Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 35 for “"Antimicrobial stewardship"”.
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Time series analysis for evaluation of antimicrobial stewardship interventions
Antimicrobials have been described as the “wonder drug” of the 20th century. Not only are they crucial for the treatment of infection, antimicrobials are used across the whole healthcare system including to support cancer chemotherapy, and organ transplantation. The use, including avoidable misuse …
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Primary care antimicrobial stewardship: Impact on prescribing and resistance
<b>Background: </b>Antimicrobial resistance is an increasing world-wide public health concern, with antimicrobial use described as one of the main drivers. Most antimicrobial prescribing occurs in primary care which is therefore a key target for antimicrobial stewardship. This thesis examines …
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Opportunities to measure and improve antimicrobial stewardship in the Irish hospital setting
Background: Antimicrobial resistance (AMR) is one of the most significant threats to public health and increasing levels of resistance among gram negative organisms, and levels of vancomycin-resistant Enterococcus faecium (VRE) are of concern across Europe and in Ireland. Antimicrobial stewardship …
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Antimicrobial stewardship in Ireland, with a focus on long term care facilities
Background: Antimicrobial resistance is a major public health concern, and its increasing incidence in the Long Term Care Facility (LTCF) setting warrants attention (1). The prescribing of antimicrobials in this setting is often inappropriate and higher in Ireland than the European average (2). The …
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Antimicrobial stewardship in care homes for older people: development of a core outcome set
… of outcomes measured in trials to improve antimicrobial stewardship (AMS) in care homes has impeded synthesising evidence and producing definitive conclusions. This thesis aimed to develop a core outcome set (COS) for use in trials focusing on improving AMS in care …
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A theoretical exploration of the implementation of antimicrobial stewardship programmes in the United Arab Emirates.
Antimicrobial resistance (AMR) is considered a global health threat and one of the most pressing public health issues. The World Health Organization (WHO) outlined actions to combat the AMR risk including optimising the use of antimicrobials through the introduction of Antimicrobial Stewardship …
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Developing a livestock producer-centered approach to design and optimize training programs in antimicrobial stewardship
Recently, the emergence of antimicrobial resistance has provoked numerous nation-wide initiatives that encourage the prudent use of antimicrobials in both human and veterinary medicine. The importance of effective education and training programs has been increasingly emphasized as a key area of …
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Large-scale prediction of patient-level antibiotic resistance : towards clinical decision support for improved antimicrobial stewardship
Antibiotics are critical to modern medicine. However, levels of resistance have been rising, exacerbated by over-prescription and misuse of antibiotics. One major reason for this inappropriate usage is that doctors often must decide treatment without the results of microbiologic testing, a setting …
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Implementation of an Outpatient Antimicrobial Stewardship Program to Reduce Fluoroquinolone Overprescribing at a Veterans Affairs Academic Medical Center
… in outpatient settings, and antibiotic stewardship programs designed to prevent overuse are not well described. The primary purpose of this study was to evaluate the change in overall and appropriate fluoroquinolone prescribing rates by primary care providers at a Veterans Affairs …
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Assessing the Impact of a Unit-Based Clinical Pharmacist on Antimicrobial Use in a Level I Trauma Center – A Pilot Study
… outcomes. Harris Health System launched its antimicrobial stewardship program, through coordinated efforts of the infectious disease teams, internal medicine, critical care medicine, surgery, hematology/oncology, emergency medicine, microbiology/pathology, nursing, pharmacy, and infection …
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Infectious Disease Surveillance Using Emerging Data Sources: Applications to Antimicrobial Resistance and COVID-19
… as longstanding threats like the rising tide of antimicrobial resistance. Simultaneously, the digital revolution has unleashed a vast array of data applicable to the critical task of infectious disease surveillance. In this dissertation, I explore the use of emerging data sources to answer …
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A descriptive study of vancomycin usage at Red Cross War Memorial Children's Hospital, Cape Town
Background: Antimicrobial stewardship principles guide the clinical use of vancomycin, but paediatric vancomycin prescribing practices have not been evaluated in South Africa. Objectives: To document the use, prescribing practices and monitoring of intravenous vancomycin and the spectrum of …
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Utility of the biofire filmarray pneumonia panel plus assay for syndromic testing of lower-respiratory tract infections in a low-middle-income setting
… of results may lead to inappropriate antimicrobial therapy. Methods: The utility of the BioFire® FilmArray® Pneumonia Panel plus (FA-PP) to detect LRTI pathogens, and the potential antimicrobial stewardship impacts in a low resource setting, was assessed. Routine LRT samples were …
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The genomic characterization of carbapenemase-producing Serratia marcescens at a tertiary hospital in South Africa
… to inform infection prevention control and antimicrobial stewardship initiatives.
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The influence of water, sanitation and hygiene and feeding practices on growth status and antibiotic resistance in infants aged 0-6 months in Dzimauli rural villages
… optimal infant feeding practices, and support antimicrobial stewardship to improve child health outcomes.
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A mixed methods exploration of antibiotic prescribing and stewardship
… is key to making progress towards more effective antimicrobial stewardship. Exploring characteristics shared between patients and providers, attitudes of new antibiotic stewards, and the role of prescribing on subsequent use offer opportunities to better understand antibiotic stewardship and …
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Phenotypic and molecular characterization of coagulase negative staphylococci from pigs and humans in Lusaka province, Zambia.
… the importance of increased surveillance, antimicrobial stewardship (AMS) and research into resistance mechanisms of CoNS.
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Phenotypic and molecular characterization of coagulase negative staphylococci from pigs and humans in Lusaka province, Zambia.
… the importance of increased surveillance, antimicrobial stewardship (AMS) and research into resistance mechanisms of CoNS.
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OPTIMIZING DIAGNOSTIC ACCURACY IN CANINE URINARY TRACT INFECTIONS: FUTURE DIRECTIONS TO REDUCE ANTIMICROBIAL MISUSE IN VETERINARY PRACTICE
… aiming to reduce the inappropriate use of antimicrobials in veterinary clinical practice. Following an epidemiological overview of canine UTIs, the work presents an analysis of the International Society for Companion Animals Infectious Diseases (ISCAID) guidelines, a document that provides …
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Antimicrobial resistance among pregnant women with urinary tract infections attending antenatal clinic at Levy Mwanawasa university teaching hospital Lusaka, Zambia
… in low income countries. The global emergence of antimicrobial resistance undermines the management of infectious diseases. Internationally, there is a growing concern over antimicrobial resistance (AMR) which is currently estimated to account for more than 700, 000 deaths per year worldwide. …
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