21 results on '"Kozlovska, Iryna"'
Search Results
2. OPTIMIZATION OF HYPERBARIC ANESTHETIC DOSAGE FOR UNILATERAL SPINAL ANESTHESIA IN ORTHOPEDIC AND TRAUMA OPERATIONS
- Author
-
KOZLOVSKA, IRYNA, primary and DATSYUK, OLEKSANDR, additional
- Published
- 2023
- Full Text
- View/download PDF
3. SACRED ARCHITECTURE AS A MEANS OF THE SPIRITUAL DEVELOPMENT OF THE YOUNG GENERATION OF UKRAINE: A LOCAL EXPERIENCE APPROACH
- Author
-
KOZLOVSKA, Iryna, primary, CHORNOPYSHKA, Oksana, additional, and ZAYATS, Ostap, additional
- Published
- 2023
- Full Text
- View/download PDF
4. 225 Basic/Advanced Life Support Training for Healthcare Professionals in the European Union
- Author
-
Ivanova, Gergana, Atanasova, Margarita, Bogutska, Nataliia, Pavliukovych, Nataliia, Godovanets, Oleksii, Knut, Ruslan, Smandych, Vitalii, Kozlovska, Iryna, Guven, Ramazan, Işık, Merve Aslı, Kırbıyık, Burcu, Kozaris, Ioannis, Etmektsoglou, Sevasti, Kalyvas, Theodoros, Vasileska, Ema, Vavlukis, Marija, Velkovska, Mila, Stepien, Mariusz, Jelen, Michal, Ugras, Tuba, Uvet, Huseyin, Gecevska, Valentina, and Polenakovik, Radmil
- Published
- 2024
- Full Text
- View/download PDF
5. IMPLEMENTATION OF STUDENT-CENTERED APPROACH IN MODERN CONDITIONS OF HIGHER EDUCATION DEVELOPMENT
- Author
-
Opachko, Mahdalyna, primary, Kozlovska, Iryna, additional, and Kliuchkovska, Iryna, additional
- Published
- 2021
- Full Text
- View/download PDF
6. The Use of Information and Communication Technologies as a Means of Professional Foreign Language Training
- Author
-
Vovchasta, Natalia, primary, Kozlovska, Iryna, additional, Opachko, Magdalena, additional, Paikush, Marianna, additional, and Stechkevych, Oleh, additional
- Published
- 2021
- Full Text
- View/download PDF
7. IMPLEMENTATION OF STUDENT-CENTERED APPROACH IN MODERN CONDITIONS OF HIGHER EDUCATION DEVELOPMENT
- Author
-
Opachko , Mahdalyna, Kozlovska, Iryna, Kliuchkovska, Iryna, Opachko , Mahdalyna, Kozlovska, Iryna, and Kliuchkovska, Iryna
- Published
- 2021
8. Regional aspects of the integrative approach to professional training of future specialists of arts and crafts
- Author
-
KOZLOVSKYI, Yurii, primary, KOZLOVSKA, Iryna, additional, and BILYK, Oksana, additional
- Published
- 2021
- Full Text
- View/download PDF
9. The effectiveness of using self-made hyperbaric solution of bupivacaine for unilateral spinal anesthesia
- Author
-
Kozlovska, Iryna, primary, Kozlovskiy, Yurii, additional, Timokhina, Inna, additional, and Zakharchuk, Natalia, additional
- Published
- 2020
- Full Text
- View/download PDF
10. Methodological Approaches and Didactic Competence of a Modern Physics Teacher
- Author
-
Kozlovska, Iryna M., primary, Kryshtanovych, Myroslav F., additional, Myskiv, Iryna S., additional, and Opachko, Mahdalyna V., additional
- Published
- 2020
- Full Text
- View/download PDF
11. Pedagogical conditions for physics teacher’s professional activity components integration
- Author
-
KRYSTANOVYCH, Myroslav, primary, KOZLOVSKA, Iryna, additional, MYSKIV, Iryna, additional, and DZHULAY, Larysa, additional
- Published
- 2020
- Full Text
- View/download PDF
12. Efficiency of Integration of Knowledge, Forms and Methods of Education of Students in Vocational-Technical School.
- Author
-
Kozlovska, Iryna, Savka, Iryna, and Stechkevych, Oleh
- Subjects
VOCATIONAL school students ,CONSTRUCTION materials ,EDUCATIONAL law & legislation ,UNITS of measurement ,ACTIVE learning - Abstract
The article demonstrates the expediency of integrating of knowledge of the structure and properties of substance and building materials. It is shown that this approach avoids duplication of related material, overcomes inconsistency in the interpretation of concepts, the use of quantities and units of their measurements. Didactic requirements for the implementation of the ideas of integrated learning of related material are substantiated, the integrated content of knowledge of the substance and materials is worked out, different forms and methods of knowledge integration are tested depending on the nature of the integrated material. Special feedback from teachers of special technology and masters of industrial training is received. The training offered by our programs also receives a positive assessment of the students due to the decrease in the workload, the reduction of homework with the same educational significance, the availability of special concepts, the emergence of interest in the study of physics. The experiment reveals that integrated lessons, lectures, laboratory and tests, as well as integrated questions, tasks with integrated content, concretization and supplementation of physical knowledge with general and special ones, use of complex tasks, etc. are found to be effective forms of knowledge integration. Generalization of the results of the experimental work shows the benefits of learning oriented programs that involve the integration of students' knowledge about the structure and properties of substance and building materials. It is important not to overburden any educational process with excessive integration, but to focus on its optimal use: in fact, the laws of educational integrology are aimed at it. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
