- Pharmaceutical Practices and Patient Outcomes
- Antibiotic Use and Resistance
- Respiratory Support and Mechanisms
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Nosocomial Infections in ICU
- Bacterial Identification and Susceptibility Testing
- Sepsis Diagnosis and Treatment
- Contact Dermatitis and Allergies
- Pneumonia and Respiratory Infections
- Occupational exposure and asthma
- COVID-19 Clinical Research Studies
- Inhalation and Respiratory Drug Delivery
- Health Systems, Economic Evaluations, Quality of Life
- Antibiotic Resistance in Bacteria
- Pesticide Exposure and Toxicity
- Streptococcal Infections and Treatments
- Antifungal resistance and susceptibility
- Cancer Research and Treatment
- Patient Safety and Medication Errors
- Public Health in Brazil
- Antibiotics Pharmacokinetics and Efficacy
- Chronic Disease Management Strategies
- Pharmacovigilance and Adverse Drug Reactions
- Spectroscopy Techniques in Biomedical and Chemical Research
Hospital Universitari Joan XXIII de Tarragona
2011-2024
Universitat Rovira i Virgili
2012-2024
Institut d'Investigació Sanitària Pere Virgili
2006-2024
Objectives: To evaluate the impact of different antibiotic strategies on acquisition resistant microorganisms.
ATDOM is the Catalan home healthcare program at primary care level. Patients in are usually frail, elderly people with multiple comorbidities. They often polymedicated, leading to a high risk of drug-related problems (DRPs). Our hypothesis that pharmacist-led individualized review pharmacotherapeutic plans patients will be effective improving quality treatments by reducing DRPs terms indication, adequacy, effectiveness, and safety.
Background. Bromo‐3‐chloro‐5,5‐dimethylhydantoin (BCDMH) is a chemical used as disinfectant for recreational water. BCDMH was described being responsible an epidemic of irritant contact dermatitis in the UK (1983), and its sensitizing capacity also discussed. Objectives. The aim this study to assess whether disinfect swimming pools spas can cause allergic among users. Methods. Ten patients suffering from associated with using disinfected 40 controls were studied. Several dilutions BCDMH, 10%...
Liposomal amphotericin B (L-AmB) has become the mainstay of treatment for severe invasive fungal infections. However, potential renal toxicity must be considered.
Data on the benefits of rapid microbiological testing antimicrobial consumption (AC) and resistance patterns (ARPs) are scarce. We evaluated impact a protocol based techniques AC ARP in intensive care (ICU) patients.A retrospective pre- (2018) post-intervention (2019-2021) study was conducted ICU patients. A diagnostic algorithm applied starting 2019 patients with lower respiratory tract infection. The incidence nosocomial infections, ARPs, as DDDs (defined daily doses) were monitored.A...
Liposomal amphotericin B (L-AmB) has become the cornerstone for treatment of severe invasive fungal infections. However, renal toxicity may be an associated risk. Our aim was to evaluate incidence acute kidney injury (AKI) in critically ill patients receiving L-AmB more than 48 hours. Clinical, demographic and laboratory variables were obtained retrospectively from electronic health record. Follow-up 7 days after infusion. Patients analyzed globally differentiated between with...
In 2019 the WHO fully adopted new DDD values. The objective of this study is to analyse their impact on measurement consumption antibacterials in hospitals participating Catalan Infection Control and Antimicrobial Stewardship National Program (VINCat-PROA) Catalonia (Spain) between 2008 2018.The anatomical therapeutic chemical/DDD system was used monitor adult hospital antibacterial expressed DDD/100 bed-days. Consumption from 2018 calculated using both pre- post-update Differences were as...
Background: Data on the benefits of rapid microbiological testing antimicrobial consumption (AC) and resistance patterns(ARP) are scarce. We evaluated impact a protocol based techniques AC ARP in intensive care (ICU) patients. Methods: Retrospective pre(2018) post-intervention(2019-21) study ICU A diagnostic algorithm was applied from 2019 patients with lower respiratory tract infection. Incidence nosocomial infection, ARP, as DDD(defined daily dose) were monitored. Results: total 3635...
