scholarly journals Risk Assessments, Pregnancy and Birth Processes of Pregnant Women at Primary Health Care Center: A Retrospective Study

2017 ◽  
Vol 1 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Yıldız Atadağ ◽  
Abdülkadir Aydın ◽  
Didem Kaya ◽  
Ahmet Öksüz ◽  
Hatice Dilber Köşker
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Retrospective Study ◽  
Pregnant Women ◽  
Care Center ◽  
Risk Assessments ◽  
Health Care Center ◽  
Primary Health ◽  
Birth Processes ◽  
Pregnancy And Birth

scholarly journals Prevalence of Carriage of Extended-Spectrum Beta-Lactamase-Producing Enterobacteriaceae Among Pregnant Women in the Primary Health Care Center and Hospital Setting in Indonesia

2020 ◽  
Author(s):  
Rochmanah Oktaviani ◽  
Miratul Hasanah ◽  
Wahyu Setyarini ◽  
Hari Parathon ◽  
Koichi Kitagawa ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pregnant Women ◽  
Neonatal Sepsis ◽  
Care Center ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
Health Care Center ◽  
Esbl Gene ◽  
Primary Health

Abstract Background: The incidence of healthy individuals carrying Extended-Spectrum Beta-Lactamase producing Enterobacteriaceae (ESBL-E), especially E. coli (ESBL-EC) and Klebsiella pneumoniae (ESBL-KP), is increasing worldwide. ESBL-E causes early or late onset of neonatal sepsis, resulting in increased morbidity and mortality rates. Although maternal-neonatal transmissions of ESBL-E have been reported in several countries, the prevalence of ESBL-E carriage among pregnant women in Indonesia is not clear. In the present study, we compared the prevalence of carriage of ESBL-E among pregnant women in a primary health care center (PHC) versus two hospitals in Indonesia and identified the phenotypic and genotypic characteristics of the isolated ESBL-E strains. Methods: We collected rectal swab samples from 200 pregnant women who visited a PHC (101 women) or were admitted to Dr. Soetomo Referral Hospital or Airlangga University Hospital (99 women) in Surabaya, Indonesia from July to October 2018. The samples were cultivated on MacConkey Agar plates supplemented with cefotaxime 2 mg/L, at 37oC overnight. The isolated strains were identified by Bruker MALDI BiotyperÒ System, phenotypic detection of ESBL was performed by the combination disk method, and antibiotic susceptibility was tested by the disk diffusion method. In addition, ESBL gene was identified by PCR and DNA sequencing and molecular epidemiological studies were performed by PFGE. Results: ESBL-E strains were isolated from 25 (rate of fecal carriage; 24.8%) pregnant women who visited the PHC and 49 (49.5%) pregnant women who were admitted to the hospitals. The rate of ESBL-E carriage of pregnant women in the hospitals was significantly higher than that in the PHC. Among the 74 isolated ESBL-E strains, ESBL-EC was most frequently isolated (62 strains), followed by ESBL-KP (12 strains). In addition, blaCTX-M15 was the most frequent ESBL gene type of the isolated ESBL-E strains. Conclusion: Our results revealed the high prevalence of ESBL-E carriage in pregnant women, especially those who were admitted to the hospitals. CTX-M15 ESBL-EC was the most frequent type of ESBL-E in the pregnant women in our study. Continuous surveillance for ESBL-E carriage in pregnant women is strongly recommended to reduce the incidence of neonatal sepsis in Indonesia.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

scholarly journals Asthma in a Primary Health Care Center Serving a Poor Population

2008 ◽  
Vol 1 (12) ◽  
pp. 200-204
Author(s):  
Eloisa Malbrán ◽  
Graciela Laura Rey ◽  
Alejandro Malbrán
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Primary Health Care Center ◽  
Health Care Center ◽  
Primary Health ◽  
Poor Population
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