[Antibiotic use and misuse at the National University Hospital, Iceland.].

Abstract:

INTRODUCTION:Antibiotics are responsible for 20-25% of the total drug-cost in the larger hospitals in Iceland. Studies from other countries, both in Europe and North-America suggest that 40-70% of both antibiotic therapy and prophylaxis is inappropriate in the larger teaching hospitals. We undertook a prospective study to determine the patterns of antimicrobial use in a university hospital. METHODS:Data on antibiotic prescriptions were collected over two four week periods in April and August 1994 on 12 wards at the National University Hospital. RESULTS:During the eight weeks 302 (30%) of 1020 hospitalized medical, surgical and gynecological patients received one or more courses of antimicrobial therapy. Presumptive infection was the reason for therapy in 73% of the cases, prophylaxis in 35% and both therapy and prophylaxis in 8%. Cephalosporins were the most commonly used drugs for antimicrobial therapy and cloxacillin for prophylaxis. Therapy was judged appropriate in only 45% of the courses. Poor drug choice (bacterologically, pharmacologically), misguided prophylaxis, wrong drug dosage or unneccessary therapy were the most frequent reason for inappropriate therapy. CONCLUSION:Because of the worldwide increase of antibiotic-resistant strains the results of this study clearly indicate the need for additional measures to improve antibiotic use.

journal_name

Laeknabladid

journal_title

Laeknabladid

authors

Gudjonsson AT,Kristinsson KG,Gudmundsson S

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

39-45

issue

1

eissn

0023-7213

issn

1670-4959

journal_volume

82

pub_type

杂志文章
  • [Use and abuse of alcohol among elderly women in Iceland. Comparison of clinical symptoms of abuse with liver function tests and mean corpuscular volume.].

    abstract:OBJECTIVE:This study was conducted to investigate the prevalence of alcohol abuse and dependency among elderly women in Iceland and to make an assessment of the sensitivity and specificity of liver function tests and mean corpuscular volume (MCV) in the diagnosis of alcohol abuse. METHODS:The group was made of 280 wom...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Gardarsson HG,Hardarson T,Helgason T

    更新日期:1997-12-01 00:00:00

  • [The treatment of arterial hypertension in elderly men in Iceland].

    abstract::The choice of antihypertensive therapy in elderly Icelanders is unknown. In the database of the Icelandic Heart Association 1145 men, aged 70-84 were alive in 1994. Eight hundred thirty-four came to the Heart Association Clinic, 429 of whom either had hypertension or were found to be hypertensive on examination. The p...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Sigurdardottir V,Einarsson B,Sigfusson N,Harðarson T

    更新日期:1994-12-01 00:00:00

  • [Prevalence of female urinary incontinence and the effect of simple treatment measures at a health centre.].

    abstract::The purpose of this study was to find out the prevalence of female urinary incontinence outside institutions, its effects on daily life and to see if effective treatment was possible with relatively simple diagnostic and treatment measures at the local health centre. A questionnaire was sent to all women (131) over th...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Halldorsson S,Eggertsdottir GG,Kjartansdottir S

    更新日期:1995-04-01 00:00:00

  • [Role of Thrombectomy in Acute Ischemic Stroke].

    abstract::This article discusses endovascular thrombectomy in acute ischemic stroke. This treatment is vascular medicine's most significant leap in years. This treatment is complicated, and various technical aspects are discussed. Close cooperation is required between different specialties since patient selection for treatment ...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2018.01.169

    authors: Sigurdsson AP

    更新日期:2018-01-01 00:00:00

  • [Prevalence and diagnosis of neural tube malformations in Iceland 1972-1991.].

    abstract:OBJECTIVE:The incidence and types of central nervous system (CNS) defects diagnosed in fetuses and newborns over a 20-year period, 1972-1991, were investigated. Concurrently the effect of prenatal ultrasound screening on the rates of delivered babies with neural tube defects were evaluated. MATERIAL AND METHOD:All CNS...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Hreinsdottir G,Geirsson RT,Johannsson JH,Hjartardottir H,Snaedal G

    更新日期:1996-07-01 00:00:00

  • [Zoonotic parasites of cats and dogs found in playground sandboxes in the Reykjavik area, Iceland.].

    abstract::Recent surveys on the parasites of household cats and dogs in Iceland have revealed the zoonotic protozoans Cryptosporidium parvwn and Toxoplasma gondii and the zoonotic nematodes Toxocara cati and T. canis. Furthermore, a Giardia sp., recently found in cats in Iceland, is also suspected to be a zoonotic parasite. In ...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Smaradottir H,Skirnisson K

