A5009637582- Antibiotic Use and Resistance
- Pneumonia and Respiratory Infections
- Pharmaceutical studies and practices
- Pharmaceutical Economics and Policy
- Cardiac, Anesthesia and Surgical Outcomes
- Surgical site infection prevention
- Antibiotics Pharmacokinetics and Efficacy
- Nosocomial Infections in ICU
- Neonatal Respiratory Health Research
- Respiratory and Cough-Related Research
- Emergency and Acute Care Studies
- Pharmaceutical Practices and Patient Outcomes
- Viral gastroenteritis research and epidemiology
- Urinary Tract Infections Management
- Clostridium difficile and Clostridium perfringens research
- Orthopedic Infections and Treatments
- Healthcare cost, quality, practices
- Hemodynamic Monitoring and Therapy
- Religious Studies and Spiritual Practices
- Blood disorders and treatments
- Patient Dignity and Privacy
- Historical Astronomy and Related Studies
- Central Venous Catheters and Hemodialysis
- Medication Adherence and Compliance
- Pharmaceutical industry and healthcare
University of Latvia
2018-2023
Children's Clinical University Hospital
2013-2023
Latvian Academy of Culture
2023
Unidad de Cirugía Artroscópica
2018
Foundation for Ichthyosis and Related Skin Types
2018
Latvia University of Life Sciences and Technologies
2018
Radboud University Nijmegen
2018
Radboud University Medical Center
2018
Riga Stradiņš University
2014-2018
Clinical pharmacy as an area of practice, education and research started developing around the 1960s when pharmacists across globe gradually identified need to focus more on ensuring appropriate use medicines improve patient outcomes rather than being engaged in manufacturing supply. Since that time numerous studies have shown positive impact clinical services (CPS). The for wider adoption CPS worldwide becomes urgent, global population ages, prevalence polypharmacy well shortage healthcare...
ObjectiveTo develop a consensus-based set of generic competencies in antimicrobial prescribing and stewardship for European prescribers through structured consensus procedure.MethodsThe RAND-modified Delphi procedure comprised two online questionnaire rounds, face-to-face meeting between final review. Our departure point was agreed previously by among UK multi-disciplinary panel, which had been subsequently revised consultation with ESCMID Study Group representatives. The 46 draft competency...
This study was conducted to assess the variation in prescription practices for systemic antimicrobial agents used prophylaxis among pediatric patients hospitalized 41 countries worldwide.Using standardized Antibiotic Resistance and Prescribing European Children Point Prevalence Survey protocol, a cross-sectional point-prevalence survey at 226 hospitals from October 1 November 30, 2012.Overall, 17693 were surveyed 36.7% of them received antibiotics (n = 6499). Of 6818 inpatient children, 2242...
While medicine shortages are complex, their mitigation is more of a challenge. Prospective risk assessment as means to mitigate possible shortages, has yet be applied equally across healthcare settings. The aims this study have been to: 1) gain insight into risk-prevention against among experts; 2) review existing strategies for minimizing patient-health risks through assessment; and 3) learn from experiences related application in practice.A semi-structured questionnaire focusing on was...
The point prevalence survey was conducted as part of the Antibiotic Resistance and Prescribing in European Children (ARPEC) Project. study aimed at analyzing pediatric neonatal antimicrobial prescribing patterns Latvian hospitals, to identify targets for quality improvement.A one day cross-sectional on antibiotic use hospitalized children November 2012 10 using a previously validated standardized method. included all inpatient beds identified receiving an treatment survey.Overall 549...
<h3>Objective</h3> To compare the use of antibiotics among hospitalised children in UK and Latvia at two specialist paediatric centres. <h3>Methods</h3> Two point prevalence surveys were undertaken on a single day May November 2011. Data collection included demographic details such as gender, age specialty, prescribed antibiotic(s), indication, dose, frequency, route administration treatment. The data analysed using Microsoft Excel SPSS 20.0. <h3>Results</h3> institutions similar. A number...
Background and objectives: Many pediatric patients have been treated with antibiotics during their hospitalization. There is a need to improve antibiotic prescribing for because many of these prescriptions are inappropriate. Antibiotic consumption analysis was conducted at the Children's Clinical University Hospital identify targets quality improvement. Materials Methods: A one day cross-sectional point prevalence survey (PPS) in May November 2011⁻2013 using previously validated standardized...
Medicines used in neonates contain different excipients, which may not be safe this age group.To analyse the frequency at hospitalised are exposed to harmful excipients (HEs) and identify substitution possibilities for medicines containing HEs.Retrospective, observational study a university paediatric hospital from 1 September 2015 till 29 February 2016. All who received prescription an HE were included. Neonates divided into four groups according gestational (<28 weeks; 28 <32 32 <37 weeks...
