A5007490518- Antibiotic Use and Resistance
- Herpesvirus Infections and Treatments
- Cytomegalovirus and herpesvirus research
- Sepsis Diagnosis and Treatment
- Antimicrobial Resistance in Staphylococcus
- Urinary Tract Infections Management
- Patient-Provider Communication in Healthcare
- Antibiotics Pharmacokinetics and Efficacy
- Interprofessional Education and Collaboration
- Pneumonia and Respiratory Infections
- Viral Infections and Immunology Research
- Hepatitis Viruses Studies and Epidemiology
- Nosocomial Infections in ICU
- Emergency and Acute Care Studies
- Neonatal and Maternal Infections
- Patient Satisfaction in Healthcare
Gold Coast Health
2019-2024
Gold Coast Hospital
2018-2023
St George's, University of London
2019
Improving the quality of hospital antibiotic use is a major goal WHO's global action plan to combat antimicrobial resistance. The WHO Essential Medicines List Access, Watch, and Reserve (AWaRe) classification could facilitate simple stewardship interventions that are widely applicable globally. We aimed present data on patterns paediatric AWaRe be used for local national interventions.1-day point prevalence survey prescription were combined from two independent networks: Global Antimicrobial...
Antibiotics are some of the most commonly prescribed drugs in Emergency Department (ED) and yet data describing overall appropriateness antibiotic prescribing ED is scarce.To describe ED.A retrospective, observational study current practice. All patients who presented to during period were at least one included. Specialists from Infectious Disease, Microbiology Medicine a Senior Pharmacist assessed against evidence-based guidelines.A total 1019 (13.6%) patient presentations involved...
While there have been studies in adults reporting discordant empiric antibiotic treatment associated with poor outcomes, this area is relatively unexplored children and neonates despite evidence of increasing resistance to recommended first-line regimens.Patient characteristics, treatment, microbiology, 30-day all-cause outcome from <18 years blood-culture-confirmed bacterial bloodstream infections (BSI) were collected anonymously using REDCap™ through the Global Antibiotic Prescribing...
Variations in neonatal aciclovir prescribing for suspected herpes simplex virus (HSV) disease are well-known, but there limited data describing older children. Medical records of neonates (≤28 days) and children (29 days to 18 years) prescribed intravenous HSV (1 January 2019-12 December 2019) eight Australian New Zealand hospitals were reviewed. Prescribing indication, testing, prescription details, adverse events discharge diagnosis recorded. 1426 received empirical aciclovir. For (n =...
Antibiotic overprescribing is a global issue that significantly contributes to increased antimicrobial resistance. Strengthening prescribing practices should be considered priority. The emergency department (ED) represents setting where antibiotics are frequently prescribed, but the determinants influence choices complex and multifaceted. We conducted an exploratory qualitative study investigate contextual factors antibiotic among clinicians in ED. employed video-reflexive ethnography (VRE)...
Abstract Background Non-specific presentations of severe herpes simplex virus (HSV) infections and high risk adverse outcomes have driven empiric acyclovir use. We therefore audited prescribing in Australia New Zealand for suspected HSV infection. Methods All children (0-18 years) prescribed intravenous (IV) infection eight paediatric hospitals between 1 January 2019 31 December were included. Clinical data extracted from patient records. Results IV was 1426 cases, whom 114 (8%) subsequently...