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Analysis of antibiotic administration in laparoscopic appendectomies in pediatric patients.
Opatovská, Tamara ; Rejmanová, Anna (advisor) ; Malá, Kateřina (referee)
Analysis of prescribing antibiotics for laparoscopic appendectomies in a paediatric patient population Author: Tamara Opatovská Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Petr Domecký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Appendicitis is one of the most common acute diagnoses in paediatric population. Incorrect diagnosis, poorly performed antibiotic prophylaxis (AP) or treatment can lead to life-threatening complications such as perforation, peritonitis, periappendiceal infiltrate or abscess. The aim of this study was to analyse the administration of antibiotics (ATB) as a part of prophylaxis before appendectomy and as part of the therapy of complicated appendicitis in the paediatric population and to compare the obtained results. Specifically, 2 periods were compared - before and after the introduction of the recommended hospital procedure (RHP; 22. 06. 2017). The partial goal of the study was to identify factors that influenced the occurrence of complications and length of hospitalization in the monitored population. Methods: An unicentric retrospective study took place at the Clinic od paediatric surgery and traumatology at the University hospital Hradec Králové. Data were collected from...
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Analysis of pharmacotherapy in patients in the hospice
Sládek, Jakub ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of pharmacoterapy hospice care patients Author: Jakub Sládek Tutor: doc. PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and purpose: The therapy of hospice care patients is accompanied by many changes and pitfalls that need to be balanced when choosing appropriate therapy. In the teoretic part we can find available information about paliative therapy of hospice care patients, with emhasis on pain therapy. The aim of this thesis is the analysis of pharmacotherapy hospice care patients. Methods: The data were collected in a hospice from September 2019 to November 2019. The farmacotherapy was revised every first day of the month. Informations from personal, drug, family and occupational social history of patients were noted into an electronic database and, after revision, were classified and evaluated by frequency analysis. In four randomly selected patients was described the management of drug-related problems (DRP). Results: In total we noted medical therapy in 40 patients, women were 75 % of this number. Average patient's age was 72.4 years for men and 74.6 for women. Patients most often used drugs from group N (drugs of the nervous system) according to the ATC classification. We indentified 115...
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Vaccination and pharmaceutical care I
Žižková, Tereza ; Malý, Josef (advisor) ; Hendrychová, Tereza (referee)
Vaccination and pharmaceutical care I Author: Tereza Žižková Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Eliška Kolmanová, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim of study: Vaccination can be considered an effective tool for the prevention of infectious diseases. Its main importance lies in the protection of the entire population. The aim of this thesis was to analyze the attitudes and opinions of patients regarding the possibility of vaccination against influenza in pharmacies in the Czech Republic (CZ). Methods: The research consists of the answers of 2032 citizens of the CZ over the age of 15, randomly selected by the technique of the standardized quided interview. They were approached between 16. 11. 2020 and 20. 12. 2020 with a request for comments on the issue of healthcare and the healthy lifestyle of the population. Part of this survey were questions about the issue of vaccination against influenza. Respondents were asked 21 closed, semi-closed and open-ended questions focused on socio-demographic characteristics, attitudes and opinions of respondents on influenza vaccination, including the possibility of vaccination in a pharmacy. Data were evaluated with descriptive statistics and...
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Analysis of antibiotic administration in prophylaxis VII.
