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Publication Metadata only Individual feedback to reduce inappropriate antimicrobial prescriptions for treating acute upper respiratory infections in an outpatient setting of a Thai university hospital(2018-03-01) Pinyo Rattanaumpawan; Nuttagarn Chuenchom; Visanu Thamlikitkul; Faculty of Medicine, Siriraj Hospital, Mahidol Universityof Siriraj Hospital, Thailand. The aim of the study was to determine the effectiveness of individual feedback to reduce inappropriate antimicrobial prescriptions for treating URIs. The administrative ICD-10 database was used to identify index physicians... with at least one outpatient experience of URI. Data on antimicrobial prescriptions were extracted from the hospital pharmacy database. A confidential letter and SMS were sent to all index physicians about the extent of antimicrobial therapy they prescribedPublication Open Access Categorization of antimicrobial agents prescribed in the Veterinary Teaching Hospital in Thailand(2019) Arpron Leesombun; Sookruetai Boonmasawai; อาภรณ์ ลี้สมบุญ; สุขฤทัย บุญมาไสว; Mahidol University. Faculty of Veterinary Science. Department of Pre-clinic and Applied Animal ScienceTeaching Hospital in Thailand. From 6,200 animal patients, there were total 8,093 antimicrobial prescriptions for animal treatments. The antimicrobials were prescribed for parenteral administrations 3,346 prescriptions (41.3%) and oral administrations 4...,747 prescriptions (58.7%), respectively. During 2012-2015, the most antimicrobial prescriptions were enrofloxacin (33.9%, P<0.001) with significantly difference from amoxicillin/clavulanate (24.1%) and doxycycline (15.2%). Enrofloxacin was highest prescribedPublication Metadata only Utilization of a clinical microbiology service at a Cambodian paediatric hospital and its impact on appropriate antimicrobial prescribing(2018-02-01) Shivani Fox-Lewis; Sreymom Pol; Thyl Miliya; Nicholas P.J. Day; Paul Turner; Claudia Turner; Mahidol University; Nuffield Department of Clinical Medicine; Angkor Hospital for Children-governmental Cambodian paediatric hospital. Empirical and post-culture antimicrobial prescriptions were reviewed from medical records. The random sample included 10 outpatients per week in 2016 (retrospective) and 20 inpatients per week for 4 weeks... interviews with clinicians explored barriers and facilitators to use of the CMS. Results: Only 31% of outpatients were prescribed empirical antimicrobials. Post-culture prescriptions (394/443, 89%) were more likely to be appropriate than empiricalItem Metadata only Antimicrobial Stewardship in Tropical Infectious Diseases: Focusing on Dengue and Malaria(2022-08-01) Siribhadra A.; Ngamprasertchai T.; Rattanaumpawan P.; Lawpoolsri S.; Luvira V.; Pitisuttithum P.; Mahidol University. Dengue and malaria are common tropical infectious diseases requiring effective supportive treatment and antimalarial agents, respectively. The uncertainty of early diagnosis results in widespread empirical antimicrobial treatment in high -income as well... as in low-and middle-income countries. Although rapid diagnostic tests (RDTs) have been shown to limit antibiotic prescriptions in dengue and malaria, we observed a wide range of antibiotic prescriptions for 13–92.7% of cases in previous literatureItem Metadata only Self-medication and non-adherence to antibiotic prescription and associated factors among Myanmar migrants in Thailand: a cross-sectional study(2026-12-01) Zaw H.H.; Hong S.A.; Zaw H.H.; Mahidol UniversityBackground: Inappropriate antibiotic use has become a significant driver of the global burden of antimicrobial resistance (AMR). Our study aims to identify the proportion and associated factors of inappropriate antibiotic use, including self...