13. Additional file 1: of The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardshipâ results from an international cross-sectional survey
- Author
-
Sartelli, Massimo, Labricciosa, Francesco, Barbadoro, Pamela, Pagani, Leonardo, Ansaloni, Luca, Brink, Adrian, Carlet, Jean, Khanna, Ashish, Chichom-Mefire, Alain, Coccolini, Federico, Salomone Di Saverio, May, Addison, Viale, Pierluigi, Watkins, Richard, Scudeller, Luigia, Abbo, Lilian, Abu-Zidan, Fikri, Abdulrashid Adesunkanmi, Al-Dahir, Sara, Al-Hasan, Majdi, Alis, Halil, Alves, Carlos, AndrĂŠ Araujo Da Silva, Augustin, Goran, Miklosh Bala, Barie, Philip, BeltrĂĄn, Marcelo, Bhangu, Aneel, Belefquih Bouchra, Brecher, Stephen, CaĂNzos, Miguel, Camacho-Ortiz, Adrian, Catani, Marco, Sujith Chandy, Asri Jusoh, Cherry-Bukowiec, Jill, Chiara, Osvaldo, Colak, Elif, Cornely, Oliver, Yunfeng Cui, Demetrashvili, Zaza, Simone, Belinda De, Waele, Jan De, Dhingra, Sameer, Marzo, Francesco Di, Dogjani, Agron, Gereltuya Dorj, Dortet, Laurent, Duane, Therese, Elmangory, Mutasim, Mushira Enani, Ferrada, Paula, J. Esteban Foianini, Gachabayov, Mahir, Chinmay Gandhi, Wagih Ghnnam, Giamarellou, Helen, Gkiokas, Georgios, Gomi, Harumi, Goranovic, Tatjana, Griffiths, Ewen, Rosio Guerra Gronerth, Monteiro, Julio Haidamus, Hardcastle, Timothy, Hecker, Andreas, Hodonou, Adrien, Orestis Ioannidis, Isik, Arda, Iskandar, Katia, Kafil, Hossein, Kanj, Souha, Kaplan, Lewis, Kapoor, Garima, Karamarkovic, Aleksandar, Kenig, Jakub, Kerschaever, Ivan, Faryal Khamis, Khokha, Vladimir, Kiguba, Ronald, Kim, Hong, Wen-Chien Ko, Koike, Kaoru, Kozlovska, Iryna, Kumar, Anand, Lagunes, Leonel, Latifi, Rifat, Lee, Jae, Lee, Young, LeppäNiemi, Ari, Yousheng Li, Liang, Stephen, Lowman, Warren, Machain, Gustavo, Maegele, Marc, Major, Piotr, Malama, Sydney, Manzano-Nunez, Ramiro, Marinis, Athanasios, Casas, Isidro Martinez, Marwah, Sanjay, Maseda, Emilio, McFarlane, Michael, Memish, Ziad, Mertz, Dominik, Mesina, Cristian, Mishra, Shyam, Moore, Ernest, Akutu Munyika, Mylonakis, Eleftherios, Napolitano, Lena, Negoi, Ionut, Nestorovic, Milica, Nicolau, David, Abdelkarim Omari, Ordonez, Carlos, JosĂŠ-Artur Paiva, Pant, Narayan, Parreira, Jose, PÄDziwiatr, Michal, Pereira, Bruno, Ponce-De-Leon, Alfredo, Garyphallia Poulakou, Preller, Jacobus, CĂŠline Pulcini, Pupelis, Guntars, Quiodettis, Martha, Rawson, Timothy, Reis, Tarcisio, Rems, Miran, Rizoli, Sandro, Roberts, Jason, Pereira, Nuno, JesĂşs RodrĂGuez-BaĂąo, Sakakushev, Boris, Sanders, James, Santos, Natalia, Sato, Norio, Sawyer, Robert, Scarpelini, Sandro, Scoccia, Loredana, Shafiq, Nusrat, Vishalkumar Shelat, Costi Sifri, Boonying Siribumrungwong, SøReide, Kjetil, Soto, Rodolfo, Souza, Hamilton De, Talving, Peep, Ngo Trung, Tessier, Jeffrey, Tumbarello, Mario, Ulrych, Jan, Uranues, Selman, Goor, Harry Van, Andras Vereczkei, Wagenlehner, Florian, Yonghong Xiao, Kuo-Ching Yuan, Wechsler-FĂśrdĂśs, Agnes, Jean-Ralph Zahar, Zakrison, Tanya, Zuckerbraun, Brian, Zuidema, Wietse, and Catena, Fausto
- Abstract
The international cross-sectional survey. (DOC 56 kb)
- Published
- 2017
- Full Text
- View/download PDF
14. Integration of natural sciences content into professional training of future doctors
- Author
-
Kozlovska, Iryna, Paykush, Marianna, Pastyrska, Iryna, Lviv Polytechnic National University, and Lviv National Medical University named after Danylo Halytskiy
- Subjects
natural sciences training ,professional practical training ,ComputingMilieux_THECOMPUTINGPROFESSION ,motivation ,natural science disciplines ,professional competence ,ComputingMilieux_COMPUTERSANDEDUCATION ,integration ,doctors’ education ,teaching content selection criteria - Abstract
The article deals with the problem of integration of natural sciences content into professional training of future doctors. The aim of the article is defined as methodological substantiation of the expediency of integration of natural sciences content into the professional training of future healthcare professionals. The authors define special features of natural sciences knowledge and of natural sciences training of a future doctor, special features of teaching natural sciences, and substantiate possibilities of integration of the content of the natural sciences component into professional training of future medical workers. The ways of integration of teaching natural sciences with professional practical training in the process of preparing medical specialists have been elaborated. It has been found that it is advisable to overcome inconsistency between separate academic disciplines by way of their integration while accounting the aspects of their selforganization. It has been established that integration of the aims of teaching natural sciences with professional training of future medical workers is based on the idea of purposefulness and motivation of teaching the fundamentals of these sciences.
