Appropriate Antibiotic Use for Acute Respiratory Tract Infection in Adults: Advice for High-Value Care From the American College of Physicians and the Centers for Disease Control and Prevention

2016 ◽  
Vol 164 (6) ◽  
pp. 425 ◽  
Author(s):  
Aaron M. Harris ◽  
Lauri A. Hicks ◽  
Amir Qaseem ◽  
2018 ◽  
Vol 10 (1) ◽  
pp. 66
Author(s):  
Rani Sauriasari ◽  
Yusna Fadliyyah Apriyanti ◽  
Dito Pramono

Objective: The Ministry of Health (MoH) Regulation No. 30, 2014, about Health Service Standards defines the need for routine monitoring ofprescribing indicators for several diseases, including non-pneumonia acute respiratory tract infection (ARI).Methods: This study compares the results of percentage analysis of the antibiotic usage in patients with non-pneumonia ARI with two methods.Medical record data from April 2016 were collected from Primary Health Care (Puskesmas) Palmerah, West Jakarta.Results: Convenience sampling indicated that 14.28% of patients with non-pneumonia ARIs used antibiotics. Simple random sampling indicatedthat 25% of patients with non-pneumonia ARIs used antibiotics. Differences in sample selection methods affected the final outcome (percentage ofpatients who used antibiotics). The tolerance limit for antibiotic use in non-pneumonia ARIs established by MoH was 20%.Conclusion: These results indicate a need for MoH guidance to pay attention to the sampling techniques used in monitoring the treatment of nonpneumoniaARIs in Primary Health Care.


2010 ◽  
Vol 36 (3) ◽  
pp. 601-607 ◽  
Author(s):  
O. Burkhardt ◽  
S. Ewig ◽  
U. Haagen ◽  
S. Giersdorf ◽  
O. Hartmann ◽  
...  

1994 ◽  
Vol 10 (1) ◽  
pp. 57-61 ◽  
Author(s):  
R. Biswas ◽  
A. B. Biswas ◽  
B. Manna ◽  
S. K. Bhattacharya ◽  
R. Dey ◽  
...  

PeerJ ◽  
2017 ◽  
Vol 5 ◽  
pp. e3970 ◽  
Author(s):  
Ilada Thongpan ◽  
John Mauleekoonphairoj ◽  
Preeyaporn Vichiwattana ◽  
Sumeth Korkong ◽  
Rujipat Wasitthankasem ◽  
...  

Respiratory syncytial virus (RSV) causes acute lower respiratory tract infection in infants and young children worldwide. To investigate the RSV burden in Thailand over four consecutive years (January 2012 to December 2015), we screened 3,306 samples obtained from children ≤5 years old with acute respiratory tract infection using semi-nested reverse-transcription polymerase chain reaction (RT-PCR). In all, 8.4% (277/3,306) of the specimens tested positive for RSV, most of which appeared in the rainy months of July to November. We then genotyped RSV by sequencing the G glycoprotein gene and performed phylogenetic analysis to determine the RSV antigenic subgroup. The majority (57.4%, 159/277) of the RSV belonged to subgroup A (RSV-A), of which NA1 genotype was the most common in 2012 while ON1 genotype became prevalent the following year. Among samples tested positive for RSV-B subgroup B (RSV-B) (42.6%, 118/277), most were genotype BA9 (92.6%, 87/94) with some BA10 and BA-C. Predicted amino acid sequence from the partial G region showed highly conserved N-linked glycosylation site at residue N237 among all RSV-A ON1 strains (68/68), and at residues N296 (86/87) and N310 (87/87) among RSV-B BA9 strains. Positive selection of key residues combined with notable sequence variations on the G gene contributed to the continued circulation of this rapidly evolving virus.


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