    更新日期:1996-09-01 00:00:00

  • [Fitness for work after vocational rehabilitation organized by the State Social Security Institute of Iceland.].

    abstract:OBJECTIVE:The evaluation of a vocational rehabilitation programme initiated by the State Social Security Institute in Iceland (SSSI) in 1999 with the aim of reducing disability. MATERIAL AND METHODS:New disability claimants who had been unable to work because of illness for a few months at least were referred by SSSI ...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Thorlacius S,Guðmundsson GK,Jónsson FH

    更新日期:2002-05-01 00:00:00

  • [Feeding patterns and risk factors in an epidemic of neonatal necrotizing enterocolitis.].

    abstract:OBJECTIVE:To study the relationship between neonatal feeding patterns and the emergence of neonatal necrotizing enterocolitis during the epidemic of this disease in Iceland in 1987-1990. MATERIAL AND METHODS:This was a retrospective case-controlled study of 18 newborns that developed neonatal necrotizing enterocolitis...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Hreinsdottir KT,Dagbjartsson A,Johannsson JH

    更新日期:1998-03-01 00:00:00

  • [Diagnosis and treatment of hair pulling- and skin picking disorder].

    abstract::Hair pulling disorder (HPD; trichotillomania) is characterized by recurrent pulling of hair from the scalp, eyebrows or other parts of the body. Skin picking disorder (SPD) is closely related to HPD and involves re-current picking of the skin. Even though both HPD and SPD are relatively common and potentially severe d...

    journal_title:Laeknabladid

    pub_type: 杂志文章,评审

    doi:10.17992/lbl.2012.03.421

    authors: Snorrason I,Bjorgvinsson T

    更新日期:2012-03-01 00:00:00

  • [Prevalence of persistent physical symptoms and association with depression, anxiety and health anxiety in Iceland].

    abstract:INTRODUCTION:Persistent physical symptoms that are medically unexplained can result in significant functional impairment. The aim of this study was to estimate the prevalence of persistent physical symptoms among people seeking primary healthcare in Reykjavík, Iceland, how they relate to functional impairment, symptoms...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2021.02.620

    authors: Flovenz SO,Broddadottir E,Brynjolfsson S,Agnarsdottir AS,Salkovskis PM,Sigurdsson JF

    更新日期:2021-02-01 00:00:00

  • [Health and performance consequences of Relative Energy Deficiency in Sport (RED-s)].

    abstract::Fulfilling individual energy and nutrient requirements is of great importance for athletes to support overall health and well-being, training adaptation, recovery and injury prevention. Energy availability is the amount of energy left over and available for bodily functions after the energy expended for training is su...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2020.09.596

    authors: Vardardottir B,Gudmundsdottir SL,Olafsdottir AS

    更新日期:2020-09-01 00:00:00

  • [Results of immediate breast reconstructions at Landspítali-The National University Hospital of Iceland, in 2008-2010].

    abstract:INTRODUCTION:In late 2007, the availability of immediate breast reconstructions increased as a result of the establishment of an oncoplastic breast surgical service at Landspítali-The National University Hospital The aim of this study was to look at the rates and early complications of immediate breast reconstructions ...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2012.09.450

    authors: Jónsdóttir K,Rafnsdóttir SL,Kjartansdottir T,Kristvinsson H,Jónsson T,Asgeirsson KS

    更新日期:2012-09-01 00:00:00

  • [Treatment of hepatitis C with peginterferon and ribavirin in Iceland from 2002-2012].

    abstract:BACKGROUND/AIMS:Hepatitis C is a major cause of chronic liver disease and cirrhosis in Western countries. Its treatment aims at eradicating the virus and patients are considered cured if the virus is undetectable by PCR in blood 12-24 weeks after end of treatment (sustained virological response, SVR). The aim of this s...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2017.03.126

    authors: Fridriksson B,Bergmann OM,Olafsson S

    更新日期:2017-01-01 00:00:00

  • [Prevalence of disability pension related to obesity in Iceland 1992-2004].

    abstract:OBJECTIVES:To investigate changes in the prevalence of disability pension related to obesity in Iceland from 1992 to 2004. MATERIAL AND METHODS:Data were obtained from the disability register of the State Social Security Institute and Statistics Iceland for the years 1992 and 2004. Prevalence of disability pension rel...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Thorlacius S,Stefánsson SB,Steingrímsdóttir L

