Effects of a Primary Care Antimicrobial Stewardship Program on Meticillin-Resistant Strains across a Region of Catalunya (Spain) over 5 Years.

Primary care antimicrobial stewardship program (ASP) interventions can reduce the over-prescription of unnecessary antibiotics, but the impact on the reduction in bacterial resistance is less known, and there is a lack of available data. We implemented a prolonged educational counseling ASP in a large regional outpatient setting to assess its feasibility and effectiveness. Over a 5-year post-implementation period, which was compared to a pre-intervention period, a significant reduction in antibiotic prescriptions occurred, particularly those associated with greater harmful effects and resistance selection.

Impact of an Antimicrobial Stewardship Strategy on Surgical Hospital Discharge: Improving Antibiotic Prescription in the Transition of Care.

Antimicrobial stewardship programs (AMSPs) are essential elements in reducing the unnecessary overprescription of antibiotics. Most of the actions of these programs have focused on actions during acute hospitalization. However, most prescriptions occur after hospital discharge, which represents a necessary and real opportunity for improvement in these programs.

Impact of a Primary Care Antimicrobial Stewardship Program on Bacterial Resistance Control and Ecological Imprint in Urinary Tract Infections.

Antimicrobial stewardship programs (ASPs) are a central component in reducing the overprescription of unnecessary antibiotics, with multiple studies showing benefits in the reduction of bacterial resistance. Less commonly, ASPs have been performed in outpatient settings, but there is a lack of available data in these settings. We implemented an ASP in a large regional outpatient setting to assess its feasibility and effectiveness.

Emotional impact and compassion fatigue in oncology nurses: Results of a multicentre study.

Purpose: To assess the prevalence of Compassion Satisfaction, Compassion Fatigue (Burnout and Secondary Traumatic Stress) and anxiety in oncology nurses and the association with demographics, training, work-related conditions, and psychological factors.

Method: A multicentre, cross-sectional study in 8 selected hospitals in Catalonia (Spain) involving oncology nurses. Primary outcomes were Compassion Satisfaction and Compassion Fatigue (Burnout/Secondary Traumatic Stress), evaluated with the Professional Quality of Life questionnaire v.

[Concordance between the antecedents of influenza vaccination referred by pregnant women and those recorded in the medical record].

Objective: Sometimes and when a registry is not available, influenza vaccination (IV) is based on vaccination records reported by citizens. When the opportunity of comparing both information sources exists, sometimes, discrepancies between both have been observed. The objectives of this study are: to know the IV coverage in pregnant women (both referred and recorded in the clinical history), to determine the concordance between both sources of information and to quantify the lost opportunities of IV due to errors in verbalization.

Stressful Events in the Onset of Chronic Fatigue Syndrome.

Background: Chronic Fatigue Syndrome (CFS) is a complex and multifactorial disease. Stressful situations experienced could be related to the presentation of the disease. Few studies have determined which factors could trigger CFS.

[Adherence to physical activity recommendations in a hypertensive primary care population].

Objective: To determine the prevalence of adherence to physical activity recommendations in the hypertensive population of Lerida (Spain) attended in primary care and to identify related factors.

Methods: A cross sectional study was carried out in hypertensive adults. The dependent variable was adherence to physical activity recommendations measured with the Minnesota Questionnaire.

[Nutritional status of Catalonia's elderly people with different health care needs].

Nutritional status of Catalonia's elderly people with different health care needs. The aims of this study were to assess the prevalence of malnutrition through the Mini Nutritional Assessment (MNA) in the elder population of Lleida (Catalonia) from different levels of care and to determine if that scale is a good way of monitoring our population. A cross-sectional study was designed.

[Risk factors for total prosthetic joint infection. Case-control study].

Background And Objective: To identify the infection risk factors in knee and hip total prosthesis.

Method: Case-control study of arthoplasties performed during 10 years.

Results: By means of conditional multivariate analysis, infection risk factors with greater odds ratio (OR) were surgical risk rate >or= 2, according to the National Nosocomial Infections Surveillance (NNIS) (OR, 3.