- Published
- 2016
15. The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship—results from an international cross-sectional survey
- Author
-
Sartelli, Massimo, primary, Labricciosa, Francesco M., additional, Barbadoro, Pamela, additional, Pagani, Leonardo, additional, Ansaloni, Luca, additional, Brink, Adrian J., additional, Carlet, Jean, additional, Khanna, Ashish, additional, Chichom-Mefire, Alain, additional, Coccolini, Federico, additional, Di Saverio, Salomone, additional, May, Addison K., additional, Viale, Pierluigi, additional, Watkins, Richard R., additional, Scudeller, Luigia, additional, Abbo, Lilian M., additional, Abu-Zidan, Fikri M., additional, Adesunkanmi, Abdulrashid K., additional, Al-Dahir, Sara, additional, Al-Hasan, Majdi N., additional, Alis, Halil, additional, Alves, Carlos, additional, Araujo da Silva, André R., additional, Augustin, Goran, additional, Bala, Miklosh, additional, Barie, Philip S., additional, Beltrán, Marcelo A., additional, Bhangu, Aneel, additional, Bouchra, Belefquih, additional, Brecher, Stephen M., additional, Caínzos, Miguel A., additional, Camacho-Ortiz, Adrian, additional, Catani, Marco, additional, Chandy, Sujith J., additional, Jusoh, Asri Che, additional, Cherry-Bukowiec, Jill R., additional, Chiara, Osvaldo, additional, Colak, Elif, additional, Cornely, Oliver A., additional, Cui, Yunfeng, additional, Demetrashvili, Zaza, additional, De Simone, Belinda, additional, De Waele, Jan J., additional, Dhingra, Sameer, additional, Di Marzo, Francesco, additional, Dogjani, Agron, additional, Dorj, Gereltuya, additional, Dortet, Laurent, additional, Duane, Therese M., additional, Elmangory, Mutasim M., additional, Enani, Mushira A., additional, Ferrada, Paula, additional, Esteban Foianini, J., additional, Gachabayov, Mahir, additional, Gandhi, Chinmay, additional, Ghnnam, Wagih Mommtaz, additional, Giamarellou, Helen, additional, Gkiokas, Georgios, additional, Gomi, Harumi, additional, Goranovic, Tatjana, additional, Griffiths, Ewen A., additional, Guerra Gronerth, Rosio I., additional, Haidamus Monteiro, Julio C., additional, Hardcastle, Timothy C., additional, Hecker, Andreas, additional, Hodonou, Adrien M., additional, Ioannidis, Orestis, additional, Isik, Arda, additional, Iskandar, Katia A., additional, Kafil, Hossein S., additional, Kanj, Souha S., additional, Kaplan, Lewis J., additional, Kapoor, Garima, additional, Karamarkovic, Aleksandar R., additional, Kenig, Jakub, additional, Kerschaever, Ivan, additional, Khamis, Faryal, additional, Khokha, Vladimir, additional, Kiguba, Ronald, additional, Kim, Hong B., additional, Ko, Wen-Chien, additional, Koike, Kaoru, additional, Kozlovska, Iryna, additional, Kumar, Anand, additional, Lagunes, Leonel, additional, Latifi, Rifat, additional, Lee, Jae G., additional, Lee, Young R., additional, Leppäniemi, Ari, additional, Li, Yousheng, additional, Liang, Stephen Y., additional, Lowman, Warren, additional, Machain, Gustavo M., additional, Maegele, Marc, additional, Major, Piotr, additional, Malama, Sydney, additional, Manzano-Nunez, Ramiro, additional, Marinis, Athanasios, additional, Martinez Casas, Isidro, additional, Marwah, Sanjay, additional, Maseda, Emilio, additional, McFarlane, Michael E., additional, Memish, Ziad, additional, Mertz, Dominik, additional, Mesina, Cristian, additional, Mishra, Shyam K., additional, Moore, Ernest E., additional, Munyika, Akutu, additional, Mylonakis, Eleftherios, additional, Napolitano, Lena, additional, Negoi, Ionut, additional, Nestorovic, Milica D., additional, Nicolau, David P., additional, Omari, Abdelkarim H., additional, Ordonez, Carlos A., additional, Paiva, José-Artur, additional, Pant, Narayan D., additional, Parreira, Jose G., additional, Pędziwiatr, Michal, additional, Pereira, Bruno M., additional, Ponce-de-Leon, Alfredo, additional, Poulakou, Garyphallia, additional, Preller, Jacobus, additional, Pulcini, Céline, additional, Pupelis, Guntars, additional, Quiodettis, Martha, additional, Rawson, Timothy M., additional, Reis, Tarcisio, additional, Rems, Miran, additional, Rizoli, Sandro, additional, Roberts, Jason, additional, Pereira, Nuno Rocha, additional, Rodríguez-Baño, Jesús, additional, Sakakushev, Boris, additional, Sanders, James, additional, Santos, Natalia, additional, Sato, Norio, additional, Sawyer, Robert G., additional, Scarpelini, Sandro, additional, Scoccia, Loredana, additional, Shafiq, Nusrat, additional, Shelat, Vishalkumar, additional, Sifri, Costi D., additional, Siribumrungwong, Boonying, additional, Søreide, Kjetil, additional, Soto, Rodolfo, additional, de Souza, Hamilton P., additional, Talving, Peep, additional, Trung, Ngo Tat, additional, Tessier, Jeffrey M., additional, Tumbarello, Mario, additional, Ulrych, Jan, additional, Uranues, Selman, additional, Van Goor, Harry, additional, Vereczkei, Andras, additional, Wagenlehner, Florian, additional, Xiao, Yonghong, additional, Yuan, Kuo-Ching, additional, Wechsler-Fördös, Agnes, additional, Zahar, Jean-Ralph, additional, Zakrison, Tanya L., additional, Zuckerbraun, Brian, additional, Zuidema, Wietse P., additional, and Catena, Fausto, additional
