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The environmental impact of intravenous antimicrobial therapies: a comparison of OPAT and inpatient administration care pathways.
JAC Antimicrob Resist
April 2025
Consulting, Environmental Resources Management (ERM), London, UK.
Objectives: The urgent global threats of the climate crisis and antimicrobial resistance have the potential to be addressed in part by increasing the use of outpatient antimicrobial therapy (OPAT). Our study aimed to appraise the environmental impact of three commonly used OPAT pathways, and the traditional inpatient model of IV antimicrobial therapy.
Methods: We assessed the CO, waste and water footprint associated with self-care, nurse assisted and outpatient OPAT care pathways and inpatient administration of intravenous antibiotics to adult patients for whom OPAT was a viable treatment option.
Assessment of leadership and professional behavior of educational managers in the complex and post-crisis era: perspectives of educators.
BMC Res Notes
March 2025
Department of Medical Education, Education Development Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Objective: The study aimed to evaluate educational managers from the viewpoints of stakeholders (educators and faculty officials) during two years of the COVID-19 pandemic and two years of the post-COVID era. This was a longitudinal study conducted from 2018 to 2023 in two phases: the first phase consisted of compiling and psychometric assessment of the tools for evaluation of educational managers in the two domains of leadership and professional behavior, and the second phase included evaluation of leadership behavior and professional behavior of university educational managers during four years. Descriptive indices were used to summarize the data.
View Article and Find Full Text PDFProfile of Chief Medical Officers and performance of health zones in crisis contexts: a cross-sectional study in three provinces of the Eastern Democratic Republic of Congo.
Hum Resour Health
March 2025
Ecole Régionale de Santé Publique, Université Catholique de Bukavu, Avenue Michombero N° 02, Bukavu, Democratic Republic of Congo.
Context: In crisis-affected health systems, the performance of health zones (also known as health districts) is challenged by recurrent armed conflicts and state fragility. The profiles of health zone managers and contextual factors can significantly influence the zones' ability to effectively respond to population health needs. This study explores these interactions to identify key factors associated with health zones performances in three provinces of Eastern Democratic Republic of Congo (DRC), a region that has endured over three decades of conflict.
View Article and Find Full Text PDFImpact of COVID-19 on key populations and people living with HIV: recommendations and sociopolitical responses from the EPIC community research program in Latin America.
BMC Public Health
March 2025
Coalition PLUS, Pantin, France.
Background: Health inequality in Latin America is particularly severe for individuals living with HIV (PLHIV) and key populations, such as men who have sex with men, transgender women, people who use drugs, and sex workers. Despite regional programs aimed at reducing health inequalities, such as the Sustainable Development Goals and the Sustainable Health Agenda for the Americas 2018-2030, the COVID-19 health crisis has exposed significant shortcomings in national healthcare systems for PLHIV and key populations. The multi-country, community-based research program, EPIC, was developed by Coalition PLUS within an network of community-based organizations engaged in the response to HIV and viral hepatitis.
View Article and Find Full Text PDFThis article aims to provide a comprehensive description of the postnatal effects of drug exposure on neonates, including neonatal abstinence syndrome (NAS), and the neonatal advanced practice registered nurse (APRN)'s role in working with this vulnerable and marginalized population. Maternal substance use disorders (SUDs) are a significant epidemic in the United States and are a leading cause of infant admission to the NICU. Substance use disorders carry stigmas for individuals experiencing them.
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