against resistance and infection. This single comprehensive, definitive reference work is written by an international team of acknowledged experts in the field. The authors explore the effective use of coordinated antimicrobial interventions to change prescribing practice and help slow the emergence of antimicrobial resistance, ensuring that antimicrobials remain an effective treatment for infection. Amongst the first of its kind, this book provides infectious disease physicians, administrators, laboratory, pharmacy, nursing and medical staff with practical guidance in setting up antimicrobial stewardship programs in their institutions with the aim of selecting the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration.

Cutaneous Side Effects of Drugs

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Author : Konrad Bork
Publisher : W.B. Saunders Company
ISBN 13 :
Total Pages : 448 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Cutaneous Side Effects of Drugs by : Konrad Bork

Download or read book Cutaneous Side Effects of Drugs written by Konrad Bork and published by W.B. Saunders Company. This book was released on 1988 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Pain in Infants, Children, and Adolescents

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Author : Neil L. Schechter
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781726443
Total Pages : 924 pages
Book Rating : 4.7/5 (264 download)

Book Synopsis Pain in Infants, Children, and Adolescents by : Neil L. Schechter

Download or read book Pain in Infants, Children, and Adolescents written by Neil L. Schechter and published by Lippincott Williams & Wilkins. This book was released on 2003 with total page 924 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Metagenomics of the Human Body

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Author : Karen E. Nelson
Publisher : Springer Science & Business Media
ISBN 13 : 1441970894
Total Pages : 302 pages
Book Rating : 4.4/5 (419 download)

Book Synopsis Metagenomics of the Human Body by : Karen E. Nelson

Download or read book Metagenomics of the Human Body written by Karen E. Nelson and published by Springer Science & Business Media. This book was released on 2010-11-16 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book brings a completely different perspective than available books by combining the information gained from the human genome with that derived from parallel metagenomic studies, and new results from investigating the effects of these microbes on the host immune system. Although there are a number of books that focus on the human genome that are currently available, there are no books that bring to the forefront the mix of the human genome and the genomes and metagenomes of the microbial species that live within and on us.

A Treatise on Acupuncturation

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Author : James Morss Churchill
Publisher : BoD – Books on Demand
ISBN 13 : 3734043735
Total Pages : 42 pages
Book Rating : 4.7/5 (34 download)

Book Synopsis A Treatise on Acupuncturation by : James Morss Churchill

Download or read book A Treatise on Acupuncturation written by James Morss Churchill and published by BoD – Books on Demand. This book was released on 2018-09-21 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reproduction of the original: A Treatise on Acupuncturation by James Morss Churchill

Managing Epidemics

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Author :
Publisher :
ISBN 13 : 9789240698345
Total Pages : pages
Book Rating : 4.6/5 (983 download)

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Download or read book Managing Epidemics written by and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Emergency Psychiatric Care

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Author : H. L. P. Resnik
Publisher : Brady Publishing
ISBN 13 :
Total Pages : 204 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Emergency Psychiatric Care by : H. L. P. Resnik

Download or read book Emergency Psychiatric Care written by H. L. P. Resnik and published by Brady Publishing. This book was released on 1975 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Office Emergencies

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Author : Marjorie A. Bowman
Publisher :
ISBN 13 :
Total Pages : 420 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Office Emergencies by : Marjorie A. Bowman

Download or read book Office Emergencies written by Marjorie A. Bowman and published by . This book was released on 2003 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inside, you'll find practical information on how to handle the most common emergencies that present in primary care offices and urgent care centers -- whether in person or over the telephone.

Dying for Growth

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Author : Jim Yong Kim
Publisher :
ISBN 13 :
Total Pages : 736 pages
Book Rating : 4.4/5 (91 download)

Book Synopsis Dying for Growth by : Jim Yong Kim

Download or read book Dying for Growth written by Jim Yong Kim and published by . This book was released on 2000 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is economic growth killing the poor? The Institute for Health and Social Justice brings us the answers in Dying for Growth. An extraordinary collection of fourteen hard-hitting case studies from Haiti to the US, Dying for Growth exposes the interests behind a system that consigns a fifth of the world's population to live (and die) on less than a dollar a day. Rooted in the lives of people waging heart-wrenching struggles against a new, systemic form of poverty, these studies don't just document inequality -- they pinpoint its underlying causes.Looking at the effects of international restructuring strategies on the poor, the increasing control trans-national corporations exert over world health, and the impact of U.S. drug policy on global inequality, Dying for Growth debunks the myths of global capitalism, including: Myth: Throwing loans at developing nations will cure poverty.Fact: As shown in Sickness Amidst Recovery: Public Debt and Private Suffering in a Peruvian Shanty Town, loans can make things worse.Myth: Getting rid of big government automatically improves the standard of living.Fact: Cutting services can lead to calamity, as detailed in Neoliberal Economic Policy, State Desertion and the Russian Health Crisis. Myth: The free market is a panacea.Fact: There's nothing liberating about modern capitalism, as demonstrated in 'Todo Bajo Control': The Costs of 'Free' Trade to Mexican Maquiladora Workers.Dying for Growth concludes with an extensive section on alternatives to standard models. Included is a chapter on health and revolution in Cuba, The Threat of a Good Example, and a plan for action, Pragmatic Solidarity: What You Can Do.With passionrarely found in works of comparable analytic rigor, Dying for Growth tells the stories of people trapped in the machine of growth, and compels readers to recognize that the problem of inequality is not one of insufficient resources, nor even of inefficiency -- the problem is power.

