1
40
3
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
30–37
Volume
16 Suppl2
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
[Clinical impact of appropriate use of antibiotic in hospital according to CARAT criteria].
Publisher
An entity responsible for making the resource available
Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-04
Subject
The topic of the resource
Humans; *Practice Guidelines as Topic; Intensive Care Units; Anti-Bacterial Agents/pharmacology/*therapeutic use; Evidence-Based Medicine; Organizational Policy; Europe/epidemiology; Clinical Trials as Topic; *Guideline Adherence; Bacterial Infections/drug therapy/epidemiology; Drug Utilization; Hospitals/*standards; Patients' Rooms; *Drug Resistance; Multiple; Bacterial
Creator
An entity primarily responsible for making the resource
File Thomas M Jr
Description
An account of the resource
In response to the overuse and misuse of antibiotics, leading to increasing bacterial resistance and the decreasing development of new antibiotics, the Council for Appropriate and Rational Antibiotic Therapy (an independent, interdisciplinary panel of healthcare professionals established to advocate the appropriate use of antibiotics) has developed criteria to guide proper antibiotic selection. These criteria include: establishment of a need to justify use of antibiotics (e.g., colonization versus disease); evidence-based results; therapeutic benefits; safety; use of pharmacodynamic indices for optimal drug and optimal duration; cost-effectiveness. Promoting the appropriate use of antibiotics should provide for optimal outcomes for our patients.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Drug Resistance
*Guideline Adherence
*Practice Guidelines as Topic
2008
Anti-Bacterial Agents/pharmacology/*therapeutic use
Bacterial
Bacterial Infections/drug therapy/epidemiology
Clinical Trials as Topic
Department of Internal Medicine
Drug Utilization
Europe/epidemiology
Evidence-Based Medicine
File Thomas M Jr
Hospitals/*standards
Humans
Intensive Care Units
Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive
Multiple
NEOMED College of Medicine
Organizational Policy
Patients' Rooms
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/01.mjt.0000174345.59177.9b" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/01.mjt.0000174345.59177.9b</a>
Pages
18–23
Issue
1
Volume
13
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Screening for nephropathy and antiangiotensin use among diabetic patients in an academic community medical center.
Publisher
An entity responsible for making the resource available
American Journal of Therapeutics
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-02
Subject
The topic of the resource
*Guideline Adherence; Academic Medical Centers; Age Factors; Aged; Angiotensin II Type 1 Receptor Blockers/*administration & dosage/therapeutic use; Angiotensin-Converting Enzyme Inhibitors/*administration & dosage/therapeutic use; Coronary Artery Disease/diagnosis; Diabetes Mellitus; Diabetic Nephropathies/*diagnosis/epidemiology/etiology; Drug Utilization; Female; Humans; Hypertension/diagnosis/drug therapy; Male; Middle Aged; Practice Guidelines as Topic; Proteinuria/diagnosis; Retrospective Studies; Type 1/complications/drug therapy; Type 2/complications/drug therapy
Creator
An entity primarily responsible for making the resource
Frazee Lawrence A; Samandari Seyhoon; Tanphaichitr Natthavat; Bourguet Claire C; Pfister Eugene W
Description
An account of the resource
The American Diabetes Association recommends routine screening for albuminuria to detect early nephropathy in all patients with diabetes mellitus. If nephropathy is identified, treatment with an antiangiotensin agent decreases progression and improves renal outcomes. Concordance with guidelines for nephropathy screening and antiangiotensin therapy among diabetic patients in a primary care setting of an academic community medical center was evaluated. Medical charts of adult patients with diabetes mellitus from February 2000 through January 2003 were retrospectively reviewed. In part 1 of the study, whether patients were screened for nephropathy at least once was recorded. In part 2 of the study, antiangiotensin prescribing was assessed in all patients and in subgroups stratified by screening. In both parts of the study, patient characteristics and comorbidities were assessed using multivariate analysis to determine their impact on the odds that a patient was screened and that antiangiotensin therapy was prescribed. Among the 329 patients included, 182 patients (55.3%) were screened for nephropathy. Patients who were screened were younger (OR=0.83 for 10-year increase, 95% CI: 0.69-0.99), less likely to have congestive heart failure (OR=0.42, 95% CI: 0.20-0.90), and more likely to be cared for by a resident physician directly supervised by an attending physician (OR=3.03; 95% CI: 1.82-5.03). A total of 215 patients (65.3%) were prescribed antiangiotensin therapy. Hypertension was a predictor of antiangiotensin