Academic Journal
National and Local Antibiotic Prescribing Trends and Prescribing Appropriateness in Older Adults
| العنوان: | National and Local Antibiotic Prescribing Trends and Prescribing Appropriateness in Older Adults |
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| المؤلفون: | Alotaibi, Fawaz M |
| المصدر: | Theses and Dissertations |
| بيانات النشر: | VCU Scholars Compass |
| سنة النشر: | 2019 |
| المجموعة: | Virginia Commonwealth University: VCU Scholars Compass |
| مصطلحات موضوعية: | Antibiotics, Older adults, Geriatrics, Epidemiology, Antibiotic Resistance, Other Pharmacy and Pharmaceutical Sciences |
| الوصف: | Background: Antibiotic overuse/misuse has been documented in several reports to increase the risk of Clostridioides difficile (C.diff) infection and antibiotic resistance. The older adult population is more prone to use antibiotic medications than any other age group due to decreased immune function, use of urinary catheters, ventilation during hospitalization and other factors. Antibiotic resistance and C.diff are major public health problems. However, studies examining the trends of antibiotic use and the association between the antibiotic use and negative health outcomes among older adults in the outpatient and emergency department settings are limited. Objectives: The main objectives of this dissertation were to: 1) calculate the national antibiotic trends among community-dwelling older adults in the United State; 2) evaluate the antibiotic trends and antibiotic appropriateness among older adult patients visiting the geriatrics clinic and adult internal ambulatory care clinic at VCU Health; and 3) examine the antibiotic trends and antibiotic appropriateness among older adult patients and middle-aged patients visiting the emergency department at VCU Health. Methods: For the first objective, data were obtained from Medical Expenditure Panel survey (MEPS) a nationally representative dataset (2011-2015). Descriptive analyses were conducted and multiple logistic regression was performed to assess the association between the antibiotic use and demographic and sociodemographic characteristics. In the second objective, data were obtained from VCU Health outpatient clinics (geriatrics, and Internal medicine ambulatory care clinic only). Descriptive statistics were calculated and multiple logistic regression was performed to assess the association between antibiotic appropriateness and type of clinics and other demographic characteristics. In the third objective, the emergency department electronic medical records at VCU were used. Trend analysis was performed across the dissertation studies using the Cochran–Armitage ... |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| Relation: | https://scholarscompass.vcu.edu/etd/5714; https://scholarscompass.vcu.edu/context/etd/article/6804/viewcontent/Alotaibi_Fawaz_PhD.pdf |
| DOI: | 10.25772/90WR-WT54 |
| الاتاحة: | https://scholarscompass.vcu.edu/etd/5714 https://doi.org/10.25772/90WR-WT54 https://scholarscompass.vcu.edu/context/etd/article/6804/viewcontent/Alotaibi_Fawaz_PhD.pdf |
| Rights: | © The Author |
| رقم الانضمام: | edsbas.70170523 |
| قاعدة البيانات: | BASE |
| DOI: | 10.25772/90WR-WT54 |
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