Background: Irrational use of antibiotics is a healthcare problem which can lead to antibiotic resistance. Vancomycin resistance is developing worldwide and is a huge financial burden to healthcare systems. Antimicrobial control programs are an essential component of educational programs in ensuring the optimal use of antibiotics. This study aimed to evaluate the effects of an educational program implemented at an Educational Medical Center on vancomycin prescription patterns. Methods: This was a cross-sectional, pre-post interventional study carried out at Imam Hussein Hospital affiliated with Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran, between 2014 to 2016. Vancomycin protocol was prepared, then all physicians and assistants were trained through workshops and instructed to order vancomycin based on the approved protocol. The primary objective of this study was to determine the change in vancomycin usage – calculated based on the Defined Daily Dose (DDD) per 100 patient-days in each ward – collected in three phases: at baseline, during the educational program and post-intervention phase. Results: The data revealed that total vancomycin consumption significantly decreased at the baseline and post-intervention phases in comparison with during the educational program (p=0.007, p= 0.105, respectively). Conclusion: The educational programs in this study were effective at optimizing antibiotics usage and the study results showed that antimicrobial training programs can be successfully implemented for the management of vancomycin usage at our university-affiliated hospital.
This is a report of a 24-year-old woman who presented to the Emergency Department (ED) at Imam Hossein Hospital in Tehran, Iran with a one-week history of headache and agitation following her father's death. Before presenting to our ED, a diagnosis of conversion reaction was suggested by three physicians in different outpatient clinics. Cerebral venous thrombosis (CVT) was confirmed in this case on the basis of brain magnetic resonance imaging (MRI) and magnetic resonance venography (MRV). In this report, current knowledge regarding cerebral venous thrombosis and its related clinical features are discussed.
Objective:Prediction of blood transfusion requirement in trauma patients is a dilemma in most trauma centers. The aim of the current study was assessing the accuracy of emergency transfusion score (ETS) in detecting patients' need for blood transfusion in ED.Methods:In this cross-sectional study, all multiple trauma patients referred to the emergency department (ED) of Imam Hossein Hospital, Tehran, Iran, from March to August 2014, were enrolled. ETS parameters including low blood pressure, free fluid on ultrasound, clinical instability of the pelvic ring, age, admission from the scene, and trauma mechanism were recorded for all patients. ETS was calculated for all patients and compared with patients who received blood transfusion to estimate the accuracy of ETS.Results:Of the 793 patients included in the study, 54 (6%) received blood in the ED. The mean of ETS for all patients was 3.91 ± 0.93. There was a significant correlation between ETS more than 3 and amount of blood transfusion (P = 0.004). The sensitivity, specificity, positive, and negative predictive value of ETS was 98.1%, 13.8%, 7.7%, and 99%, respectively.Conclusion:ETS may be considered as a useful instrument for prioritizing multiple trauma patients' need for blood transfusion in Iran. Therefore, by implementing this score, it may be prevented from inappropriate requests for blood transfusion.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.