-medication of antibiotics, and non-adherence to antibiotic prescriptions among Myanmar migrants in Thailand. Methods: A cross-sectional study was conducted among 348 Myanmar migrants from three Myanmar migrant communities in Samut Sakhon, Thailand. The samplePublication Open Access Assessment of Dental Professional Attitudes Regarding Antimicrobial Usage and Resistance Awareness(2020) Pichaya Rochanadumrongkul; Sittipong Chaimanakarn; Natee Nonpassopon; Kanyapak Maipoom; Sirikan Janwattanavej; Kodchaphon Naksanit; Saowalak Narachit; Mahidol University. Faculty of Dentistry. Maha Chakri Sirindhorn Dental HospitalThis study aimed to assess dentists’ attitudes towards, and awareness of, antimicrobial usage and antimicrobial resistance, in order to promote rational usage of antimicrobials in the future. This was a cross-sectional questionnaire survey.... The questionnaire contained closed-ended and open-ended questions, which covered antimicrobial resistance, and was distributed to dentists in Mahidol Dental Hospital. The data were collected, tabulated and statistically analyzed. Content analysis was appliedItem Metadata only Handshake stewardship reduces carbapenem prescription in a pediatric critical care setting(2022-01-01) Kit-Anan W.; Mahidol UniversityBackground: Intensive care unit (ICU) settings typically have a high-volume prescription of carbapenems. Antimicrobial stewardship programs (ASPs) aim to promote appropriate antibiotic use. Handshake stewardship (HS) is adapted from ASPs but focuses... on direct feedback to physicians who prescribed antibiotics regarding the appropriateness of antibiotic prescription. This study aimed to evaluate the impact and acceptability of HS on carbapenem consumption in pediatric critical care settings. MethodsItem Metadata only Understanding hospital antimicrobial prescribing decisions and determinants of uptake of new local antimicrobial prescribing guidelines in Laos(2024-01-01) Chansamouth V.; Douangnouvong A.; Thammavongsa P.; Sombandith X.; Keomany S.; Rattana S.; Newton P.N.; Day N.P.J.; Turner P.; Mayxay M.; van Doorn H.R.; Ashley E.A.; Chansamouth V.; Mahidol UniversityBackground: Antimicrobial use in Laos is among the highest in Southeast Asia. The first Lao comprehensive antimicrobial prescribing guidelines have been available since 2021. This study explored the determinants of antibiotic prescribing decisions... contribute to enhancing appropriate antibiotic prescription. Key factors for improving antibiotic prescription include enhancing prescribers' clinical knowledge, ensuring access to essential antibiotics, and updating guidelines regularly. Health leaders mustItem Metadata only Evaluation of trends in hospital antimicrobial use in the Lao PDR using repeated point-prevalence surveys-evidence to improve treatment guideline use(2022-10-01) Chansamouth V.; Chommanam D.; Roberts T.; Keomany S.; Paphasiri V.; Phamisith C.; Sengsavang S.; Detleuxay K.; Phoutsavath P.; Bouthavong S.; Douangnouvong A.; Vongsouvath M.; Rattana S.; Keohavong B.; Day N.P.J.; Turner P.; van Doorn H.R.; Mayxay M.; Ashley E.A.; Newton P.N.; Mahidol University,188), varying by hospital and survey round from 50·4% (135/268) to 88·4% (61/69). Of 4,377 patients, 44% received >one antimicrobial. The total number of prescriptions assessed was 6,555. Ceftriaxone was the most commonly used (39·6%) antimicrobial, followed... prescriptions (99%) were without a microbiological indication. Interpretation: AMU among hospitalized patients in Laos is high with frequent inappropriate use of antimicrobials, especially as surgical prophylaxis. Continued monitoring and enhanced antimicrobialPublication Metadata only Mechanisms of Antimicrobial Resistance in ESKAPE Pathogens(2016-01-01) Sirijan Santajit; Nitaya Indrawattana; Mahidol Universityusage or prescription, inappropriate use of antimicrobials, and substandard pharmaceuticals. Understanding the resistance mechanisms of these bacteria is crucial for the development of novel antimicrobial agents or other alternative tools to combat... the known antimicrobial resistance mechanisms of ESKAPE pathogens.