Antibiotic Consumption Pattern in the Neonatal Special Care Unit Before and After Implementation of the Hospital’s Antibiotic Policy

2014 ◽  
pp. 45-51 ◽  
Author(s):  
A. Nitsch-Osuch ◽  
D. Kurpas ◽  
E. Kuchar ◽  
K. Życińska ◽  
T. Zielonka ◽  
...  
Keyword(s):  
Antibiotic Consumption ◽  
Special Care ◽  
Consumption Pattern ◽  
Special Care Unit ◽  
Antibiotic Policy ◽  
Before And After

Intervention of companion clowns in a special care unit: a 1-year pilot study

2021 ◽  
Author(s):  
Adélaide De Mauleon ◽  
Anne Lelievre ◽  
Sophie Hermabessiere ◽  
Yves Rolland
Keyword(s):  
Pilot Study ◽  
Special Care ◽  
Special Care Unit

scholarly journals Changes in the Use of Broad-Spectrum Antibiotics after Cefepime Shortage: a Time Series Analysis

2011 ◽  
Vol 56 (2) ◽  
pp. 989-994 ◽  
Author(s):  
C. Plüss-Suard ◽  
A. Pannatier ◽  
C. Ruffieux ◽  
A. Kronenberg ◽  
K. Mühlemann ◽  
...  
Keyword(s):  
Time Series ◽  
Pseudomonas Aeruginosa ◽  
Broad Spectrum ◽  
Interrupted Time Series ◽  
Antibiotic Policy ◽  
Content Type ◽  
Broad Spectrum Antibiotics ◽  
Before And After ◽  
Alternative Antibiotic ◽  
The Impact

ABSTRACTThe original cefepime product was withdrawn from the Swiss market in January 2007 and replaced by a generic 10 months later. The goals of the study were to assess the impact of this cefepime shortage on the use and costs of alternative broad-spectrum antibiotics, on antibiotic policy, and on resistance ofPseudomonas aeruginosatoward carbapenems, ceftazidime, and piperacillin-tazobactam. A generalized regression-based interrupted time series model assessed how much the shortage changed the monthly use and costs of cefepime and of selected alternative broad-spectrum antibiotics (ceftazidime, imipenem-cilastatin, meropenem, piperacillin-tazobactam) in 15 Swiss acute care hospitals from January 2005 to December 2008. Resistance ofP. aeruginosawas compared before and after the cefepime shortage. There was a statistically significant increase in the consumption of piperacillin-tazobactam in hospitals with definitive interruption of cefepime supply and of meropenem in hospitals with transient interruption of cefepime supply. Consumption of each alternative antibiotic tended to increase during the cefepime shortage and to decrease when the cefepime generic was released. These shifts were associated with significantly higher overall costs. There was no significant change in hospitals with uninterrupted cefepime supply. The alternative antibiotics for which an increase in consumption showed the strongest association with a progression of resistance were the carbapenems. The use of alternative antibiotics after cefepime withdrawal was associated with a significant increase in piperacillin-tazobactam and meropenem use and in overall costs and with a decrease in susceptibility ofP. aeruginosain hospitals. This warrants caution with regard to shortages and withdrawals of antibiotics.

NosocomialKlebsiella pneumoniaecolonization in a neonatal special care unit

1986 ◽  
Vol 6 (2) ◽  
pp. 123-126 ◽  
Author(s):  
F. Denny ◽  
M. A. St. John ◽  
D.B. Lewis ◽  
B. Daniel
Keyword(s):  
Special Care ◽  
Special Care Unit

scholarly journals Limiting transmission of COVID-19 in an inpatient psychiatric hospital using a special care unit as a behavioral health model - Michigan, March 1-August 31, 2020

2021 ◽  
Vol 10 (3) ◽  
pp. 25
Author(s):  
William Sanders ◽  
Kimberley Greenwald ◽  
Joshua Foster ◽  
David Meisinger ◽  
Richelle Payea ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Behavioral Health ◽  
Clinical Care ◽  
Psychiatric Hospitals ◽  
Behavioral Health Care ◽  
Special Care ◽  
Direct Patient Care ◽  
Special Care Unit ◽  
Psychiatric Facilities

Approximately 53,000 patients/year are admitted to psychiatric hospitals in Michigan and treatment typically involves social gatherings and group therapies (SAMHSA 2017; Michigan DHS 2019). Often psychiatric inpatients are in close proximity placing them at high risk of infection and have comorbid medical conditions that predispose them to severe COVID-19 consequences. In March 2020, Pine Rest Christian Mental Health Services, Grand Rapids, MI initiated protocols and precautions to mitigate the spread of COVID-19 between patients and health care personnel (HCP) based on emerging CDC guidelines. Multiple strategies [COVID-19 testing, masking of patients and HCP, restricting visitors, and creation of Special Care Unit (SCU) with negative pressure] were effectively implemented and limited transmission of COVID-19 within Pine Rest. Admission to the SCU totaled 25 adults (three Pine Rest patients who tested positive during or after admission, and 22 COVID-19 positive patients who were transferred from other facilities). Average age of SCU inpatients was 38.5 ± 16.6 years with the majority being male. Average hospitalization was 9 ± 4 days. Among the 21 COVID-19 positive HCP, 15 [71%] provided direct clinical care on various units, zero provided care on the SCU, and six had roles with no direct patient care. Average age among COVID-19 positive HCP providing direct patient care[n = 15] was 29.5 ± 13.5 years, majority were female, and 3 [20%] were admitted to local medical hospital for treatment. This report demonstrates that quality behavioral health care can be safely provided at inpatient psychiatric facilities and serve as a guideline that other psychiatric facilities can follow to decrease transmission in future epidemics.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1968 ◽  
Vol 42 (2) ◽  
pp. 374-378
Keyword(s):  
Atopic Dermatitis ◽  
American Academy ◽  
Status Asthmaticus ◽  
Gamma Globulin ◽  
Special Care ◽  
Fall Meeting ◽  
Special Care Unit ◽  
American Academy Of Pediatrics

The Annual Fall Meeting of the Pennsylvania Chapter of the American Academy of Pediatrics will be held September 21 and 22, 1968, at Allenberny-on-the Breeches, Gettysburg. Drs. Harold Lecks, John Downes, Peter Koblenzer, Michael Miller, and Giulio Barbero will discuss allergy, including desensitization, status asthmaticus, atopic dermatitis, use and abuse of gamma-globulin, and gastrointestinal allergies. Dr. Jack Sabloff will speak on peninatal mortality in Pennsylvania, and Dr. Louis Gluck will talk on the newborn special care unit.

Sign in / Sign up

Export Citation Format

Share Document