- Published
- 2017
- Full Text
- View/download PDF
16. The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey
- Author
-
Sartelli, Massimo Labricciosa, Francesco M. Barbadoro, Pamela and Pagani, Leonardo Ansaloni, Luca Brink, Adrian J. Carlet, Jean Khanna, Ashish Chichom-Mefire, Alain Coccolini, Federico Di Saverio, Salomone May, Addison K. Viale, Pierluigi Watkins, Richard R. Scudeller, Luigia Abbo, Lilian M. Abu-Zidan, FikriM. Adesunkanmi, Abdulrashid K. Al-Dahir, Sara Al-Hasan, Majdi N. Alis, Halil Alves, Carlos Araujo da Silva, Andre R. Augustin, Goran Bala, Miklosh Barie, Philip S. Beltran, Marcelo A. Bhangu, Aneel Bouchra, Belefquih Brecher, Stephen M. Cainzos, Miguel A. and Camacho-Ortiz, Adrian Catani, Marco Chandy, Sujith J. Jusoh, Asri Che Cherry-Bukowiec, Jill R. Chiara, Osvaldo Colak, Elif Cornely, Oliver A. Cui, Yunfeng Demetrashvili, Zaza and De Simone, Belinda De Waele, Jan J. Dhingra, Sameer Di Marzo, Francesco Dogjani, Agron Dorj, Gereltuya Dortet, Laurent Duane, ThereseM. Elmangory, Mutasim M. Enani, Mushira A. Ferrada, Paula Foianini, J. Esteban Gachabayov, Mahir Gandhi, Chinmay Ghnnam, Wagih Mommtaz Giamarellou, Helen Gkiokas, Georgios Gomi, Harumi Goranovic, Tatjana and Griffiths, Ewen A. Guerra Gronerth, Rosio I. Haidamus Monteiro, Julio C. Hardcastle, Timothy C. Hecker, Andreas Hodonou, Adrien M. Ioannidis, Orestis Isik, Arda Iskandar, Katia A. and Kafil, Hossein S. Kanj, Souha S. Kaplan, Lewis J. and Kapoor, Garima Karamarkovic, Aleksandar R. Kenig, Jakub and Kerschaever, Ivan Khamis, Faryal Khokha, Vladimir Kiguba, Ronald Kim, Hong B. Ko, Wen-Chien Koike, Kaoru and Kozlovska, Iryna Kumar, Anand Lagunes, Leonel Latifi, Rifat and Lee, Jae G. Lee, Young R. Leppaniemi, Ari Li, Yousheng and Liang, Stephen Y. Lowman, Warren Machain, Gustavo M. and Maegele, Marc Major, Piotr Malama, Sydney Manzano-Nunez, Ramiro Marinis, Athanasios Martinez Casas, Isidro Marwah, Sanjay Maseda, Emilio McFarlane, Michael E. Memish, Ziad and Mertz, Dominik Mesina, Cristian Mishra, ShyamK. Moore, Ernest E. Munyika, Akutu Mylonakis, Eleftherios Napolitano, Lena Negoi, Ionut Nestorovic, Mil and Sartelli, Massimo Labricciosa, Francesco M. Barbadoro, Pamela and Pagani, Leonardo Ansaloni, Luca Brink, Adrian J. Carlet, Jean Khanna, Ashish Chichom-Mefire, Alain Coccolini, Federico Di Saverio, Salomone May, Addison K. Viale, Pierluigi Watkins, Richard R. Scudeller, Luigia Abbo, Lilian M. Abu-Zidan, FikriM. Adesunkanmi, Abdulrashid K. Al-Dahir, Sara Al-Hasan, Majdi N. Alis, Halil Alves, Carlos Araujo da Silva, Andre R. Augustin, Goran Bala, Miklosh Barie, Philip S. Beltran, Marcelo A. Bhangu, Aneel Bouchra, Belefquih Brecher, Stephen M. Cainzos, Miguel A. and Camacho-Ortiz, Adrian Catani, Marco Chandy, Sujith J. Jusoh, Asri Che Cherry-Bukowiec, Jill R. Chiara, Osvaldo Colak, Elif Cornely, Oliver A. Cui, Yunfeng Demetrashvili, Zaza and De Simone, Belinda De Waele, Jan J. Dhingra, Sameer Di Marzo, Francesco Dogjani, Agron Dorj, Gereltuya Dortet, Laurent Duane, ThereseM. Elmangory, Mutasim M. Enani, Mushira A. Ferrada, Paula Foianini, J. Esteban Gachabayov, Mahir Gandhi, Chinmay Ghnnam, Wagih Mommtaz Giamarellou, Helen Gkiokas, Georgios Gomi, Harumi Goranovic, Tatjana and Griffiths, Ewen A. Guerra Gronerth, Rosio I. Haidamus Monteiro, Julio C. Hardcastle, Timothy C. Hecker, Andreas Hodonou, Adrien M. Ioannidis, Orestis Isik, Arda Iskandar, Katia A. and Kafil, Hossein S. Kanj, Souha S. Kaplan, Lewis J. and Kapoor, Garima Karamarkovic, Aleksandar R. Kenig, Jakub and Kerschaever, Ivan Khamis, Faryal Khokha, Vladimir Kiguba, Ronald Kim, Hong B. Ko, Wen-Chien Koike, Kaoru and Kozlovska, Iryna Kumar, Anand Lagunes, Leonel Latifi, Rifat and Lee, Jae G. Lee, Young R. Leppaniemi, Ari Li, Yousheng and Liang, Stephen Y. Lowman, Warren Machain, Gustavo M. and Maegele, Marc Major, Piotr Malama, Sydney Manzano-Nunez, Ramiro Marinis, Athanasios Martinez Casas, Isidro Marwah, Sanjay Maseda, Emilio McFarlane, Michael E. Memish, Ziad and Mertz, Dominik Mesina, Cristian Mishra, ShyamK. Moore, Ernest E. Munyika, Akutu Mylonakis, Eleftherios Napolitano, Lena Negoi, Ionut Nestorovic, Mil
- Abstract