The Germ Code

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Author : Jason Tetro
Publisher : Doubleday Canada
ISBN 13 : 0385678533
Total Pages : 274 pages
Book Rating : 4.3/5 (856 download)

Book Synopsis The Germ Code by : Jason Tetro

Download or read book The Germ Code written by Jason Tetro and published by Doubleday Canada. This book was released on 2013-11-05 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the dawn of the human race, germs have been making us sick. Whether the ailment is a cold, the flu, diabetes, obesity or certain cancers, the likely cause is germs. Our ancient enemies have four families - bacteria, viruses, fungi, and protozoa - and many names: Ebola, E. coli, salmonella, norovirus, gonorrhea. . . Human beings are engaged in a "war on germs," in which we develop ever-more sophisticated weapons and defensive strategies. But it is a war we can never win. Our best plan for staying as healthy is to choose our battles carefully, and try to co-exist with germs as best we can. The Germ Code is a wise, witty and wonderfully readable guide to our relationship with these infinitesimal but infinitely powerful creatures. Microbiologist Jason Tetro takes us outside the lab and shows the enormous influence of germs upon humanity's past, present and future. He unlocks the mysteries of "the germ code" to reveal how these organisms have exploited our every activity and colonized every corner of the earth. From his own research and personal experience, Tetro relates how the most recent flu pandemic happened, how others may have been averted and how more may come about if we aren't careful. He also explains that not every germ is our foe, and offers advice on harnessing the power of good germs to stay healthy and make our planet a better place. The Germ Code is a fascinating journey through an unseen world, an essential manual to living in harmony with germs and a life-enhancing (as well as life-saving!) good read.

Thickening Fat

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Author : May Friedman
Publisher : Routledge
ISBN 13 : 0429017634
Total Pages : 264 pages
Book Rating : 4.4/5 (29 download)

Book Synopsis Thickening Fat by : May Friedman

Download or read book Thickening Fat written by May Friedman and published by Routledge. This book was released on 2019-08-30 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

Clean Hands Save Lives

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Author : Thierry Crouzet
Publisher : Thaulk
ISBN 13 : 2919358359
Total Pages : pages
Book Rating : 4.9/5 (193 download)

Book Synopsis Clean Hands Save Lives by : Thierry Crouzet

Download or read book Clean Hands Save Lives written by Thierry Crouzet and published by Thaulk. This book was released on 2014-04-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: You may not know it, but an innovation has made our world a better place. The use of alcohol-based handrubs protects us from infectious diseases and saves millions of lives each year through safer health care. Here is the story of this revolutionary formulation, made available without patent and offered as a gift to humanity by Professor Didier Pittet and his team at Hôpitaux Universitaires de Genève (HUG). From bush doctors to giant pharmaceutical corporations, everyone can now produce effective handrubs, cheaply and easily. Didier Pittet’s medical odyssey has taken him to the four corners of the Earth. It also reveals a new path open to human society, one that pro- mises a radical shift from a predatory economic system to an economy of peace. Thierry Crouzet — blogger, essay writer, and novelist — is fascinated by contemporary issues located at the nexus of technology, politics, and lite- rature. A former journalist, his published works in French include Le Peuple des connecteurs [The Connected People], a reflection on our networked society; J’ai débranché [How I Unplugged], a tale of digital burnout; and La Quatrième Théorie [The Fourth Theory], a political techno-thriller.

Encyclopedia of AIDS

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Author : Thomas J. Hope
Publisher :
ISBN 13 : 9781461496106
Total Pages : pages
Book Rating : 4.4/5 (961 download)

Book Synopsis Encyclopedia of AIDS by : Thomas J. Hope

Download or read book Encyclopedia of AIDS written by Thomas J. Hope and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Quality By Design

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Author : Eugene C. Nelson
Publisher : John Wiley & Sons
ISBN 13 : 1118046838
Total Pages : 507 pages
Book Rating : 4.1/5 (18 download)

Book Synopsis Quality By Design by : Eugene C. Nelson

Download or read book Quality By Design written by Eugene C. Nelson and published by John Wiley & Sons. This book was released on 2011-01-14 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality by Design reflects the research and applied training conducted at Dartmouth Medical School under the leadership of Gene Nelson, Paul Batalden, and Marjorie Godfrey. The book includes the research results of high-performing clinical microsystems, illustrative case studies that highlight individual clinical programs, guiding principles that are easily applied, and tools, techniques, and methods that can be adapted by clinical practices and interdisciplinary clinical teams. The authors describe how to develop microsystems that can attain peak performance through active engagement of interdisciplinary teams in learning and applying improvement science and measurement; explore the essence of leadership for clinical Microsystems; show what mid-level leaders can do to enable peak performance at the front lines of care; outline the design and redesign of services and planning care to match patient needs with services offered; examine the issue of safety; describe the vital role of data in creating a rich and useful information environment; provide a core curriculum that can build microsystems’ capability, provide excellent care, promote a positive work environment, and contribute to the larger organization. Ancillary materials for use in classroom teaching, training, or coaching are available at https://clinicalmicrosystem.org/

World Abortion Policies

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Author :
Publisher : Economic & Social Affairs
ISBN 13 : 9789211515015
Total Pages : 0 pages
Book Rating : 4.5/5 (15 download)

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Download or read book World Abortion Policies written by and published by Economic & Social Affairs. This book was released on 2013-06-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: