Internal Medicine
Shirin Afhami; Negin Esmailpour Bazaz; Alireza Khoshnevisan; Kourosh Sadeghi; Mahmood Reza Sarzaeem; Parastoo Amiri; Ehsan Rahimpour; Mahnaz Montazeri
Abstract
Introduction: The rational use of antibiotic prophylaxis before surgery can reduce surgical site infection, microbial resistance, and economic burden. Therefore, the present study was carried out to optimize the use of antibiotic prophylaxis before surgery using a ready-made drug package prepared in ...
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Introduction: The rational use of antibiotic prophylaxis before surgery can reduce surgical site infection, microbial resistance, and economic burden. Therefore, the present study was carried out to optimize the use of antibiotic prophylaxis before surgery using a ready-made drug package prepared in the pharmacy of Dr. Shariati Hospital.Materials and Methods: The current study is a semi-experimental intervention type, carried out in two stages before and after on 260 patients hospitalized in the heart surgery and neurosurgery departments of Dr. Shariati Hospital who were candidates for surgery and received antibiotic prophylaxis before surgery. A checklist containing patients ' information was completed before and after the preparation of antibiotic prophylaxis packages. Data were analyzed in spss18 software with descriptive and analytical statistics (p≤0.05).Results: Before and after the optimization of antibiotic use, a statistically significant difference was observed in the two study groups regarding dosage, administration intervals, time, and duration of administration. (P<0.001) A 63.42% reduction in the number of doses of antibiotic prophylaxis was observed after the implementation of optimization. Also, there was a 57.33% reduction in the cost of antibiotic prophylaxis after the implementation of optimization.Conclusion: The use of a ready-made drug package before surgery optimizes the use of antibiotic prophylaxis. Also, the economic burden caused by inappropriate use of prophylactic antibiotics for the patient and the hospital is significantly reduced with this method.
Akram Malek khahi; Maryam Jadid Milani; Parastoo Amiri
Volume 23, Issue 2 , March and April 2016, , Pages 304-312
Abstract
Backgrounds & Objectives: Patients who are under haemodialysis experience a lot of sexual problems which can lead to a reduction in their quality of life. Peer support groups are a kind of social supports that in which peers who have similar experience present some advice to others to enhance their ...
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Backgrounds & Objectives: Patients who are under haemodialysis experience a lot of sexual problems which can lead to a reduction in their quality of life. Peer support groups are a kind of social supports that in which peers who have similar experience present some advice to others to enhance their quality of life. The aim of the present study is to determine the effect of peer support group on sexual functionin patients treated with haemodialysis. Material & Method: A clinical trial research with two cases and control groups was performed on 64 patients undergoing haemodialysis in Vasei hospital of Sabzevar in 2013. The sampling was random. Patients were divided into two groups of intervention and control using the block permutation .The Participants attended 8 weekly sessions comprising 2 hours each week. The topic was according to the patients’ needs and interests. Research tools were: demographic questionnaire, sexual function of part dialysis patients, life quality Questionnaire (KDQOL-SFTM). For data analysis, descriptive and deductive (paied t- test and independent t-test) statistics SPSS version 18 was used. Results: After the completion of the study, there was not a significant difference between sexual health situation scores of two groups (case and control) (p value>0.05). After attending peer support group in case group there were not a significant differences in mental health situation scores (p value>0.05) . Conclusions: According to the results of this study, attending peer support group in hemodialysis patients will improve their sexual function. But this change was not significant.