scholarly journals Involvement of Tunisian General Practitioners in the Management of Patients at Risk of Infective Endocarditis: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Malek Lagha ◽  
Mehdi Khemiss ◽  
Ines Kallel ◽  
Asma Araissia ◽  
Chems Belkhir ◽  
...  
Keyword(s):  
At Risk ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Patients At Risk ◽  
Spss Software ◽  
General Dentists ◽  
The Right ◽  
Real Practice

Objectives. This work aimed to estimate the knowledge and practice of general dentists in the governorate of Manouba regarding the management of patients at risk of infective endocarditis. Materials and Methods. A survey involving private sector general dentists in the governorate of Manouba was performed. It contained 21 questions, and it was addressed to 111 dentists. Only 82 dentists responded. To carry out the descriptive study, we used the SPSS software version 21.0. Results. Our results proved the lack of knowledge among dentists in the governorate of Manouba with regard to the management of patients at risk of infective endocarditis. An overestimation of the risk and an overprescription of antibiotic were found in order to ensure an over-protection for the patients as well as the dentist. In fact, 85.4% of these dentists prescribed antibiotic prophylaxis for the two groups of patients (high risk and moderate risk). Only 9.8% followed the right modality of antibiotic prophylaxis prescription; 4.9% of the dentists prescribed antibiotic only 1 hour before the act and 4.9% of them prescribed antibiotic 1 hour before the act and continued the treatment in case of the presence of an infectious site. Conclusion. A discrepancy towards an over-estimation of risk and overprescription of antibiotic was found between the recommendations and real practice. Similar studies in the other governorates of Tunisia are recommended in order to better understand the problem.

scholarly journals Sarcopenia and Malnutrition Screening in Female Osteoporosis Patients—A Cross-Sectional Study

2021 ◽  
Vol 10 (11) ◽  
pp. 2344
Author(s):  
Franca Genest ◽  
Dominik Rak ◽  
Elisa Bätz ◽  
Kerstin Ott ◽  
Lothar Seefried
Keyword(s):  
At Risk ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Mineral Density ◽  
Cross Sectional ◽  
Functional Deficits ◽  
Complementary Approach ◽  
Study Results ◽  
Patients At Risk ◽  
Not At Risk

Sarcopenia and malnutrition are important determinants of increased fracture risk in osteoporosis. SARC-F and MNA-SF are well-established questionnaires for identifying patients at risk for these conditions. We sought to evaluate the feasibility and potential added benefit of such assessments as well as the actual prevalence of these conditions in osteoporosis patients. We conducted a cross-sectional, single-center study in female osteoporosis patients ≥ 65 years (SaNSiBaR-study). Results of the sarcopenia (SARC-F) and malnutrition (MNA-SF) screening questionnaires were matched with a functional assessment for sarcopenia and data from patients’ medical records. Out of 107 patients included in the analysis, a risk for sarcopenia (SARC-F ≥ 4 points) and a risk for malnutrition (MNA-SF ≤ 11 points) was found in 33 (30.8%) and 38 (35.5%) patients, respectively. Diagnostic overlap with coincident indicative findings in both questionnaires was observed in 17 patients (16%). As compared to the respective not-at-risk groups, the mean short physical performance battery (SPPB) score was significantly reduced in both patients at risk for sarcopenia (7.0 vs. 10.9 points, p < 0.001) and patients at risk for malnutrition (8.7 vs. 10.5 points, p = 0.005). Still, confirmed sarcopenia according to EWGSOP2 criteria was present in only 6 (6%) of all 107 patients, with only 3 of them having an indicative SARC-F score. Bone mineral density was not significantly different in any of the at-risk groups at any site. In summary, applying SARC-F and MNA-SF in osteoporosis patients appears to be a complementary approach to identify individuals with functional deficits.

scholarly journals The prescription pattern and awareness about antibiotic prophylaxis and resistance among a group of Egyptian pediatric and general dentists: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariam Mohsen Aly ◽  
Marwa Aly Elchaghaby
Keyword(s):  
Antibiotic Resistance ◽  
Antibiotic Prophylaxis ◽  
Antibiotic Prescription ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Major Public Health Problem ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
General Dentists

