[Infections and use of antibiotics in residents of long-term care facilities in Hungary].

Abstract:

INTRODUCTION:Healthcare associated infections and antimicrobial use are common among residents of long-term care facilities. Faced to the lack of standardized data, the European Centre for Disease Prevention and Control funded a project with the aim of estimating prevalence of infections and antibiotic use in European long-term care facilities. AIM:The aim of the authors was to present the results of the European survey which were obtained in Hungary. METHOD:In Hungary, 91 long-term care facilities with 11,823 residents participated in the point-prevalence survey in May, 2013. RESULTS:The prevalence of infections was 2.1%. Skin and soft tissues infections were the most frequent (36%), followed by infections of the respiratory (30%) and urinary tract (21%). Antimicrobials were mostly prescribed for urinary tract infections (40.3%), respiratory tract infections (38.4%) and skin and soft tissue infections (13.2%). The most common antimicrobials (97.5%) belonged to the ATC J01 class of "antibacterials for systemic use". CONCLUSIONS:The results emphasise the need for a national guideline and education for good practice in long-term care facilities. :Bevezetés: Az egészségügyi ellátással összefüggő fertőzések előfordulása és az antimikrobiális szerek használata gyakori a szociális intézmények ápoltjai között. A standardizált adatok hiányával szembesülve az Európai Betegségmegelőzési és Járványügyi Központ létrehozott egy projektet, hogy az európai szociális intézményekben felmérjék a fertőzések és az antibiotikumhasználat prevalenciáját. Célkitűzés: A szerzők az európai projekt hazai adatainak bemutatását tűzték ki célul. Módszer: Hazánk 91 bentlakásos szociális intézménnyel és 11 823 ápolttal vett részt a 2013. májusban elvégzett pontprevalencia-vizsgálatban. Eredmények: A fertőzések prevalenciája 2,1% volt. A bőr- és lágyrész- (36%), a légúti (30%) és a húgyúti fertőzések (21%) fordultak elő leggyakrabban. Az antibiotikumokat legtöbbször húgyúti (40,3%), légúti (38,4%), illetve bőr- és lágyrész-fertőzésekre (13,2%) írták fel, amelyek 97,5%-a az ATC J01 alcsoportba (szisztémás antibakteriális szerek) tartozott. Következtetések: Az eredmények alapján a szerzők irányelvek és képzési programok kidolgozását tartják szükségesnek az infekció kontroll/prevenció és a helyes antibiotikumhasználat vonatkozásában a szociális intézmények számára. Orv. Hetil., 2014, 155(23), 911–917.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Szabó R,Böröcz K

doi

10.1556/OH.2014.29876

subject

Has Abstract

pub_date

2014-06-08 00:00:00

pages

911-7

issue

23

eissn

0030-6002

issn

1788-6120

pii

N8U4L02610951376

journal_volume

155

pub_type

杂志文章
  • [Nephrogenic diabetes insipidus].

    abstract::The syndrome of polyuria and polydipsia is practically identical in three very different disorders (central diabetes insipidus, nephrogenic diabetes insipidus, primary polydipsia). In congenital nephrogenic diabetes insipidus both the thirst mechanism and the production of the antidiuretic hormone are intact, but the ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Radó J

    更新日期:1998-03-08 00:00:00

  • [Nijmegen Breakage syndrome].

    abstract::Nijmegen Breakage syndrome is a rare, autosomal recessive disorder characterized by severe, combined immunodeficiency, recurrent sinopulmonary infections, chromosomal instability, radiosensitivity, predisposition to malignancy, a "bird-like" facial appearance, progressive microcephaly, short stature, and mental retard...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2010.28851

    authors: Erdos M,Tóth B,Juhász P,Mahdi M,Maródi L

    更新日期:2010-04-18 00:00:00

  • [Polycystic lung in an adult diagnosed by ultrasound].

    abstract::Authors give a brief description of a case of adult polycystic disease of the lung which was diagnosed by chest X-ray, real-time abdominal ultrasound and fluoroscopy. ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Fraknói R,Maros T,Balázs M

    更新日期:1990-04-01 00:00:00

  • [Thoracic actinomycosis].

    abstract::The authors describe in their case study the history of a 51 year old man, at whom they verified without thoracotomy thoracal actinomycosis. They achieved recovery giving permanently high doses of Penicillin. In connection with this rare case the authors review pathogenesis, the symptomatology, the diagnosis and the t...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Besznyák G,Vadnay I,Juhász E

