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Archivi categoria: appopriatezza

For Seniors with UTIs, Delayed Antibiotics Linked to Sepsis and Death

NEJM Journal Watch reviews over 250 scientific and medical journals to present important clinical research findings and insightful commentary

Sorgente: For Seniors with UTIs, Delayed Antibiotics Linked to Sepsis and Death

 
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Pubblicato da su 11 marzo 2019 in appopriatezza, farmaci, farmacoeconomia

 

“Patients are running out of antibiotic options” – hygiene in practice CDC

Bacteria and other pathogens have increasingly developed resistance to antimicrobials. Dr Lauri Hicks from the CDC has dedicated her career to improving antibiotic use. She explains why stewardship is so critical. Learn more about setting up such a programme.

Sorgente: “Patients are running out of antibiotic options” – hygiene in practice

 
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Pubblicato da su 11 marzo 2019 in appopriatezza, farmaci, farmacoeconomia

 

Anteprima. I dati sui Lea con il nuovo sistema di valutazione per prevenzione, assistenza distrettuale e ospedaliera. Solo 9 Regioni su 21 superano la sufficienza in tutte e tre le aree – Quotidiano Sanità

Lo avevamo ventilato qualche giorno fa ma ora che abbiamo potuto analizzare le carte sugli esiti della prima sperimentazione effettuata dal Ministero della Salute del nuovo modello di verifica dell’erogazione dei Lea (che dovrebbe entrare a regime nel 2020) il quadro che emerge è obiettavamente preoccupante, con ben il 60% delle Regioni che non riesce a raggiungere neanche la sufficienza. Carenti soprattutto l’assistenza territoriale e la prevenzione mentre va un po’ meglio per l’attività ospedaliera. IL DOCUMENTO

Sorgente: Anteprima. I dati sui Lea con il nuovo sistema di valutazione per prevenzione, assistenza distrettuale e ospedaliera. Solo 9 Regioni su 21 superano la sufficienza in tutte e tre le aree – Quotidiano Sanità

 

How to prescribe loop diuretics in oedema | The BMJ

### What you need to know Loop diuretics are commonly prescribed to manage oedema symptoms such as swollen legs or breathlessness and to relieve fluid overload. They are widely recommended by guidelines and organisations such as the National Institute for Health and Care Excellence (NICE) in the UK. The loop diuretics available in the UK are furosemide, bumetanide, and torasemide. But which option is best? The pharmacokinetics of loop diuretics are well characterised. Studies and trials on humans and animals describe pharmacodynamic differences between loop diuretics. However, there is limited evidence directly comparing them. In particular, there is little and low quality information comparing the clinical outcomes of furosemide with the less commonly chosen alternatives torsemide and bumetanide. This article (box 1) outlines some pharmacokinetic differences between available loop diuretics that may influence loop selection in practice and advises how to dose them effectively. Box 1 ### How this article was created We initially wrote this article in response to questions primary care clinicians frequently posed when seeking assistance in managing oedema in patients with heart

Sorgente: How to prescribe loop diuretics in oedema | The BMJ

 

Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study | The BMJ

Sorgente: Antibiotic management of urinary tract infection in elderly patients in primary care and its association with bloodstream infections and all cause mortality: population based cohort study | The BMJ

 

Timing of Initiation of Maintenance Dialysis: A Qualitative Analysis of the Electronic Medical Records of a National Cohort of Patients From the Department of Veterans Affairs. | Chronic Kidney Disease | JAMA Internal Medicine | JAMA Network

This qualitative analysis using electronic medical records from the Department of Veterans Affairs examines the factors influencing the timing of initiation of dialysis in clinical practice.

Sorgente: Timing of Initiation of Maintenance Dialysis: A Qualitative Analysis of the Electronic Medical Records of a National Cohort of Patients From the Department of Veterans Affairs. | Chronic Kidney Disease | JAMA Internal Medicine | JAMA Network

 

Kidney Damage in Younger Adults Tied to NSAID Use – Renal and Urology News

Individuals taking a certain number of NSAIDs each month had greater risks of acute kidney injury and chronic kidney disease.

Sorgente: Kidney Damage in Younger Adults Tied to NSAID Use – Renal and Urology News

 
 
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