Journal of infection in developing countries
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J Infect Dev Ctries · Nov 2019
Tuberculosis in prison and aspects associated with the diagnosis site.
Tuberculosis (TB) is highly endemic in prison environments, and requires special attention in the population deprived of liberty (PDL). Thus, we aimed to describe the epidemiological situation of TB among PDL in a large municipality of the Brazilian Legal Amazon, from 2012 to 2016, and to identify the factors associated with the site of TB cases notification. ⋯ The results show that intricate TB cases were notified by the local health services. Strategies of surveillance and articulation with these health services seem to contribute to the identification of TB cases among PDL.
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J Infect Dev Ctries · Nov 2019
Usefulness of presepsin as diagnostic and prognostic marker of sepsis in daily clinical practice.
Sepsis represents a major cause of morbidity and mortality in critically ill patients. Early diagnosis and appropriate treatment have a crucial influence on survival. The aim of this study was to evaluate the diagnostic and prognostic role of presepsin (sCD14) in patients with sepsis. ⋯ Presepsin may be used as a diagnostic marker of systemic bacterial infection and can predict the severity and outcome of sepsis.
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J Infect Dev Ctries · Nov 2019
A new antibiotic stewardship program approach is effective on inappropriate surgical prophylaxis and discharge prescription.
This study aims to evaluate the efficacy of a new antimicrobial stewardship program (ASP) on surgical antibiotic prophylaxis (SP) and antibiotics in discharge prescriptions used as a continuation of SP. ⋯ Based on the findings of our study, it seems clear that the modified ASP introduced in our general surgery clinic can be used effectively and simply; in addition, this ASP increases its efficacy with time.