Background: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. Methods: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. Results: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). Conclusion
- Published
- 2017
17. The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey
- Author
-
Sartelli, Massimo, Labricciosa, Francesco M., Barbadoro, Pamela, Pagani, Leonardo, Ansaloni, Luca, Brink, Adrian J., Carlet, Jean, Khanna, Ashish, Chichom-Mefire, Alain, Coccolini, Federico, Di Saverio, Salomone, May, Addison K., Viale, Pierluigi, Watkins, Richard R., Scudeller, Luigia, Abbo, Lilian M., Abu-Zidan, FikriM., Adesunkanmi, Abdulrashid K., Al-Dahir, Sara, Al-Hasan, Majdi N., Alis, Halil, Alves, Carlos, Araujo da Silva, Andre R., Augustin, Goran, Bala, Miklosh, Barie, Philip S., Beltran, Marcelo A., Bhangu, Aneel, Bouchra, Belefquih, Brecher, Stephen M., Cainzos, Miguel A., Camacho-Ortiz, Adrian, Catani, Marco, Chandy, Sujith J., Jusoh, Asri Che, Cherry-Bukowiec, Jill R., Chiara, Osvaldo, Colak, Elif, Cornely, Oliver A., Cui, Yunfeng, Demetrashvili, Zaza, De Simone, Belinda, De Waele, Jan J., Dhingra, Sameer, Di Marzo, Francesco, Dogjani, Agron, Dorj, Gereltuya, Dortet, Laurent, Duane, ThereseM., Elmangory, Mutasim M., Enani, Mushira A., Ferrada, Paula, Foianini, J. Esteban, Gachabayov, Mahir, Gandhi, Chinmay, Ghnnam, Wagih Mommtaz, Giamarellou, Helen, Gkiokas, Georgios, Gomi, Harumi, Goranovic, Tatjana, Griffiths, Ewen A., Guerra Gronerth, Rosio I., Haidamus Monteiro, Julio C., Hardcastle, Timothy C., Hecker, Andreas, Hodonou, Adrien M., Ioannidis, Orestis, Isik, Arda, Iskandar, Katia A., Kafil, Hossein S., Kanj, Souha S., Kaplan, Lewis J., Kapoor, Garima, Karamarkovic, Aleksandar R., Kenig, Jakub, Kerschaever, Ivan, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Hong B., Ko, Wen-Chien, Koike, Kaoru, Kozlovska, Iryna, Kumar, Anand, Lagunes, Leonel, Latifi, Rifat, Lee, Jae G., Lee, Young R., Leppaniemi, Ari, Li, Yousheng, Liang, Stephen Y., Lowman, Warren, Machain, Gustavo M., Maegele, Marc, Major, Piotr, Malama, Sydney, Manzano-Nunez, Ramiro, Marinis, Athanasios, Martinez Casas, Isidro, Marwah, Sanjay, Maseda, Emilio, McFarlane, Michael E., Memish, Ziad, Mertz, Dominik, Mesina, Cristian, Mishra, ShyamK., Moore, Ernest E., Munyika, Akutu, Mylonakis, Eleftherios, Napolitano, Lena, Negoi, Ionut, Nestorovic, Milica D., Nicolau, David P., Omari, Abdelkarim H., Ordonez, Carlos A., Paiva, Jose-Artur, Pant, Narayan D., Parreira, Jose G., Pedziwiatr, Michal, Pereira, BrunoM., Ponce-de-Leon, Alfredo, Poulakou, Garyphallia, Preller, Jacobus, Pulcini, Celine, Pupelis, Guntars, Quiodettis, Martha, Rawson, Timothy M., Reis, Tarcisio, Rems, Miran, Rizoli, Sandro, Roberts, Jason, Pereira, Nuno Rocha, Rodriguez-Bano, Jesus, Sakakushev, Boris, Sanders, James, Santos, Natalia, Sato, Norio, Sawyer, Robert G., Scarpelini, Sandro, Scoccia, Loredana, Shafiq, Nusrat, Shelat, Vishalkumar, Sifri, Costi D., Siribumrungwong, Boonying, Soreide, Kjetil, Soto, Rodolfo, de Souza, Hamilton P., Talving, Peep, Trung, Ngo Tat, Tessier, Jeffrey M., Tumbarello, Mario, Ulrych, Jan, Uranues, Selman, Van Goor, Harry, Vereczkei, Andras, Wagenlehner, Floriann, Xiao, Yonghong, Yuan, Kuo-Ching, Wechsler-Foerdoes, Agnes, Zahar, Jean-Ralph, Zakrison, Tanya L., Zuckerbraun, Brian, Zuidema, Wietse P., Catena, Fausto, Sartelli, Massimo, Labricciosa, Francesco M., Barbadoro, Pamela, Pagani, Leonardo, Ansaloni, Luca, Brink, Adrian J., Carlet, Jean, Khanna, Ashish, Chichom-Mefire, Alain, Coccolini, Federico, Di Saverio, Salomone, May, Addison K., Viale, Pierluigi, Watkins, Richard R., Scudeller, Luigia, Abbo, Lilian M., Abu-Zidan, FikriM., Adesunkanmi, Abdulrashid K., Al-Dahir, Sara, Al-Hasan, Majdi N., Alis, Halil, Alves, Carlos, Araujo da Silva, Andre R., Augustin, Goran, Bala, Miklosh, Barie, Philip S., Beltran, Marcelo A., Bhangu, Aneel, Bouchra, Belefquih, Brecher, Stephen M., Cainzos, Miguel A., Camacho-Ortiz, Adrian, Catani, Marco, Chandy, Sujith J., Jusoh, Asri Che, Cherry-Bukowiec, Jill R., Chiara, Osvaldo, Colak, Elif, Cornely, Oliver A., Cui, Yunfeng, Demetrashvili, Zaza, De Simone, Belinda, De Waele, Jan J., Dhingra, Sameer, Di Marzo, Francesco, Dogjani, Agron, Dorj, Gereltuya, Dortet, Laurent, Duane, ThereseM., Elmangory, Mutasim M., Enani, Mushira A., Ferrada, Paula, Foianini, J. Esteban, Gachabayov, Mahir, Gandhi, Chinmay, Ghnnam, Wagih Mommtaz, Giamarellou, Helen, Gkiokas, Georgios, Gomi, Harumi, Goranovic, Tatjana, Griffiths, Ewen A., Guerra Gronerth, Rosio I., Haidamus Monteiro, Julio C., Hardcastle, Timothy C., Hecker, Andreas, Hodonou, Adrien M., Ioannidis, Orestis, Isik, Arda, Iskandar, Katia A., Kafil, Hossein S., Kanj, Souha S., Kaplan, Lewis J., Kapoor, Garima, Karamarkovic, Aleksandar