Standardization of provision of medical care for children: joint agreed local clinical protocol of medical care for children with urinary tract infections at the level of the hospital district

Безрук, В. В.; Ivanov, D.D.; Fomina, Svitlana; Andriychuk, T.P.; Pervozvanska, O.I.; Andriychuk, T.R.

doi:10.22141/2307-1257.11.2.2022.366

Cited by 2 publications

(2 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…З огляду на отримані результати слід обґрунтовано підходити до призначення антибактеріальної терапії з урахуванням даних регіонального моніторингу щодо антибіотикорезистентності [19], дотримуючись стандартів медичної допомоги [6] та адміністрування антимікробних препаратів в закладах охорони здоров'я, які надають медичну допомогу в стаціонарних умовах [1], і регламентації отримання антибактеріальних лікарських засобів як рецептурних препаратів [20].…”

Section: таблиця 1 динаміка антибіотикорезистентності уропатогенів ро...unclassified

Monitoring and features of antibiotic resistance during the COVID-19 pandemic

Безрук

Ivanov

Shkrobanets

2023

KIDNEYS

View full text Add to dashboard Cite

Background. Urinary tract infection (UTI) is an urgent problem in nephrology. The current state of antibiotic resistance to antimicrobial drugs complicates the empirical choice of antibacterial therapy, and indications for the use of antimicrobial drugs are not always clinically justified. The purpose of the study: to compare the antibiotic resistance of the main groups of UTI pathogens during coronavirus 2019 (COVID-19) pandemic in 2020–2022 with the results of 2014–2016 monitoring among children of the Chernivtsi region. Materials and methods. Urine samples were collected from 657 children (0–17 years old) who received specialized medical care in health care institutions of the Chernivtsi region (2014–2016). During 2020–2022, a clinical and laboratory examination of 180 children (0–17 years old) was conducted. Results. The results of the monitoring proved the wave-like nature of changes in antibiotic resistance to semi-synthetic penicillins and cephalosporins with the maintenance of a sufficient level of sensitivity to these antimicrobial drugs among the main groups of UTI pathogens; the data obtained give reason to suggest a negative trend to increasing resistance to fluoroquinolones, tetracyclines over time (2020–2022 — the period of the COVID-19 pandemic); a multidirectional and time-dependent differences were revealed in sensitivity to aminoglycosides: gentamicin, amikacin and kanamycin in children of Chernivtsi region, as well as a negative trend to increasing the share of carbapenem-resistant strains of uropathogens — 55.8 ± 5.1 % (imipenem — χ2 = 5.432; p = 0.020). Conclusions. The monitoring results indicate the need to comply with standards in the provision of medical care (prescribing antibacterial therapy taking into account the data of regional monitoring on antibiotic resistance to antimicrobial drugs), administration of antimicrobial drugs in health care institutions that provide medical care in outpatient and inpatient settings. High level of antibiotic resistance of UTI uropathogens to carbapenems (2020–2022), used for the treatment of severe bacterial infections, requires their exclusively targeted prescription in everyday pediatric practice.

show abstract

Section: таблиця 1 динаміка антибіотикорезистентності уропатогенів ро...unclassified

Monitoring and features of antibiotic resistance during the COVID-19 pandemic

Безрук

Ivanov

Shkrobanets

2023

KIDNEYS

View full text Add to dashboard Cite

show abstract

“…Впровадження інновацій у педіатричну практику щодо стандартизації медичної допомоги допомагають лікарю ефективно діяти в конкретних клінічних ситуаціях, уникаючи неефективних дій. Залучення фахівців інших спеціальностей (лікарі загальної практикисімейної медицини, ендокринологи, урологи, кардіологи, педіатри, окулісти) до менеджменту ХХН без координації співпраці для забезпечення принципу наступності утруднює діагностичний та/або терапевтичний супровід пацієнта [3].…”

unclassified

Clinical Diagnostic Algorithms of Action in the Practice of a Doctor of General Practice – Family Medicine Diseases of the Urinary System in Children

Bezruk,

Andriychuk,

Velia

et al. 2024

Neonatol. hìr. perinat. med.

View full text Add to dashboard Cite

Chronic kidney disease (CKD) is the presence of markers of pathological changes in the urinary system lasting more than 12 weeks, regardless of their cause. The number of cases in children with diseases of the urinary system has documented confi rmed chronic kidney disease according to the implemented regional registry of patients with CKD, but its signifi cant spread is observed. Early manifestations of CKD are often underestimated and not treated in time. CKD and chronic renal failure are not a narrowly defi ned nephrological problem. Nowadays, military aggression and the consequences of the 2019 coronavirus pandemic (COVID-19), which led to the destruction of standard ways (patient clinical routes) in the provision of medical care, the issue of providing medical care to children on the basis of evidence- based and personalized medicine is of particular relevance in Ukraine, which, according to the WHO strategy, should meet the needs and be safe,eff ective, timely and of appropriate quality. The introduction of innovations in pediatric practice in terms of standardization of medical care helps the physician to act eff ectively in specifi c clinical situations, avoiding ineff ective actions. Involvement of specialists of other specialties (general practitioners- family medicine, endocrinologists, urologists, cardiologists, pediatricians, ophthalmologists) in the management of CKD without coordination of cooperation to ensure the principle of continuity complicates the diagnostic and/or therapeutic support of the patient. Early diagnosis, proper management tactics of pediatric patients with diseases of the urinary system at the outpatient stage is an important component in the provision of integrated, patient- oriented medical care in the practice of a general practitioner- family medicine. The article highlights the clinical and diagnostic algorithms of action of a general practitioner- family medicine regarding the tactics ofmanagement of pediatric patients with the most common nephrological symptoms: leukocyturia (bacteriuria), proteinuria and erythrocyturia. The scientifi c research was carried out within the framework of the Department of Pediatrics, Neonatology and Perinatal Medicine of the Bukovinian State Medical University. The research topics included: Research project on «Chronobiological and adaptive aspects and features of autonomic regulation in pathological conditions in children of diff erent age groups» (State registration number: 0122U002245, duration: 01.01.2022-31.12.2026).

show abstract

Standardization of provision of medical care for children: joint agreed local clinical protocol of medical care for children with urinary tract infections at the level of the hospital district

Cited by 2 publications

References 52 publications

Monitoring and features of antibiotic resistance during the COVID-19 pandemic

Monitoring and features of antibiotic resistance during the COVID-19 pandemic

Clinical Diagnostic Algorithms of Action in the Practice of a Doctor of General Practice – Family Medicine Diseases of the Urinary System in Children

Contact Info

Product

Resources

About