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001-es BibID:	BIBFORM110530
Első szerző:	Fésüs Adina (gyógyszerész)
Cím:	The pharmacist's role in optimising surgical antibacterial prophylaxis (SAP) / A. Fésüs, R. Benkő, M. Matuz, Z. Engi, R. Ruzsa, H. Hambalek, Á. M. Fésüs, T. Bazsó, Z. Csernátony, I. Bácskay, G. Kardos
Dátum:	2023
Megjegyzések:	Background and importance Perioperative antibiotic use is a common reason for antibiotic misuse. Evidence suggests that adherence to SAP guidelines may improve outcomes. Aim and objectives The purpose of this study was to analyse the impact of pharmacist-led antibiotic stewardship interventions on SAP guideline compliance. Materials and methods The study was conducted at an Orthopedic Department of a tertiary care medical center. SAP compliance and antibiotic exposure in the pre-intervention and intervention period was compared using chi-square, Fisher exact, and Mann-Whitney tests, as appropriate. Prophylactic antibiotic use in orthopedic joint arthroplasties (overall guideline adherence: agent, dose, frequency, duration), clinical outcomes (length of stay-LOS, number of surgical site infections-SSIs), antibiotic exposure and direct antibiotic costs were compared between pre-intervention and intervention periods. Results Significant improvement in mean SAP duration (by 42.9%, 4.1 ? 2.1 vs. 2.1 ? 1.9 days, p < 0.001), and overall guideline adherence regarding antibiotic use (by 56.2%, from 2% to 58.2%, p < 0.001) were observed. A significant decrease was observed in antibiotic exposure in SAP (by 41%, from 6.1 ? 0.05 to3.6 ? 4.3 DDD/patient, p < 0.001), average prophylactic antibiotic cost (by 54.8%, 9278.8 ? 6094.3 vs. 3598.2 ? 3354.6 HUF/patient), and mean LOS (by 37.2%, from 11.2 ? 7 to 7.62 ? 3 days, p < 0.001); and a slight decrease in the number of confirmed SSIs was found between the two periods (by 1.8%, from 3% to 1.2%, p = 0.21). Conclusion and relevance Continuous presence of the clinical pharmacist led to significant improvement in SAP guideline adherence, which was accompanied by decreased antibiotic exposure and cost.
Tárgyszavak:	Orvostudományok Gyógyszerészeti tudományok idézhető absztrakt folyóiratcikk
Megjelenés:	European Journal of Hospital Pharmacy. - 30 : Suppl1 (2023), p. A109-A110. -
További szerzők:	Benkő Ria Matuz Mária Engi Zsófia Ruzsa Roxána Hambalek Helga Fésüs Márton Á. Bazsó Tamás (1974-) (ortopéd sebész) Csernátony Zoltán (1959-2023) (ortopéd sebész, traumatológus) Bácskay Ildikó (1969-) (gyógyszerész, gyógyszertechnológus) Kardos Gábor (1974-) (absztraktok)
Pályázati támogatás:	TKP2021-EGA-18 Egyéb
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001-es BibID:	BIBFORM103781
Első szerző:	Horváth László (gyógyszerész)
Cím:	The impact of hospital pharmacy specialization on the patients' outcome - a literature review = A kórházi gyógyszerészeti szakképzés hatása a kimenetelre - szakirodalmi áttekintés / László Horváth, Nenad Miljković, Roberto Frontini
Dátum:	2020
Megjegyzések:	Background: One of the strategic projects of the European Association of Hospital Pharmacy (EAHP) is the creation of a Common Training Framework (CTF) for the hospital pharmacy profession in Europe. For this purpose, CTF working group 2 has performed a comprehensive literature review. It concluded that education and training of health personnel improves patient-outcome and that the benefit of a CTF is lacking. Nevertheless it was not reported unequivocal whether the pharmacists were specialised or not (1). Purpose: To find relevant publications that confirm that hospital pharmacists' postgraduate education can improve patients' outcome and patients' care, in order to support a hospital pharmacy CTF legislation process in the European Union. Methods: Seventy publications were identified based on data until 2010 from our previous study (1) and were evaluated with in-depth assessment regarding to pharmacists' qualification. Results: Forty (57%) publications had sufficient information on the qualification of the pharmacists, additional 7 (10%) papers had partial. Out of the papers having detailed information on pharmacists' qualifications, 30 (43%) papers defined the pharmacists as "clinical pharmacists" having additional training. Other qualifications were mentioned such as intensive care-, pain-, oncology-, paediatric-, internal medicine and infectious diseases- specialised pharmacists that has also verified the importance of postgraduate training. Further information on the qualification of the pharmacists were also included on additional trainings in order to highlight their competency in clinical services. The publications gave a large evidence on the positive effect of pharmaceutical interventions for patients' outcomes in many fields including internal and acute care medicine, oncology, paediatrics and surgery; furthermore demonstrating economic benefits of interventions. Conclusion: Clear evidence was confirmed that only qualified pharmacists with postgraduate education can provide the right services to the patients and consequently, improve their outcomes, similarly to other professions (physicians and nurses) in the health care system. 1. West LM, Vetter-Kerkhoff C, Miljkovic N, Frontini R. Is there a need for a hospital pharmacy common training framework? Review of the literature on the impact of educational interventions on health outcome. Eur J Hosp Pharm. 2018;25(1):6-9.
Tárgyszavak:	Orvostudományok Gyógyszerészeti tudományok poszter folyóiratcikk
Megjelenés:	European Journal of Hospital Pharmacy. - 27 : 1 (2020), p. 212-213. -
További szerzők:	Miljković, Nenad Frontini, Roberto
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM079844
035-os BibID:	(cikkazonosító)CPC-047
Első szerző:	Horváth László (gyógyszerész)
Cím:	Epilepsy management from the clinical pharmacist's point of view among epilepsy outpatients in the Eastern Hungarian database / L. Horváth, K. Fekete, E. Csótó, I. Fekete
Dátum:	2013
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt epilepsy clinical pharmacy
Megjelenés:	Eur J Hosp Pharm. - 20 : Suppl. 1 (2013), p. A182. -
További szerzők:	Fekete Klára (1978-) (neurológus) Feketéné Csótó Edit (gyógyszerész) Fekete István (1951-) (neurológus, pszichiáter)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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001-es BibID:	BIBFORM079841
035-os BibID:	(cikkazonosító)4CPS-171
Első szerző:	Horváth László (gyógyszerész)
Cím:	The choice of antiepileptic drug treatment after status epilepticus / L. Horváth, I. Fekete, S. Márton, K. Fekete
Dátum:	2019
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt status epilepticus
Megjelenés:	European Journal of Hospital Pharmacy. - 26 : Suppl. 1 (2019), p. A149. -
További szerzők:	Fekete István (1951-) (neurológus, pszichiáter) Márton Sándor (1965-) (matematikus) Fekete Klára (1978-) (neurológus)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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