R., Kenig, Jakub, Kerschaever, Ivan, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Hong B., Ko, Wen-Chien, Koike, Kaoru, Kozlovska, Iryna, Kumar, Anand, Lagunes, Leonel, Latifi, Rifat, Lee, Jae G., Lee, Young R., Leppaniemi, Ari, Li, Yousheng, Liang, Stephen Y., Lowman, Warren, Machain, Gustavo M., Maegele, Marc, Major, Piotr, Malama, Sydney, Manzano-Nunez, Ramiro, Marinis, Athanasios, Martinez Casas, Isidro, Marwah, Sanjay, Maseda, Emilio, McFarlane, Michael E., Memish, Ziad, Mertz, Dominik, Mesina, Cristian, Mishra, ShyamK., Moore, Ernest E., Munyika, Akutu, Mylonakis, Eleftherios, Napolitano, Lena, Negoi, Ionut, Nestorovic, Milica D., Nicolau, David P., Omari, Abdelkarim H., Ordonez, Carlos A., Paiva, Jose-Artur, Pant, Narayan D., Parreira, Jose G., Pedziwiatr, Michal, Pereira, BrunoM., Ponce-de-Leon, Alfredo, Poulakou, Garyphallia, Preller, Jacobus, Pulcini, Celine, Pupelis, Guntars, Quiodettis, Martha, Rawson, Timothy M., Reis, Tarcisio, Rems, Miran, Rizoli, Sandro, Roberts, Jason, Pereira, Nuno Rocha, Rodriguez-Bano, Jesus, Sakakushev, Boris, Sanders, James, Santos, Natalia, Sato, Norio, Sawyer, Robert G., Scarpelini, Sandro, Scoccia, Loredana, Shafiq, Nusrat, Shelat, Vishalkumar, Sifri, Costi D., Siribumrungwong, Boonying, Soreide, Kjetil, Soto, Rodolfo, de Souza, Hamilton P., Talving, Peep, Trung, Ngo Tat, Tessier, Jeffrey M., Tumbarello, Mario, Ulrych, Jan, Uranues, Selman, Van Goor, Harry, Vereczkei, Andras, Wagenlehner, Floriann, Xiao, Yonghong, Yuan, Kuo-Ching, Wechsler-Foerdoes, Agnes, Zahar, Jean-Ralph, Zakrison, Tanya L., Zuckerbraun, Brian, Zuidema, Wietse P., and Catena, Fausto
- Abstract
Background: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. Methods: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. Results: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). Conclusion: T
- Published
- 2017
18. Pedagogical Support of Gifted Students from Carpathian Mountain Areas by Means of Folk Art Crafts
- Author
-
Kozlovska, Iryna, primary, Bilyk, Oksana, additional, and Kozlovsky, Yuriy, additional
- Published
- 2014
- Full Text
- View/download PDF
19. IMPROVEMENT OF TREATMENT OF COMPLICATED FORMS OF DIABETIC FOOT SYNDROME
- Author
-
Kozlovska Iryna, Iftodiy, A., Kulachek, Y., Grebeniuk, V., and Moskaliuk, O.
20. FORMATION OF BIOFILMS BY BACTERIA EXCRETED FROM CHRONIC ANAL FISSURE AND THE INFLUENCE OF THE DIRECT CURRENT ELECTRIC FIELD ON THEM
- Author
-
Kozlovska Iryna, Kornaga, S., Kykhtyn, M., Horiuk, Y., and Karatieieva, S.
- Subjects
Bacteria ,Electricity ,Biofilms ,Chronic Disease ,Anti-Infective Agents, Local ,Humans ,Fissure in Ano ,Anti-Bacterial Agents ,Fluoroquinolones - Abstract
Chronic anal fissures (CAF) are considered to be the illness with chronic course and characterized by frequent relapses. Although today the attention of researchers concerning the role of biofilm bacterial forms in pathogenesis of this pathology remains inadequate. Тherefore we investigated biofilms density of bacteria isolated from CAF and determined the current density possessing an optimal bactericidal effect on bacteria and destruct microbial biofilms. Bacteria isolated from CAF in monoculture manifest stronger adhesive properties and exopolysaccharide biofilm matrix in them is denser, which might provide better protection for microbe cells against environmental factors and antimicrobial drugs. To determine the optimal current strength essential for galvanization of CAF the effect of direct current electric field of different density was examined. The action of direct current electric field with the density of 0,025 mА/cm2 did not produce bactericidal effect on biofilm cells, although ruined biofilm matrix, which density decreased in 1,5 times as much in an average. In case the current density increased to 0,05-0,1 mА/cm2 biofilm matrix was ruined more intensively, its density decreased from high to average and low. It killed bacteria, their number decreased in the ruined biofilm from 10,7 to 56,4 times. The antibiotic fluoroquinolones and antiseptic Dioxisolum were found to produce the best effect on biofilm forms of bacteria. Although none of the examined antibacterial drugs possessed a complete bactericidal action, since bacteria were protected by biofilm matrix of high density causing resistance to pharmacological agents. Considering the mentioned above we recommend to supplement a comprehensive antibacterial therapy of CAF with intra-tissue electrophoresis with the current density 0,05-0,1 mА/cm² with antiseptic, and antibacterial therapy should be administered after preliminary detection of sensitivity of isolated microorganisms in biofilm from CAF to antibiotics and antiseptics.