    更新日期:1996-09-15 00:00:00

  • [When does an autoimmune disease begin? Importance of the early diagnosis].

    abstract::In autoimmune diseases, such as type I diabetes mellitus, systemic autoimmune diseases and the early phase of rheumatoid arthritis, before the development of a definitive disease, clinical and laboratory alterations can be observed. Being aware of these symptoms is crucial both for family practitioners and specialists...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2007.28031

    authors: Bodolay E,Dérfalvi B,Gergely P,Poór G

    更新日期:2007-04-08 00:00:00

  • [Parameters of bed occupancy of intensive care units in Hungary].

    abstract::According to the Semmelweis Plan for Saving Health Care, "the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present". Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2011.29137

    authors: Gresz M

    更新日期:2011-06-12 00:00:00

  • Incidence of haematological malignancies in adults in Szabolcs-Szatmár-Bereg county, Hungary. Analysis of data of a 36-year period

    abstract:INTRODUCTION:During a 36-year period (between January 1, 1983 and December 31, 2018), 5159 adult patients with newly diagnosed haematological malignancy were registered in the leukaemia/lymphoma registry of Szabolcs-Szatmár-Bereg county. AIM:The review of the incidence of different haematological malignancy in the aut...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2020.31750

    authors: Jakó J,Takács P,Szerafin L

    更新日期:2020-08-01 00:00:00

  • [Generalized secondary amyloidosis in rheumatoid arthritis].

    abstract::Generalized (systemic) secondary amyloidosis was a post mortem finding recorded in 28 patients (25.2%) by amyloid specific Congored staining according to Romhányi, from 111 randomized autopsy cases with rheumatoid arthritis. Amyloidosis was present most frequently in the gastro-intestinal tract, the heart, kidney, thy...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Bély M,Apáthy A

    更新日期:1993-11-21 00:00:00

  • [Modern diagnostics in breast cancer: nuclear medicine techniques].

    abstract::The authors discuss the role of nuclear medicine techniques in the modern diagnostics of breast cancer, including the methods currently used in Hungary and the future possibilities. ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2012.29256

    authors: Borbély K,Sinkovics I,Madaras B,Horváth Z,Láng I,Kásler M

    更新日期:2012-01-08 00:00:00

  • [Effect of ACE gene polymorphism on carbohydrate metabolism, on oxidative stress and on end-organ damage in type-2 diabetes mellitus].

    abstract::ACE gene insertion/deletion (I/D) polymorphism is a well-known risk factor of hypertension, cardiovascular diseases and progression of diabetic nephropathy. In carriers of allele D, serum level of angiotensin-II is higher, which can be associated with increased oxidative stress and subsequent endothelial damage. Album...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Molnár GA,Wagner Z,Wagner L,Melegh B,Kószegi T,Degrell P,Bene J,Tamaskó M,Laczy B,Nagy J,Wittmann I

    更新日期:2004-04-18 00:00:00

  • [Obstructive sleep apnea--its clinical significance, and the role of general practitioners in its treatment and care].

    abstract::It is has been widely studied and proved that obstructive sleep apnea is a risk factor for cardiovascular diseases, especially hypertension, myocardial infarction and stroke. It is also important to be aware that, due to sleep apnea, hypersomnia increases the risk of accidents and the prevalence of neuropsychiatric co...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2010.28948

    authors: Torzsa P,Kalabay L,Adám A,Novák M,Mucsi I

    更新日期:2010-10-17 00:00:00

  • [Three cases of mycobacteriosis with gastrointestinal localization].

    abstract::The authors present three patients having primary microbacterial infections which involved the gastrointestinal tract. A short survey of the clinical features and the difficulties arriving at definitive diagnosis is given. They discuss the differential diagnostic problems in each case--without an unequivocal bacterial...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Nagy F,Mohácsi G,Varró V

    更新日期:1989-04-02 00:00:00

  • [Role of somatostatin receptor ligands in the treatment of acromegaly--literature review].

    abstract::Acromegaly is a rare disease with typical clinical manifestations. Untreated acromegaly carries a 2-4-fold increase in mortality in long-term outcome. The goal of treatment is double, including biochemical control of the disease (normalization of serum IGF1 levels compared to age and gender matched controls, GH levels...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2011.29102

    authors: Nemes O,Mezosi E

    更新日期:2011-05-01 00:00:00

  • [Health behavior change: motivational interviewing].

