RESUMO
Little is known about antibiotic prescribing differences between academic and community outpatient settings. This retrospective, cross-sectional chart review compares compliance with Infectious Diseases Society of America and American Academy of Pediatrics prescribing guidelines for otitis media, sinusitis, and pharyngitis in academic and affiliated community practices. The study results for correct antibiotic prescribing rate in the academic setting (67%) compared with the community setting (21%) demonstrate the urgent need for stewardship in community outpatient clinics.
Assuntos
Assistência Ambulatorial/métodos , Antibacterianos/uso terapêutico , Prescrições de Medicamentos/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Centros Médicos Acadêmicos , Adolescente , Instituições de Assistência Ambulatorial , Criança , Pré-Escolar , Centros Comunitários de Saúde , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Otite Média/tratamento farmacológico , Faringite/tratamento farmacológico , Estudos Retrospectivos , Sinusite/tratamento farmacológico , Estados Unidos , Adulto JovemRESUMO
Infertility affects more than 10% of the world's population. In developing countries, there are severe social, psychological and economic consequences for infertile men and women. All of the cited references are compiled from primary peer-reviewed research articles that were conducted through one-to-one interviews or focus groups in countries of developing regions, such as Africa, Asia and the Middle East. The following paper seeks to raise awareness of the consequences of infertility in developing nations and identify infertility as an under-observed, but significant public health issue. It is proposed that education programmes tailored to each society's specific religious beliefs and grounded traditions must be implemented in order to reverse the social stigma, detrimental psychological effects, and loss of economic security that results from infertility.