    更新日期:2006-07-01 00:00:00

  • [Breakthrough in research on pluripotent stem cells and their application in medicine].

    abstract::Embryonic stem cells are, as the name indicates, isolated from embryos. They are pluripotent cells which can be maintained undifferentiated or induced to differentiate into any cell type of the body. In 1998 the first isolation of human embryonic stem cells was successful and they became an interesting source for stem...

    journal_title:Laeknabladid

    pub_type: 杂志文章,评审

    doi:10.17992/lbl.2015.12.56

    authors: Valdimarsdóttir G,Richter A

    更新日期:2015-12-01 00:00:00

  • [Anorexia nervosa in psychiatric units in Iceland 1983-2008, incidence of admissions, psychiatric comorbidities and mortality].

    abstract:OBJECTIVE:Information is scarce concerning the incidence of anorexia nervosa (AN) in psychiatric facilities in Iceland. The aim of this study was to describe the incidence of admissions, comorbidity and mortality of patients who were admitted to psychiatric units in Iceland, diagnosed with AN in 1983-2008. MATERIAL AN...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2010.12.331

    authors: Sigurdardottir A,Palsson SP,Thorsteinsdottir G

    更新日期:2010-12-01 00:00:00

  • [Kawasaki disease in Iceland 1996-2005, epidemiology and complications].

    abstract:OBJECTIVE:To analyze the epidemiology of Kawasaki disease in Icelandic children and its complications. METHODS:A retrospective analysis of all cases of Kawasaki disease and atypical Kawasaki disease in children in Iceland from 1996-2005. Chart records were reviewed and children diagnosed at Landspítali - University Ho...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2012.02.414

    authors: Olafsdottir HS,Oskarsson G,Haraldsson Á

    更新日期:2012-02-01 00:00:00

  • [Caroli's disease, case report and review of the literature].

    abstract::In 1958 Caroli described a rare disease with multifocal, segmental and saccular dilation of the large intrahepatic bile ducts which causes stagnation of bile and formation of bile sludge and stones. This results in recurrent abdominal pain, cholangitis and hepatic abscesses. The diagnosis is confirmed with endoscopic ...

    journal_title:Laeknabladid

    pub_type: 杂志文章,评审

    doi:

    authors: Agustsson AI,Cariglia N

    更新日期:2007-09-01 00:00:00

  • [The effects of 6 months' multimodal training on functional performance, strength, endurance, and body mass index of older individuals. Are the benefits of training similar among women and men?].

    abstract:INTRODUCTION:Good functional performance in elderly people greatly improves their changes of independence and well-being. Conversely, bad functional performance can impair their capability of managing the activities of daily life.. The main goal of this study was to investigate the effects of a 6-months' multimodal tra...

    journal_title:Laeknabladid

    pub_type: 杂志文章,随机对照试验

    doi:10.17992/lbl.2013.0708.504

    authors: Gudlaugsson J,Aspelund T,Gudnason V,Olafsdottir AS,Jonsson PV,Arngrimsson SA,Johannsson E

    更新日期:2013-07-01 00:00:00

  • [Pulmonary arterial hypertension: new treatments and case report.].

    abstract::Pulmonary arterial hypertension is a rare disease with substantial morbidity and mortality. In the last few years significant progress has been made in the understanding of the pathogenesis and course of the disease. New classification and drug treatment have emerged. The new drugs are expensive but can improve qualit...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Guðmundsson G,Gottskálksson G,Gíslason T

    更新日期:2003-12-01 00:00:00

  • [Prevalence of sport injuries, sport participation and drop out due to injury in young adults].

    abstract:INTRODUCTION:Sport participation has increased during the past few decades, with accompanying rise in sport injuries. The purpose of this study was to assess the prevalence of sport injuries, and drop-out due to them along with possible risk factors (hours of sports participation, sex, age, aerobic fitness and body com...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2015.10.45

    authors: Indriðadóttir MH,Sveinsson Þ,Magnússon KÞ,Arngrímsson SÁ,Jóhannsson E

    更新日期:2015-10-01 00:00:00

  • [Injecting drug abuse: survival after intensive care admission and forensic toxicology reports at death].