    abstract::Public health data show that early mortality in Hungary could be prevented by smoking cessation, reduced alcohol consumption, regular exercise, healthy diet and increased adherence. Doctor-patient encounters often highlight these aspects of health behavior. There is evidence that health behavior change is driven by in...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2017.30825

    authors: Pócs D,Hamvai C,Kelemen O

    更新日期:2017-08-01 00:00:00

  • [Acute metabolic cataract as a first manifestation of IDDM in an adolescent girl].

    abstract::The authors present a case report of a 13.5 yrs old girl. The first manifestation of her diabetes was the sudden decrease of her vision due to bilateral cataract. There was no report of perinatal of actual infection, previous trauma, radiation exposure or drug consumption. She was hypermetropic, for that she regularly...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Niederland T,Futó G,Gál V

    更新日期:1999-08-29 00:00:00

  • [Changes in the left ventricular diastolic function in acute myocardial infarction].

    abstract::Changes of left ventricular systolic function in acute myocardial infarction are well known. However, diastolic function may also have a role for patients' symptoms and prognosis. The purpose of this study was to evaluate changes of diastolic function non-invazively and to delineate the relation between systolic and d...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Temesvári A,Kaare S

    更新日期:1996-02-25 00:00:00

  • [Possibilities of the use of lymphoscintigraphy in head and neck surgery: introductory studies].

    abstract::The results of a pilot study of head and neck lymphoscintigraphy are presented. The study was performed in 35 cases with technetium-99m-labelled microcolloid. The scintigraphic observations of the intact and tumorous neck are presented. The results of this pilot study suggest that this method might create the base of ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Trizna Z,Sinkovics I,Bánhidy F,Kásler M,Karika Z

    更新日期:1990-09-16 00:00:00

  • [Flow cytometry in the diagnosis of hemophagocytic lymphohistiocytosis in a case with fatal outcome].

    abstract::Hemophagocytic lymphohistiocytosis is a multisystem inflammation, generated by the uncontrolled and excessive activation of cytotoxic T lymphocytes and natural killer cells. Severe immunodeficiency and generalized macrophage activation can often be detected in the background of this life threatening disorder. It is cl...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2014.29790

    authors: Pállinger E,Erdélyi D,Kovács G,Kriván G,Korponay Z,Fekete G,Szabó A,Falus A,Dérfalvi B

    更新日期:2014-03-09 00:00:00

  • [Endoscopic management of bile leakage following laparoscopic cholecystectomy].

    abstract:UNLABELLED:During a 15-month period 8 patients (1 male, 7 females, mean age 49 years) admitted from different institutions were treated with bile leaks after laparoscopic cholecystectomy. The diagnosis was established by endoscopic retrograde cholangiography. The site of the leakage was the cystic duct in five cases, t...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Lakatos L,Nagy A,Réti G

    更新日期:1996-03-17 00:00:00

  • [15-year echocardiographic follow-up of acromegalic patients].

    abstract::An echocardiographic follow-up of 25 patients (pts) was performed, after the first examinations in 1978-1979. 15 pts have died in the last 15 years (Group 1), while 10 still living (Group 2). In Group 1 either the impaired global left ventricular at the time of the first echocardiography predicted a high mortality i.e...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Gyöngyösi M,Valkusz Z,Varga A,Forster T,Gáspár L,Csanády M

    更新日期:1995-07-16 00:00:00

  • [The role of environmental factors in managing labour stress].

    abstract:INTRODUCTION:Emotional, cognitive and behavioural aspects of birth and labour stress are strongly associated with the underlying physiological processes. AIM:To study the factors of physical security and social support, the administration of synthetic oxytocin, and how they relate to perceived stress during childbirth...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2017.30797

    authors: Rados M,Mészáros J

    更新日期:2017-07-01 00:00:00

  • [Evaluation of pulmonary artery stiffness using routine clinical imaging methods].

    abstract::Recently, there has been much debate about pulmonary hypertension due to modern therapeutic options available. Arterial hypertension is frequently associated with stiffening of a given artery. The aim of the present review is to present clinical imaging methods for the evaluation of the function and stiffness of the p...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2013.29767

    authors: Nemes A,Forster T

    更新日期:2013-12-08 00:00:00

  • [Applicability of hospital reports submitted for reimbursement purposes for epidemiological studies based on the example of ischemic cerebrovascular diseases].