21. The Global Alliance for Infections in Surgery : defining a model for antimicrobial stewardship-results from an international cross-sectional survey
- Author
-
Federico Coccolini, Leonel Lagunes, André Ricardo Araujo da Silva, Massimo Sartelli, Sara Al-Dahir, Young R. Lee, Mario Tumbarello, Faryal Khamis, Natalia Santos, Jean Carlet, Fausto Catena, Agron Dogjani, Jan Ulrych, Isidro Martinez Casas, András Vereczkei, Salomone Di Saverio, Sydney Malama, Harry van Goor, Garima Kapoor, Hong Bin Kim, Norio Sato, Gustavo M. Machain, Chinmay Gandhi, Iryna Kozlovska, Ramiro Manzano-Nunez, Katia Iskandar, Fikri M. Abu-Zidan, Sujith J Chandy, Rosio Isabel Guerra Gronerth, Therese M. Duane, Lena M. Napolitano, Carlos A. Ordoñez, Yonghong Xiao, Michael McFarlane, Cristian Mesina, Sanjay Marwah, Goran Augustin, Tatjana Goranovic, Bruno M. Pereira, Ivan Kerschaever, Timothy Craig Hardcastle, Marcelo A. Beltrán, Stephen Y. Liang, Julio C. Haidamus Monteiro, Vishalkumar G Shelat, Kuo Ching Yuan, Sandro Scarpelini, Narayan Dutt Pant, Martha Quiodettis, Carlos Alves, Mutasim M. Elmangory, Céline Pulcini, Addison K. May, Guntars Pupelis, Selman Uranues, Pamela Barbadoro, Sandro Rizoli, Ernest E. Moore, Rifat Latifi, Ashish Khanna, Hossein Samadi Kafil, Richard R. Watkins, Boonying Siribumrungwong, Abdelkarim H. Omari, Agnes Wechsler-Fördös, Lewis J. Kaplan, Nusrat Shafiq, Jason A. Roberts, Warren Lowman, Laurent Dortet, Stephen M. Brecher, Luca Ansaloni, Rodolfo Soto, Tanya L. Zakrison, Sameer Dhingra, Jacobus Preller, Eleftherios Mylonakis, Wagih Ghnnam, Asri Che Jusoh, Pierluigi Viale, Costi D. Sifri, Miklosh Bala, José Gustavo Parreira, Alfredo Ponce-de-León, Jae G. Lee, Jakub Kenig, Kjetil Søreide, Halil Alis, Lilian M. Abbo, Mahir Gachabayov, Marco Catani, Ronald Kiguba, Jean-Ralph Zahar, Wietse P. Zuidema, Robert G. Sawyer, Loredana Scoccia, Nuno Pereira, Vladimir Khokha, Ionut Negoi, Aneel Bhangu, Michał Pędziwiatr, Helen Giamarellou, Garyphallia Poulakou, Shyam Kumar Mishra, Francesco Di Marzo, Jeffrey M. Tessier, Boris Sakakushev, Milica D. Nestorovic, Hamilton Petry de Souza, Tarcisio Reis, Yousheng Li, Dominik Mertz, Andreas Hecker, Ngo Tat Trung, Anand Kumar, Belefquih Bouchra, Leonardo Pagani, James M. Sanders, AA Munyika, Brian S. Zuckerbraun, Souha S. Kanj, Arda Isik, Luigia Scudeller, Adrien Hodonou, Philip S. Barie, Marc Maegele, Jill R. Cherry-Bukowiec, Peep Talving, Orestis Ioannidis, Miran Rems, Oliver A. Cornely, Harumi Gomi, Ewen A. Griffiths, Mushira Enani, Zaza Demetrashvili, Gereltuya Dorj, Piotr Major, Miguel Caínzos, Ari Leppäniemi, Jesús Rodríguez-Baño, Wen Chien Ko, Ziad A. Memish, Osvaldo Chiara, Elif Colak, José Artur Paiva, A R K Adesunkanmi, Timothy M. Rawson, Georgios Gkiokas, Paula Ferrada, Francesco M. Labricciosa, Alain Chichom-Mefire, Jan J. De Waele, Yunfeng Cui, Adrián Camacho-Ortiz, J. Esteban Foianini, Majdi N. Al-Hasan, Belinda De Simone, David P. Nicolau, Kaoru Koike, Athanasios Marinis, Florian M.E. Wagenlehner, Aleksandar Karamarkovic, Adrian Brink, Emilio Maseda, II kirurgian klinikka, Department of Surgery, Clinicum, HUS Abdominal Center, Surgery, Other Research, Università degli Studi di Macerata = University of Macerata (UNIMC), Università Politecnica delle Marche [Ancona] (UNIVPM), Central Hospital [Bolzano, Italy], Hospital Papa Giovanni XXIII (Hosp P Giovanni XXIII), Milpark Hospital (Milpark Hospital), Milpark Hospital, University of Cape Town, World Alliance against Antibiotics Resistance, Cleveland Clinic, Regional Hospital, Limbe, Rimini Infermi Hospital, Maggiore Hospital, Vanderbilt University Medical Center [Nashville], Vanderbilt University [Nashville], University of Bologna, Northeastern Ohio Medical University (NEOMED), Foundation IRCCS Policlinico San Matteo, University of Miami Leonard M. Miller School of Medicine (UMMSM), United Arab Emirates University (UAEU), Obafemi Awolowo University (OAU), Xavier University of Louisiana, University of South Carolina School of Medicine, Columbia, South Carolina, Training Hospital Istanbul, Hospital de São João [Porto], Centro de Investigação em Estudos da Criança (CIEC), Universidade do Minho, University Hospital Center Zagreb, Hadassah Hebrew University Medical Center [Jerusalem], Weill Cornell Medicine [New York], Universidad de La Serena (USERENA), Queens Elizabeth Hospital [Birmingham], Université Internationale de Casablanca (UIC), VA Boston Healthcare System, Boston University School of Medicine (BUSM), Boston University [Boston] (BU), Natbrainlab, Department of Forensic and Neurodevelopmental Sciences, Institute of psychiatry-King‘s College London, University Hospital of Cologne [Cologne], 4th Department of Internal Medicine, University of Athens Medical School [Athens], Center for Visual Information Technology [Hyderabad] (CVIT), International Institute of Information Technology, Hyderabad [Hyderabad] (IIIT-H), Chonnam National University [Gwangju], Shanghai Jiaotong University, University of Houston, Centro Hospitalar Universitário São João - Faculty of Medicine - University of Porto - Grupo de Infecção e Sepsis, Porto, Unité de biostatistiques, CHU Clermont-Ferrand, ATTIKON University General Hospital, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Duke University Marine Laboratory, University Hospital Virgen Macarena, Service de bactériologie, virologie, parasitologie et hygiène, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Sartelli, M, Labricciosa, FM, Barbadoro, P, Pagani, L, Dorj, G, Catena, Fausto, Sartelli, Massimo, Labricciosa, Francesco M., Barbadoro, Pamela, Pagani, Leonardo, Ansaloni, Luca, Brink, Adrian J., Carlet, Jean, Khanna, Ashish, Chichom-Mefire, Alain, Coccolini, Federico, Di Saverio, Salomone, May, Addison