Background. Bromo-3-chloro-5,5-dimethylhydantoin (BCDMH) is a chemical used as disinfectant for recreational water. BCDMH was described being responsible an epidemic of irritant contact dermatitis in the UK (1983), and its sensitizing capacity also discussed. Objectives. The aim this study to assess whether disinfect swimming pools spas can cause allergic among users. Methods. Ten patients suffering from associated with using disinfected 40 controls were studied. Several dilutions BCDMH, 10%...
<h3>Background</h3> Spontaneous reporting is an important tool for the surveillance of problems related to drugs (PRDs). However, under a major limitation any pharmacovigilance system. In 2014 new electronic (TPSCCloud) was established notify patient events hospital assistance and those drugs. The pharmacy department usually involved in providing information, recording PRDs promoting culture safety security. On this occasion, supported diffusion programme cooperation with preventive service....
<h3>Background</h3> Patients admitted to intensive care units (ICU) are characterised by their need for a more advanced level of and higher risk patient safety related incidents. Errors in pharmacological treatments may occur due an unintended act or omission. omission insidious difficult identify. <h3>Purpose</h3> The two aims this study were first present checklist designed improve the pharmacotherapeutic process second was results obtained with tool our ICU. <h3>Material methods</h3> This...
<h3>Background and importance</h3> In our area, 77.2% of patients in the domiciliary care programme (ATDOM) are polymedicated therefore have greater morbidity. <h3>Aim objectives</h3> To analyse a medication plan (MP) review based on criteria efficacy, efficiency safety, adapting treatments ATDOM patients. <h3>Material methods</h3> This was retrospective longitudinal study prospective cohort including from single health centre. Demographic variables (age sex), type incidents, proposals,...
Abstract Background Optimal time to intubate patients with SARS-CoV-2 pneumonia is controversial. Whereas some authors recommend trying noninvasive respiratory support before intubate, others argue that delaying intubation can cause patient-self-induced lung injury and worsen the prognosis. We hypothesized delayed would increase risk mortality in COVID-19 patients. Methods This preplanned retrospective observational study used prospectively collected data from adult failure admitted 73...
Abstract Background Optimal time to intubate patients with SARS-CoV-2 pneumonia is controversial. Whereas some authors recommend trying noninvasive respiratory support before intubate, others argue that delaying intubation can cause patient-self-induced lung injury and worsen the prognosis. We hypothesized delayed would increase risk mortality in COVID-19 patients. Methods This preplanned retrospective observational study used prospectively collected data from adult failure admitted 73...
<title>Abstract</title> <bold>Background</bold>Optimal time to intubate patients with SARS-CoV-2 pneumonia is controversial. Whereas some authors recommend trying noninvasive respiratory support before intubate, others argue that delaying intubation can cause patient-self-induced lung injury and worsen the prognosis. We hypothesized delayed would increase risk mortality in COVID-19 patients.<bold>Methods</bold>This preplanned retrospective observational study used prospectively collected...
<h3>Background and importance</h3> Based on the criteria lipid lowering efficacy, safety, experience of use cost, statins simvastatin, pravastatin ≥40 mg atorvastatin, gemfibrozil fibrate, are prioritised in our territory. <h3>Aim objectives</h3> To optimise treatment primary healthcare (PH) patients. <h3>Material methods</h3> A prospective study (June to July 2020) was carried out a PH centre, with data obtained from ECAP computerised medical record. Patients not considered firstline were...
<h3>Background and importance</h3> Acute pharyngotonsillitis is the most prevalent infectious disease in primary healthcare, with inadequate prescription of antibiotics without diagnostic evidence through application Centor criteria rapid antigen detection test for group A β-haemolytic <i>Streptococcus</i>. <h3>Aim objectives</h3> To evaluate our territory degree adequacy of: (1) procedures (2) antibiotic treatment. <h3>Material methods</h3> retrospective observational study was conducted...