    abstract:INTRODUCTION:In single-payer health care financing systems data extracted from hospital report forms submitted for reimbursement purposes may be used for epidemiological investigations. AIM:Based on data submitted by 14 neurological wards in Central Hungary the authors examined the reliability of these reports. METHO...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2015.30258

    authors: Ajtay A,Oberfrank F,Bereczki D

    更新日期:2015-09-20 00:00:00

  • [History of the therapy of pernicious anemia].

    abstract::Increased blood cell regeneration in exsanguinated experimental animals treated either with liver or with aqueous liver extracts was reported by Whipple and by Jeney and Jobling, respectively. These findings stimulated Minot and Murphy to provide evidence for the efficacy of liver against anaemia in clinical studies. ...

    journal_title:Orvosi hetilap

    pub_type: 历史文章,杂志文章

    doi:10.1556/OH.2013.29743

    authors: Jeney A

    更新日期:2013-11-03 00:00:00

  • [Cardiovascular disease-related serum lipid parameters in a Hungarian subpopulation].

    abstract::The blood samples of 229 volunteers (100 men, aged 35-59 y and 129 women, aged 35-54 y) were randomly selected and analysed for serum lipids (triglyceride, total, HDL- and LDL-cholesterol), apolipoproteins (apolipoprotein A1, A2 and B) and Lp(a). The mean serum level of triglyceride was in the high risk category in ma...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Szépvölgyi J,Kravják BE,Bíró L,Nagy K,Bíró G,Antal M

    更新日期:1997-08-10 00:00:00

  • [Assessment of serum interleukin-6 with a rapid test. The diagnosis of neonatal sepsis can be established or ruled out].

    abstract:INTRODUCTION:The mortality rate from sepsis is high and the risk of sepsis increases in prematurity in proportion to the decrease in birth weight. MATERIAL AND METHOD:The authors report the assessment of serum interleukin-6 levels in 12 term, at-risk newborn infants after birth and 60 VLBW neonates after detection of ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2007.27991

    authors: Görbe E,Jeager J,Nagy B,Harmath A,Hauzman E,Hruby E,Kohalmi B,Perlaki M,Sassi L,Rab A

    更新日期:2007-08-26 00:00:00

  • [Detection of circulating antibodies in the blood and immune complex precipitates of patients with autoimmune diseases (preliminary report)].

    abstract::Antibodies against ENA (Extractable Nuclear Antigens), SSA/Ro and SSB/La were investigated in parallel in the serum and the immune complex precipitates of 41 patients with autoimmune disease (10 systemic lupus erythematosus, 23 discoid lupus erythematosus, 3 subacute cutaneous lupus erythematosus, and 5 progressive sy...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Kiss M,Husz S,Dobozy A

    更新日期:1992-05-03 00:00:00

  • [Diagnosis and treatment of chronic hepatitis B and D. National consensus guideline in Hungary from 22 September 2017].

    abstract::Diagnosis and treatment of hepatitis B virus (HBV) and hepatitis D virus infection mean for the patient to be able to maintain working capacity, to increase quality of life, to prevent cancer, and to prolong life expectancy, while the society benefits from eliminating the chances of further transmission of the viruses...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2018.31004

    authors: Horváth G,Gerlei Z,Gervain J,Lengyel G,Makara M,Pár A,Rókusz L,Szalay F,Tornai I,Werling K,Hunyady B

    更新日期:2018-02-01 00:00:00

  • [Vasculitis 2013. What are the changes introduced in the 2012 Chapel Hill Consensus Conference?].

    abstract::Vasculitis is a heterogeneous group of rare disorders in which inflammation of blood vessels is the common feature. Due to the increasing number of diseases as well as overlaps and gaps in the definition and nomenclature, the classification criteria were constantly changing in the past decades. The classifications wer...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2013.29704

    authors: Zeher M

    更新日期:2013-10-06 00:00:00

  • [An intrauterine device used to enhance the concentration of radiation therapy].

    abstract::The author discusses about non-usual application of Cu containing intrauterine contraceptive device. An oophoropexy was performed on a 19 years old female suffering from Hodgkin disease. A Cu intrauterine contraceptive device was introduced into the uterine cavity to help in localising the radiological treatment. The ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Csiszár P

    更新日期:1989-02-26 00:00:00