therapy among all patients who were screened (OR=10.34, 95% CI: 4.45-24.01), those who were screened and negative (OR=15.46, 95% CI: 5.56-42.98), and those who were not screened (OR=10.79, 95% CI: 4.39-26.52). Among patients screened for nephropathy, coronary artery disease (OR=3.01, 95% CI: 1.05-8.63), and the presence of proteinuria (OR=4.26, 95% CI: 1.61-11.24) were predictors of antiangiotensin use. This study found that the likelihood of screening for nephropathy among diabetic patients was inversely associated with a diagnosis of congestive heart failure and increasing age. Conversely, care by a resident physician directly supervised by an attending physician increased the odds that patients would be screened. A diagnosis of hypertension and the presence of albuminuria were each associated with increased use of an antiangiotensin agent.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/01.mjt.0000174345.59177.9b" target="_blank" rel="noreferrer noopener">10.1097/01.mjt.0000174345.59177.9b</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Guideline Adherence
2006
Academic Medical Centers
Age Factors
Aged
American journal of therapeutics
Angiotensin II Type 1 Receptor Blockers/*administration & dosage/therapeutic use
Angiotensin-Converting Enzyme Inhibitors/*administration & dosage/therapeutic use
Bourguet Claire C
Coronary Artery Disease/diagnosis
Department of Internal Medicine
Diabetes Mellitus
Diabetic Nephropathies/*diagnosis/epidemiology/etiology
Drug Utilization
Female
Frazee Lawrence A
Humans
Hypertension/diagnosis/drug therapy
Male
Middle Aged
NEOMED College of Medicine
Pfister Eugene W
Practice Guidelines as Topic
Proteinuria/diagnosis
Retrospective Studies
Samandari Seyhoon
Tanphaichitr Natthavat
Type 1/complications/drug therapy
Type 2/complications/drug therapy
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajic.2014.10.003" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajic.2014.10.003</a>
Pages
16–19
Issue
1
Volume
43
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Comparison of hand hygiene monitoring using the 5 Moments for Hand Hygiene method versus a wash in-wash out method.
Publisher
An entity responsible for making the resource available
American Journal of Infection Control
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-01
Subject
The topic of the resource
*Epidemiological Monitoring; *Guideline Adherence; Compliance; Cross Infection – Prevention and Control; Cross Infection/*prevention & control; Descriptive Statistics; Evaluation Research; Hand hygiene; Hand Hygiene/*methods; Handwashing – Utilization; Health Facilities; Human; Humans; Infection Control/*methods; My 5 Moments for Hand Hygiene; Patients' Rooms; Professional Compliance; Staff Development
Creator
An entity primarily responsible for making the resource
Sunkesula Venkata C K; Meranda David; Kundrapu Sirisha; Zabarsky Trina F; McKee Melissa; Macinga David R; Donskey Curtis J
Description
An account of the resource
BACKGROUND: One strategy to promote improved hand hygiene is to monitor health care workers' adherence to recommended practices and give feedback. For feasibility of monitoring, many health care facilities assess hand hygiene practices on room entry and exit (wash in-wash out). It is not known if the wash in-wash out method is comparable with a more comprehensive approach, such as the World Health Organization's My 5 Moments for Hand Hygiene method. METHODS: During a 1-month period, a surreptitious observer monitored hand hygiene compliance simultaneously using the wash in-wash out and My 5 Moments for Hand Hygiene methods. RESULTS: For 283 health care worker room entries, the methods resulted in similar rates of hand hygiene compliance (70% vs 72%, respectively). The wash in-wash out method required 148 hand hygiene events not required by the My 5 Moments for Hand Hygiene method (ie, before and after room entry with no patient or environmental contact) while not providing monitoring for 89 hand hygiene opportunities in patient rooms. CONCLUSION: The monitoring methods resulted in similar overall rates of hand hygiene compliance. Use of the wash in-wash out method should include ongoing education and intermittent assessment of hand hygiene before clean procedures and after body fluid exposure in patient rooms.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajic.2014.10.003" target="_blank" rel="noreferrer noopener">10.1016/j.ajic.2014.10.003</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Epidemiological Monitoring
*Guideline Adherence
2015
American journal of infection control
Compliance
Cross Infection – Prevention and Control
Cross Infection/*prevention & control
Descriptive Statistics
Donskey Curtis J
Evaluation Research
Hand hygiene
Hand Hygiene/*methods
Handwashing – Utilization
Health Facilities
Human
Humans
Infection Control/*methods
Kundrapu Sirisha
Macinga David R
McKee Melissa
Meranda David
My 5 Moments for Hand Hygiene
Patients' Rooms
Professional Compliance
Staff Development
Sunkesula Venkata C K
Zabarsky Trina F