Abstract Background The use of antibiotics in dentistry as prophylaxis and treatment is frequent. Their misuse has led to a major public health problem globally known as antibiotic resistance. This study aimed to assess the pattern of antibiotic prescription and its prophylactic use for systemic conditions. Besides, this study evaluated the awareness and adherence to antibiotic prescription guidelines and antibiotic prophylaxis guidelines along with awareness of antibiotic resistance across pediatric and general dentists. Methods An overall of 378 pediatric and general dentists meeting the required eligibility criteria, fulfilled a pre-designed validated questionnaire. Data were collected, tabulated, and statistically analyzed. Results A significant statistical difference was found among the pediatric and general dentists regarding antibiotics prescription for most of the oral conditions where Amoxicillin with clavulanic acid was the most frequently prescribed antibiotic among the two groups (53% pediatric dentist and 52% general dentist). The majority of pediatric and general dentists, on the other hand, were aware of antibiotic resistance and prescribing recommendations. Conclusions The present study showed a tendency to overprescribe and overuse antibiotics in certain dental conditions among the participants. The vast majority of dentists, especially general dentists do not have adherence to professional guidelines for antibiotics prescription in children despite their awareness of antibiotic resistance and prescription guidelines.

scholarly journals The Cost-Effectiveness of Antibiotic Prophylaxis for Patients at Risk of Infective Endocarditis

Circulation ◽  
2016 ◽  
Vol 134 (20) ◽  
pp. 1568-1578 ◽  
Author(s):  
Matthew Franklin ◽  
Allan Wailoo ◽  
Mark J. Dayer ◽  
Simon Jones ◽  
Bernard Prendergast ◽  
...  
Keyword(s):  
At Risk ◽  
Cost Effectiveness ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Patients At Risk ◽  
The Cost

scholarly journals Malnutrition and cachexia among cancer out-patients in Nairobi, Kenya

2017 ◽  
Vol 6 ◽  
Author(s):  
L. U. Kaduka ◽  
Z. N. Bukania ◽  
Y. Opanga ◽  
R. Mutisya ◽  
A. Korir ◽  
...  
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Point Of Care ◽  
Cross Sectional Study ◽  
Fat Free Mass ◽  
Assessment Tools ◽  
Correct Identification ◽  
Cross Sectional ◽  
Cancer Management ◽  
Patients At Risk

AbstractCancer is the third leading cause of death in Kenya. However, there is scarce information on the nutritional status of cancer patients to guide in decision making. The present study sought to assess the risk of malnutrition, and factors associated with malnutrition and cachexia, among cancer out-patients, with the aim of informing nutrition programmes for cancer management in Kenya and beyond. This was a facility-based cross-sectional study performed at Kenyatta National Hospital and Texas Cancer Centre in Nairobi, Kenya. The risk of malnutrition was assessed using the Malnutrition Universal Screening Tool (MUST). Diagnoses of malnutrition and cachexia were done using the European Society of Clinical Nutrition and Metabolism (ESPEN) and Fearon criteria, respectively. A total of 512 participants were assessed. Those at risk of malnutrition were 33·1 % (12·5 % at medium risk, 20·6 % at high risk). Prevalence of malnutrition was 13·4 %. The overall weight loss >5 % over 3 months was 18·2 % and low fat-free mass index was 43·1 %. Prevalence of cachexia was 14·1 % compared with 8·5 % obtained using the local criteria. Only 18·6 % participants had received any form of nutrition services. Age was a predictor of malnutrition and cachexia in addition to site of cancer for malnutrition and cigarette smoking for cachexia. The use of the MUST as a screening tool at the first point of care should be explored. The predictive value of current nutrition assessment tools, and the local diagnostic criteria for malnutrition and cachexia should be reassessed to inform the development of appropriate clinical guidelines and future capacity-building initiatives that will ensure the correct identification of patients at risk for timely care.

Drug-related problems in a clinical setting: a literature review and cross-sectional study evaluating factors to identify patients at risk

2015 ◽  
Vol 22 (4) ◽  
pp. 229-235 ◽  
Author(s):  
Carli Michèle Wilmer ◽  
Victor Johan Bernard Huiskes ◽  
Stephanie Natsch ◽  
Alexander Johannes Maria Rennings ◽  
Bartholomeus Johannnes Frederikus van den Bemt ◽  
...  
Keyword(s):  
At Risk ◽  
Literature Review ◽  
Clinical Setting ◽  
Cross Sectional Study ◽  
Drug Related Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients At Risk

scholarly journals Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study: Table 1

QJM ◽  
2014 ◽  
Vol 108 (1) ◽  
pp. 27-31 ◽  
Author(s):  
T. Ó Flatharta ◽  
A. Khan ◽  
T. Walsh ◽  
M. O’Donnell ◽  
S.T. O’Keefe
Keyword(s):  
At Risk ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients At Risk

Antibiotic prophylaxis for patients at risk of infective endocarditis

1997 ◽  
Vol 52 (4) ◽  
pp. 322 ◽  
Author(s):  
A.J. O'Doherty ◽  
P.G. Murphy ◽  
S.P. Gorman
Keyword(s):  
At Risk ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Patients At Risk

scholarly journals A predictive model for identifying patients at risk of delayed transfer of care: a retrospective, cross-sectional study of routinely collected data