Kalabisová, Věra ; Rejmanová, Anna (advisor) ; Šorf, Aleš (referee)
Analysis of antibiotic administration in prophylaxis VII Author: Věra Kalabisová Tutor: PharmDr. Anna Rejmanová, Ph.D. Consultant: doc. PharmDr. Josef Malý, Ph.D. Department of Social andClinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Preventive measures play an important role in minimizing the risk of surgical site infection (SSI). One of these measures is antibiotic prophylaxis (AP), thus the administration of an appropriate antibiotic or antibacterial chemotherapy (ATB) at the prescribed time, in sufficient dose and for sufficient duration to produce the desired effect. The aim of this study was to analyze the antibiotic administration in prophylaxis in relation to surgical procedures in a district type hospital and to compare these results with the hospital's recommended practice (DPNM), international recommended practices (ASHP-G) and a review of the latest scientific knowledge in this area (NVP). The results obtained were further compared with the results of a previous study that assessed the adherence rate to ASHP-G and NVP before the implementation of the hospital's recommended practice. Methods: In the cross-sectional observational study, data collection was performed between 8th and 16th July 2021 on a cohort of patients aged ≥ 18 years...
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Analysis of the possibilities of influencing antibiotic prophylaxis in orthopedics on the basis of inflammatory markers
Preiss, Přemysl ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
Analysis of the possibilities of influencing antibiotic prophylaxis in orthopedics on the basis of inflammatory markers Author: Přemysl Preiss Tutor: doc. PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Petr Domecký Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim: Endoprosthetic surgeries are demanding orthopedic surgeries rarely associated with complications, that can be fatal. One is periprosthetic joint infection (PJI), whose risk can be decreased by antibiotic prophylaxis (AP). The aim of this effort was to describe trends in endoprosthetic surgeries of the knee and the hip, their complications and options of diagnostics in the theoretical part. The aim of the practical part was to analyze prognostic features of chosen laboratory parameters on postoperative infections, respectively on postoperative complications. Methods: This prospective study started in March 2020 and data gathering took place until 28. 3. 2022 at the Ortopedic Clinic of the University Hospital Hradec Králové. Patients, who were included in the study, fulfilled the preliminary criteria, e.g. age ≥ 18 years, patient undergoing total hip or knee arthroplasty at the time of the study and giving the informed consent to the study. Data were gathered from...
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Analysis of the effect of pharmacotherapy on the risk of fall in inpatients II
Szikorová, Nikola ; Malý, Josef (advisor) ; Rejmanová, Anna (referee)
Analysis of the effect of pharmacotherapy on the risk of fall in inpatients II Author: Nikola Szikorová Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and objectives: Falls are one of the most common problems of hospitalized patients. Their occurrence is associated with many problems and therefore should be avoided. Effective prevention involves analyzing risk factors and implementing interventions to minimize these risks. The aim of this work was to analyze the influence of drugs and other risk factors on the fall of hospitalized patients. Methods: Data was collected from April to December 2017 in 4 hospitals in South Bohemia. Only patients who had fallen during hospitalization participated in the study. An online database was created for the study to collect patient data (personal history, medications used, laboratory values and others). Population and individual fall risk-increasing drugs were analyzed. For each individual fall risk-increasing drug, the type of drug problem that could have been the cause of a fall was classified. Risk minimization interventions have been assigned to each drug problem. In addition to fall risk-increasing drug analysis, other risk factors that increased the risk...
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Analysis of the effect of pharmacotherapy on the risk of fall in inpatients III
Honsová, Tereza ; Malý, Josef (advisor) ; Zimčíková, Eva (referee)
Analysis of the effect of pharmacotherapy on the risk of falls in inpatents III Author: Tereza Honsová Tutor: PharmDr. Josef Malý, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Falls are frequent and unwanted events happening in healthcare facilities. The falls have a multifactorial character. The prevention is the best way how to improve a quality of healthcare and a quality of the patient's life. All of the doctors, clinical pharmacists and nurses can help to realize it by cooperating with each other, working with professional information and by individual attitude to each patient. Objective: The aim of this study was to analyze the effect of the fall risk-increasing drugs to falls in hospitalized patients and to recommend the right interventions to prevent the fall. Methodology: For the analysation, classification and quantification of the fall risk-increasing drugs, drug related problems and interventions a special online database was created. All of the doctors, clinical pharmacists and nurses were collecting details about the pacients and about how the fall happened. Fall risk-increasing drugs and drug-related problems were then analyzed by clinical pharmacists. Potential interventions were suggested. Also other...
