[The implementation of the multidisciplinary guidelines for treatment of schizophrenia in teams for flexible assertive community treatment: a retrospective study of patient files]. / De implementatie van de multi-disciplinaire richtlijn schizofrenie binnen geaccrediteerde FACT-teams: een retrospectief dossieronderzoek.

BACKGROUND: A multidisciplinary guideline is available for the care for patients suffering from schizophrenia. In 2009 (most recent statistics) 50-75% of the patients were treated according to this guideline.
AIM: To quantify the difference between the desired treatment according to the multidisciplinary guideline and the daily practice in teams for flexible assertive community (FACT) treatment before and after the introduction of the new guideline in 2012.
METHOD: Cross-sectional study of cases that retrospectively quantifies the applicator interventions in 60 patients with schizophrenia.
RESULTS: Most of the recommended interventions are available. There is an increase in use of the recommended treatments since the introduction of the new guideline in 2012. The use of psychosocial interventions is lagging.
CONCLUSION: Despite the increase shown in psychosocial treatment since 2012, it remains inadequate. Further research into the causes of the inadequate use of the available interventions is recommended.

The prevalence of antibiotic-resistant faecal Escherichia coli in healthy volunteers in Venezuela.

Faecal samples were collected from healthy volunteers in two regions in Venezuela, the village of Grulla (n = 195) and the city of Mérida (n = 181), and analysed for the prevalence of antibiotic resistant faecal Escherichia coli as well as the antibiotic susceptibility of the strains isolated. The highest prevalences of resistance were observed for amoxicillin, oxytetracycline, sulfamethoxazole and trimethoprim. The percentages found for Grulla were 46, 38, 44 and 30%, respectively; for Mérida 39, 65, 56 and 36%, respectively. In Mérida, a significantly higher prevalence of resistance for oxytetracycline was found (P < 0.05). Significant differences in the distribution of the MIC values between Grulla and Mérida were observed for amoxicillin, chloramphenicol and oxytetracycline (P < 0.05). In Grulla, the most frequent pattern was resistance to amoxicillin only and in Mérida to oxytetracycline only. Amoxicillin resistance was due to production of TEM1 beta-lactamase.