K., Viale, Pierluigi, Watkins, Richard R., Scudeller, Luigia, Abbo, Lilian M., Abu-Zidan, Fikri M., Adesunkanmi, Abdulrashid K., Al-Dahir, Sara, Al-Hasan, Majdi N., Alis, Halil, Alves, Carlo, Araujo da Silva, André R., Augustin, Goran, Bala, Miklosh, Barie, Philip S., Beltrán, Marcelo A., Bhangu, Aneel, Bouchra, Belefquih, Brecher, Stephen M., Caínzos, Miguel A., Camacho-Ortiz, Adrian, Catani, Marco, Chandy, Sujith J., Jusoh, Asri Che, Cherry-Bukowiec, Jill R., Chiara, Osvaldo, Colak, Elif, Cornely, Oliver A., Cui, Yunfeng, Demetrashvili, Zaza, De Simone, Belinda, De Waele, Jan J., Dhingra, Sameer, Di Marzo, Francesco, Dogjani, Agron, Dorj, Gereltuya, Dortet, Laurent, Duane, Therese M., Elmangory, Mutasim M., Enani, Mushira A., Ferrada, Paula, Esteban Foianini, J., Gachabayov, Mahir, Gandhi, Chinmay, Ghnnam, Wagih Mommtaz, Giamarellou, Helen, Gkiokas, Georgio, Gomi, Harumi, Goranovic, Tatjana, Griffiths, Ewen A., Guerra Gronerth, Rosio I., Haidamus Monteiro, Julio C., Hardcastle, Timothy C., Hecker, Andrea, Hodonou, Adrien M., Ioannidis, Oresti, Isik, Arda, Iskandar, Katia A., Kafil, Hossein S., Kanj, Souha S., Kaplan, Lewis J., Kapoor, Garima, Karamarkovic, Aleksandar R., Kenig, Jakub, Kerschaever, Ivan, Khamis, Faryal, Khokha, Vladimir, Kiguba, Ronald, Kim, Hong B., Ko, Wen-Chien, Koike, Kaoru, Kozlovska, Iryna, Kumar, Anand, Lagunes, Leonel, Latifi, Rifat, Lee, Jae G., Lee, Young R., Leppäniemi, Ari, Li, Yousheng, Liang, Stephen Y., Lowman, Warren, Machain, Gustavo M., Maegele, Marc, Major, Piotr, Malama, Sydney, Manzano-Nunez, Ramiro, Marinis, Athanasio, Martinez Casas, Isidro, Marwah, Sanjay, Maseda, Emilio, McFarlane, Michael E., Memish, Ziad, Mertz, Dominik, Mesina, Cristian, Mishra, Shyam K., Moore, Ernest E., Munyika, Akutu, Mylonakis, Eleftherio, Napolitano, Lena, Negoi, Ionut, Nestorovic, Milica D., Nicolau, David P., Omari, Abdelkarim H., Ordonez, Carlos A., Paiva, José-Artur, Pant, Narayan D., Parreira, Jose G., Pedziwiatr, Michal, Pereira, Bruno M., Ponce-de-Leon, Alfredo, Poulakou, Garyphallia, Preller, Jacobu, Pulcini, Céline, Pupelis, Guntar, Quiodettis, Martha, Rawson, Timothy M., Reis, Tarcisio, Rems, Miran, Rizoli, Sandro, Roberts, Jason, Pereira, Nuno Rocha, Rodríguez-Baño, Jesú, Sakakushev, Bori, Sanders, Jame, Santos, Natalia, Sato, Norio, Sawyer, Robert G., Scarpelini, Sandro, Scoccia, Loredana, Shafiq, Nusrat, Shelat, Vishalkumar, Sifri, Costi D., Siribumrungwong, Boonying, Søreide, Kjetil, Soto, Rodolfo, de Souza, Hamilton P., Talving, Peep, Trung, Ngo Tat, Tessier, Jeffrey M., Tumbarello, Mario, Ulrych, Jan, Uranues, Selman, Van Goor, Harry, Vereczkei, Andra, Wagenlehner, Florian, Xiao, Yonghong, Yuan, Kuo-Ching, Wechsler-Fördös, Agne, Zahar, Jean-Ralph, Zakrison, Tanya L., Zuckerbraun, Brian, and Zuidema, Wietse P.
- Subjects
0301 basic medicine ,Cross-sectional study ,Psychological intervention ,Antibiotics ,Antimicrobial stewardship ,Infections ,Surgery ,Anti-Infective Agents ,Antimicrobial Stewardship ,Cross-Sectional Studies ,Global Health ,Humans ,Intraabdominal Infections ,Postoperative Complications ,Surveys and Questionnaires ,GUIDELINES ,HEALTH-CARE EPIDEMIOLOGY ,0302 clinical medicine ,Global health ,Medicine and Health Sciences ,PROGRAM ,Infection control ,Medicine ,030212 general & internal medicine ,Response rate (survey) ,DISEASES SOCIETY ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,3. Good health ,Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10] ,CIRURGIA ,Emergency Medicine ,Infection ,Life Sciences & Biomedicine ,medicine.medical_specialty ,030106 microbiology ,lcsh:Surgery ,MEDLINE ,03 medical and health sciences ,Antibiotic resistance ,AMERICA ,Science & Technology ,business.industry ,Antibiotic ,lcsh:RD1-811 ,lcsh:RC86-88.9 ,3126 Surgery, anesthesiology, intensive care, radiology ,HOSPITALS ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business - Abstract
Contains fulltext : 177987.pdf (Publisher’s version ) (Open Access) BACKGROUND: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world. METHODS: A cross-sectional web-based survey was conducted in 2016 on 173 physicians who participated in the AGORA (Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections) project and on 658 international experts in the fields of ASPs, infection control, and infections in surgery. RESULTS: The response rate was 19.4%. One hundred fifty-six (98.7%) participants stated their hospital had a multidisciplinary AST. The median number of physicians working inside the team was five [interquartile range 4-6]. An infectious disease specialist, a microbiologist and an infection control specialist were, respectively, present in 80.1, 76.3, and 67.9% of the ASTs. A surgeon was a component in 59.0% of cases and was significantly more likely to be present in university hospitals (89.5%, p < 0.05) compared to community teaching (83.3%) and community hospitals (66.7%). Protocols for pre-operative prophylaxis and for antimicrobial treatment of surgical infections were respectively implemented in 96.2 and 82.3% of the hospitals. The majority of the surgical departments implemented both persuasive and restrictive interventions (72.8%). The most common types of interventions in surgical departments were dissemination of educational materials (62.5%), expert approval (61.0%), audit and feedback (55.1%), educational outreach (53.7%), and compulsory order forms (51.5%). CONCLUSION: The survey showed a heterogeneous organization of ASPs worldwide, demonstrating the necessity of a multidisciplinary and collaborative approach in the battle against antimicrobial resistance in surgical infections, and the importance of educational efforts towards this goal.
- Published
- 2017
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.