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Analysis of drug-related problems in a healthcare facility VIII
Kraušnerová, Kateřina ; Doseděl, Martin (advisor) ; Horký, Pavel (referee)
Analysis of drug-related problems in healthcare facility VIII Author: Kateřina Kraušnerová Supervisor of the thesis: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Backgroung: Drug-related problem (DRP) is according to Pharmaceutical Care Network Europe (PCNE) pharmacotherapy related event or circumstance, which actually or potentionaly interfer with a terapeutic purpose. Pharmacists tend to be part of multidisciplinar teams, they help with decisions concerning therapy of the patient, monitoring, participating in the detection of DRPs and by that helping increase effect and safety of pharmacotherapy. Aim: The aim of the theoretical part of this thesis is to cteate summary of DRPs which occurs in antidepressant drug group, ATC N06A, and classify these problems using PCNE V5.01 classification. The aim of the practical part of this thesis is to detect DRPs in healthcare facility, classify these DRPs using PCNE V5.01 classification and asses their relevance and acceptance of interventions made by clinical pharmacist. Methodology: The data were collected since February 7th to March 7th 2022 at hospital in the Czech republic. In total it was collected data from 68 patients. Source of DRPs, their relevance and suggested...
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Evaluation of clinical pharmacists interventions in the hospital II
Elbelová, Šárka ; Doseděl, Martin (advisor) ; Babica, Jan (referee)
Evaluation of clinical pharmacists interventions in the hospital III Author: Šárka Elbelová Tutor: PharmDr. Martin Doseděl, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aims: Considering the constant development of health care it is highly relevant to analyze the contribution of the clinical pharmacist and the potential for further improvement of the drug management. In the theoretical part, special focus is on the phenomenon of physicians' acceptance of recommendations made by clinical pharmacist. It also summarizes the recent studies on this topic. In the following analysis in practical part, the interventions of clinical pharmacist are put under scrutiny as well as the types of the drug-related problems, which are encountered by the clinical pharmacist, the seriousness of these problems and their possible solutions. Furthermore, the physicians' acceptance of recommendations made by clinical pharmacist is measured. Methods: A prospective, descriptive study was conducted in the Nursing Unit of the Department of the Internal Medicine in the Hospital in Olomouc region between October and December 2021. Only newly admitted patients whose pharmacotherapy was revised were considered. The data (age, sex, diagnosis,...
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Analysis of drug-related problems in a healthcare facility IV.
Gajdošová, Vanesa ; Doseděl, Martin (advisor) ; Kalafutová, Stanislava (referee)
(english) ANALYSIS OF DRUG-RELATED PROBLEMS IN HEALTHCARE FACILITY IV. Author: Vanesa Gajdošová Supervisor: PharmDr. Martin Doseděl, Ph.D. Introduction Drug-Related Problems (DRPs) occure in lots of clinical areas.1 They are defined as pharmacotherapy related events, which actually or prospectively interfere with a therapeutic purpose.2 Aims The goal of the teoretical part of the work is to become familiar with the problem of DRPs and analyze in detail the problems of benzodiazepines and atipsychotics. The practical part of the work is focused on obtaining and evaluating of DRPs in the specific healthcare facility. Methods The data was obtained in Hamzova odborná léčebna pro děti a dospělé (Luže-Košumberk) which is the important center of rehabilitation in the Czech Republic. The audit was taking place from February 13, 2017 to February 16, 2017. The data of 94 patients from the three departments of the rehabilitation center was analyzed. The all necessary information was obtained from the medical documentation. The data was collected using the special online application and finally was statistically evaluated by the descriptive statistic. The most occurred DRPs were discussed with physicians. Results Patients used together 672 drugs (i.e. 7.15 drugs per patient). Overall, 272 DRPs were registered...
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