2021 ◽  
Vol 33 (3) ◽  
Author(s):  
Andrew Davy ◽  
Thomas Hill ◽  
Sarahjane Jones ◽  
Alisen Dube ◽  
Simon c Lea ◽  
...  
Keyword(s):  
At Risk ◽  
Predictive Model ◽  
Cross Sectional Study ◽  
Early Warning Score ◽  
Sectional Study ◽  
Cross Sectional ◽  
Transfer Of Care ◽  
Routinely Collected Data ◽  
Patients At Risk ◽  
Transfers Of Care

Abstract Background Delays to the transfer of care from hospital to other settings represent a significant human and financial cost. This delay occurs when a patient is clinically ready to leave the inpatient setting but is unable to because other necessary care, support or accommodation is unavailable. The aim of this study was to interrogate administrative and clinical data routinely collected when a patient is admitted to hospital following attendance at the emergency department (ED), to identify factors related to delayed transfer of care (DTOC) when the patient is discharged. We then used these factors to develop a predictive model for identifying patients at risk for delayed discharge of care. Objective To identify risk factors related to the delayed transfer of care and develop a prediction model using routinely collected data. Methods This is a single centre, retrospective, cross-sectional study of patients admitted to an English National Health Service university hospital following attendance at the ED between January 2018 and December 2020. Clinical information (e.g. national early warning score (NEWS)), as well as administrative data that had significant associations with admissions that resulted in delayed transfers of care, were used to develop a predictive model using a mixed-effects logistic model. Detailed model diagnostics and statistical significance, including receiver operating characteristic analysis, were performed. Results Three-year (2018–20) data were used; a total of 92 444 admissions (70%) were used for model development and 39 877 (30%) admissions for model validation. Age, gender, ethnicity, NEWS, Glasgow admission prediction score, Index of Multiple Deprivation decile, arrival by ambulance and admission within the last year were found to have a statistically significant association with delayed transfers of care. The proposed eight-variable predictive model showed good discrimination with 79% sensitivity (95% confidence intervals (CIs): 79%, 81%), 69% specificity (95% CI: 68%, 69%) and 70% (95% CIs: 69%, 70%) overall accuracy of identifying patients who experienced a DTOC. Conclusion Several demographic, socio-economic and clinical factors were found to be significantly associated with whether a patient experiences a DTOC or not following an admission via the ED. An eight-variable model has been proposed, which is capable of identifying patients who experience delayed transfers of care with 70% accuracy. The eight-variable predictive tool calculates the probability of a patient experiencing a delayed transfer accurately at the time of admission.

Antibiotic prophylaxis for patients at risk of infective endocarditis

1997 ◽  
Vol 52 (4) ◽  
pp. 323-324
Author(s):  
A.G. Hatrick ◽  
D.C. Howlett ◽  
R.A. Dourado ◽  
A.T. Irvine
Keyword(s):  
At Risk ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Patients At Risk

scholarly journals Knowledge of Moroccan Dentists Towards the Prophylaxis of Infective Endocarditis

2018 ◽  
Vol 5 ◽  
Author(s):  
Hajar Ben Mohimd ◽  
Fatima Zaoui ◽  
Bassima Chami ◽  
Wafae El Wady
Keyword(s):  
Heart Disease ◽  
Infective Endocarditis ◽  
Antibiotic Prophylaxis ◽  
Analytical Study ◽  
Heart Association ◽  
Cross Sectional ◽  
Dental Procedures ◽  
Level Of Knowledge ◽  
General Dentists ◽  
The City

Background: The involvement of oral bacterias in the occurrence of infective endocarditis (IE) has prompted the adoption of antibiotic prophylaxis prior to dental procedures for patients at high-risk. The aim of this paper was to assess the knowledge of Moroccan dentists regarding the management of patients with heart disease at risk of infective endocarditis.Methods: This was a cross-sectional descriptive analytical study which targeted 200 dentists in the city of Rabat- Morocco. A questionnaire with 16 questions was distributed randomly. The level of knowledge of dentists was established based on the number of correct answers for each section and responses were assessed according to the American Heart Association (AHA) 2007 guidelines.Results: Only 133 practitioners have agreed to participate in our study with a response rate of 66,5%. 87% of dentists reported contacting the cardiologist before starting treatment, 33% of practitioners weren’t aware of any guidelines and 20% knew AHA 2007, 52% reported not following guidelines in the management of patients with heart disease. Among the cardiac conditions and dental procedures proposed in the questionnaire which required prophylaxis; 8% and 2% respectively chose the correct answer according to the AHA’s 2007 guidelines. 31% of dentists answered correctly on the prescription of antibiotic prophylaxis protocol according to the latest recommendations.Conclusion: According to our results, the knowledge of Moroccan private general dentists towards endocarditis prophylaxis was in a low level. The study highlights the need for continuous education.

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