<h3>Objectives</h3> This article analyses antimicrobial use in three tertiary-care paediatric hospitals with the aim of improving stewardship hospitals. <h3>Methods</h3> A point prevalence survey (PPS) was undertaken during November 2012 using validated and standardised ARPEC (Antibiotic Resistance Prescribing European Children) methodology. The data collected contributed to study. <h3>Results</h3> Antimicrobials were prescribed 116 patients (48%) Birmingham, 114 (38%) Paris 128 (37%) Riga....
Introduction: The aim was to evaluate antibiotic use for surgical prophylaxis in paediatric acute appendicitis before and after introduction of the hospital guidelines. Materials Methods: Retrospective – observational study 68 patients with Paediatric Surgery clinic at University Children Hospital. Duration this four months: July/August November/December 2013. All data, such as patients’ demographic details, information on surgery, were collected from medical records. Results: Total number...
<h3>Objectives</h3> The aim of this study was to compare the use antibiotics among hospitalised children in Riga (Latvia) and Vilnius (Lithuania) at two tertiary paediatric centres. <h3>Methods</h3> A point prevalence survey (PPS) conducted using validated standardised Antibiotic Resistance Prescribing European Children (ARPEC) project methodology during November 2012. All inpatients less than 18 years old were included study. data recorded for patients with active antimicrobial...
<h3>Background</h3> Surgical prophylaxis may account for 1/3 of all antibiotic use in paediatric hospitals and 80% surgery. Appropriate surgical antimicrobial can prevent post-operative infection the site. <h3>Purpose</h3> To evaluate patients suffering upper lower extremity injuries. <h3>Material methods</h3> Retrospective review patients' medicines records before guidelines introduction July/August two months after November/December 2013. Comparative analysis appropriateness prophylaxis:...
<h3>Background</h3> The most common indications for antibiotic use in hospitalised children are lower respiratory tract infections (LRTI). point prevalence survey (PPS) allows targets to be identified quality improvement. Comparing between different countries may help identify successful initiatives that further rationalise treatment. <h3>Purpose</h3> To compare LRTI three paediatric centres the UK, France and Latvia strategies optimise <h3>Materials methods</h3> This PPS was a part of...
<h3>Background</h3> There are numerous audits performed in order to evaluate the appropriateness of use antibiotics (AB) surgical prophylaxis adult populations, but there is still a shortage data regarding paediatric surgery. <h3>Purpose</h3> To analyse prescribed AB and doses patients with upper lower extremity injuries before after introduction hospital recommendations for (HR) at surgery clinic (PSC) usefulness electronic prescription form. <h3>Material methods</h3> Retrospective study....
<h3>Background</h3> Due to higher use of broad spectrum agents in the treatment both adults and children, hospitals are considered be centres antimicrobial resistance. According several studies, approximately 60% hospitalised children will receive at least one antibiotic. <h3>Purpose</h3> To analyse antibiotics Children’s University Hospital. <h3>Materials Methods</h3> Two point prevalence surveys undertaken on a single day May November, 2011. Data collected included demographic details,...
<h3>Background</h3> Antibiotics are among the most frequently prescribed drugs in children. Although antibiotics mainly used primary care, hospitals considered to be centre of antimicrobial resistance due high density broad-spectrum antibiotic use both children and adult population. <h3>Purpose</h3> To analyse prescribing tendencies their usage hospitalised treatment as a first step improve at hospital. <h3>Materials methods</h3> A retrospective, analytic observational study. Evaluated...
<h3>Background</h3> Medicines used in neonates contain different excipients, which may not be safe this age group. <h3>Purpose</h3> To analyse the frequency that hospitalised are exposed to potentially harmful excipients (HE) and identify possible substitutes for medicines containing HE. <h3>Material methods</h3> This was a retrospective observational study at university paediatric hospital. All were included. Neonates divided into four groups according gestational (<28 weeks; 28 <32...
<h3>Background</h3> Currently no national reporting system is in place the country that would collect reports on patient safety incidents (PSI). Such a was introduced Children's Hospital 2013. 'Reporting' has very negative, meaning society general, because of country's political past. <h3>Purpose</h3> To analyse trends PSI focusing medication (MIRs). <h3>Material and methods</h3> A retrospective analysis from 1 January to 31 December 2016. Patient team members automatically receive alerts...
<h3>Background</h3> Oral rehydration solution (ORS) is used to reverse dehydration. Successful dehydration treatment replenishes lost water and electrolytes. It can be done by consuming ORS, containing both electrolytes glucose, because sodium glucose transport in the small intestine are coupled. However, clinical practice shows that children refuse ORS due its salty-sweet taste unpalatability. <h3>Purpose</h3> We hypothesised freezing a fruit/berry juice likeable texture 'gelato' form could...