Publications by authors named "N Boillat-Blanco"
Septic pseudarthrosis of long bones presents a diagnostic challenge, both in recognizing the infection as the cause of nonunion and in achieving complete healing of both the infection and the bone. A multidisciplinary approach optimizes the diagnosis, surgical management, and antibiotic treatment. The objectif is to present the approaches for the diagnosis and treatment of this condition.
View Article and Find Full Text PDFBackground: With most of the antibiotic prescriptions occurring in primary care, antimicrobial stewardship (AMS) interventions must be known, welcomed, and used by primary care physicians (PCPs).
Aim: The main objective of this study was to evaluate the present awareness about, use of, and perceived acceptability, appropriateness, and feasibility of a broad range of interventions.
Design & Setting: A cross-sectional survey was distributed to Swiss PCPs from December 2023 to February 2024.
Article Synopsis
- The study aimed to identify factors that lead to both general and inappropriate antibiotic prescriptions for residents with lower respiratory tract infections (LRTI) in long-term care facilities (LTCFs).
- Conducted in Western Switzerland, researchers observed 114 residents and found that over half received antibiotics, but a significant portion of these prescriptions were deemed inappropriate.
- The use of diagnostic tests, particularly PCR for respiratory viruses, was linked to reduced antibiotic prescriptions, suggesting that enhanced testing could improve prescribing practices in LTCFs.
Article Synopsis
- A web-based assessment tool for lung point-of-care ultrasound (POCUS) training was developed to evaluate skills in low- and middle-income countries (LMIC) where onsite experts may be unavailable.
- *The tool adapted the validated lung ultrasound score and was used to assess participants from Benin and South Africa at different intervals after training, yielding an overall success rate of 84%.
- *Results showed no significant differences in skill success rates based on geographical location or time since training, indicating the assessment tool's effectiveness across varying contexts.
Antimicrobial resistance comes with high morbidity and mortality burden, and ultimately high impact on healthcare and social costs. Efficient strategies are needed to limit antibiotic overuse. This paper investigates the cost-effectiveness of testing patients with lower respiratory tract infection with procalcitonin, either at the point-of-care only or combined with lung ultrasonography.
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