    abstract:INTRODUCTION:Injecting drug abuse is a worldwide problem with serious consequences for the individual and for society. The purpose of this study was to gather information on the most serious complications of injecting drug use from two perspectives, intensive care admissions and forensic toxicology reports. MATERIAL A...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2014.10.561

    authors: Sigvaldason K,Ingvarsson T,Thordardottir S,Kristinsson J,Karason S

    更新日期:2014-10-01 00:00:00

  • [Hepatitis A in Iceland].

    abstract:INTRODUCTION:Hepatitis A virus (HAV) epidemics occurred repeatedly in Iceland in the early 20th century, but since then few cases have been reported and no epidemics since 1952. The latest Icelandic studies on HAV from around 1990 showed low incidence of infection and de-- creasing prevalence of antibodies. The objecti...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2018.03.176

    authors: Kristinsdóttir H,Löve A,Bjornsson ES

    更新日期:2018-01-01 00:00:00

  • [Occupational accidents in Icelandic farmers. Risk factor analysis using questionnaire].

    abstract:BACKGROUND:There is limited information on occupational injuries among Icelandic farmers. It has been suggested that they are common. This is thought to be in part because of the unique work environment of farmers. The aims of the study were to study occupational accidents among farmers and their effects on absence fro...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Gudmundsson G,Tomasson K

    更新日期:2009-12-01 00:00:00

  • [Treatment of type 1 diabetes with continuous subcutaneous insulin infusion (CSII) in adults in Iceland].

    abstract:OBJECTIVE:The goal of the study was to evaluate the effect and safety of CSII treatment in individuals 18 years and older with type 1 diabetes mellitus in Iceland. METHODS:The research is retrospective. We gathered information from patient data of 40 individuals, age 19-57 years who had been treated with CSII in Icela...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2011.05.367

    authors: Bodvarsdottir KO,Aspelund T,Gudmundsdottir A

    更新日期:2011-05-01 00:00:00

  • [The commencement of radiology in Iceland: the pioneer.].

    abstract::This essay deals with the pioneering work of Dr. Gunnlaugur Claessen (1881-1948), who introduced radiology into Iceland under very adverse conditions in 1914. His lifelong work and progress as a leader and teacher within that field is described. Dr Claessen was the founder and first chief of the Roentgen-Department of...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Brekkan A

    更新日期:1995-11-01 00:00:00

  • [Survival and causes of death in children diagnosed with cancer in Iceland 1981-2006].

    abstract:OBJECTIVE:Of children diagnosed with cancer, approximately one fourth die of the disease or disease related complications. The aim of this study was to investigate survival and causes of death in children with cancer in Iceland. METHODS:This study is retrospective; population based and includes all children, less than...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2010.11.325

    authors: Oskarsson T,Jónsson OG,Kristinsson JR,Jónmundsson GK,Jónasson JG,Haraldsson A

    更新日期:2010-11-01 00:00:00

  • [Migraine-related stroke. Two case-reports.].

    abstract::Migraine is the cause of 3-25% of strokes in young adults. Each year we can expect 9-10 cases of migraine-related stroke in Iceland. The most common symptom is hemianopia but other common symptoms include hemiparesis, hemianesthesia, dysphasia and various brain stem symptoms. The stroke must occur during a typical mig...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Eliasson JH,Valdimarsson EM,Jonsdottir B,Jakobsson F

    更新日期:1998-02-01 00:00:00

  • [Assessment of health and caring needs in nursing homes. The Resident Assessment Instrument, its development and some pilot study results.].

    abstract::Those elderly living in institutions have multiple social, health and mental problems, in addition to loss of function. The Resident Assessment Instrument assesses the individual in detail and his caring needs. Resident Assessment Protocols come with the instrument and a handbook that describes how to evaluate specifi...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:

    authors: Jonsson PV,Jensdottir AB,Gudmundsdottir H,Palsson H,Hjaltadottir I,Hardarson O,Sigurgeirsdottir S

    更新日期:1997-10-01 00:00:00

  • [Acute epiglottitis in Iceland from 1983-2005].

    abstract:OBJECTIVE:To describe the changes in the epidemiology of acute epiglottitis in Iceland from 1983-2005. METHODS:All patients with discharge diagnosis of epiglottitis during the study years were identified and diagnosis confirmed by chart review. Main outcome measures were age, gender, month/year of diagnosis, microbiol...

    journal_title:Laeknabladid

    pub_type: 杂志文章

    doi:10.17992/lbl.2010.06.300

    authors: Briem B,Thorvardarson O,Petersen H

    更新日期:2010-06-01 00:00:00