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RP Nagassar

A Retrospective Study of Antibiotic Prescribing at the Sangre Grande Hospital, Trinidad, West Indies

DOI: 
10.7727/wimj.2017.217
Synopsis: 
Studies of antibiotic prescribing practices are important in antibiotic stewardship programs. They help inform these programs by providing information type of antibiotics commonly used, route of administration, dosage, most common clinical indications for which the antibiotics are used and other useful data. This data can be used for planning and deciding on suitable indicators for further developing and monitoring the antibiotic stewardship programme.

ABSTRACT

Objective: To assess patterns of antibiotic prescribing at the Sangre Grande Hospital, Trinidad and Tobago.

Methods: The study involved retrospectively collecting information regarding hospitalized patients utilizing a data collection tool. This was conducted over one (1) month in October 2015. Data was analysed using Microsoft excel and IBM SPSSv22.

Received: 
12 Oct, 2017
Accepted: 
18 Dec, 2017
Journal Sections: 
Original Articles
Keywords: 
Antibiotic
retrospective
prescribing study
Trinidad
Sangre Grande
Journal Authors: 
RP Nagassar
K Harris
K Daniel
R Bridgelal-Nagassar
e-Published: 20 Dec, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Agreement, Time and Cost Comparison for the Identification of Gram Negative Bacteria Isolates Using VITEK® 2 Compact, VITEK® 60, VITEK® Mass Spectrometry and API® 20E/NE

DOI: 
10.7727/wimj.2017.139
Synopsis: 
This study looked at the agreement between Vitek®2 Compact (VTC), VITEK®2 60 (VT60), API® 20E/20NE (API) and VITEK® MS (VMS) bacteria identification systems (ID). It also examined the time and cost for the relevant bacterial ID systems and the resolution of discrepancies which arose as a result of using the different systems, mainly in Canada but also with reference to the Vitek®2 Compact (VTC) in Mona, Jamaica.

ABSTRACT

Objectives: We aimed to compare systems in respect of 1) the agreement between VITEK®2 Compact, VITEK®2 60, VITEK® Mass Spectrometry systems and API®20E/NE for species identification, 2) the time to identification of organisms and 3) the cost of identification and susceptibility testing of each organism.

Received: 
12 Dec, 2017
Accepted: 
12 Dec, 2017
Journal Sections: 
PUBLISHED AHEAD-OF-PRINT
Keywords: 
Agreement
cost
gram-negative bacilli (GNB)
mass spectrometry
time
VITEK® 2 Compact
VITEK® 60
VITEK® API® 20E/NE
Journal Authors: 
RP Nagassar
N Christian
R Gorton
BM Willey
T Mazzulli
e-Published: 13 Dec, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

What Are the Roles of Carbapenems in an Institution-specific Epidemiological Antibiogram in East Trinidad?

Issue: 
Vol 69, Issue 3: 2021
DOI: 
10.7727/wimj.2015.225
Pages: 
136-9
Synopsis: 
This paper provides an overview of the development of an institution-specific antibiogram, looking at last-line antibiotics, such as carbapenems. This provides an epidemiological trend for the entire institution. Patients’ specific antibiograms and unit-specific trends (eg intensive care units, surgical wards and outpatient clinics) can be used as a guide in patients with less severe infections. Thus, these recommendations should be tailored, as appropriate. This will help reduce the development of resistance when treating any patient for whom swabs, blood or urine are submitted.

ABSTRACT

Objective: To provide an overview of the development of an institution-specific epidemiological antibiogram. Emphasis was on last-line antibiotics, such as carbapenems.

Received: 
04 May, 2015
Accepted: 
18 May, 2015
Published: 
31 Jul, 2021
PDF Attachment: 
PDF icon wimj-iss3-2021_136_139.pdf
Journal Sections: 
Original Articles
Keywords: 
Antibiogram
Epidemiological antibiogram
resistance
Trinidad
Journal Authors: 
RP Nagassar
RJ Bridgelal-Nagassar
e-Published: 10 Nov, 2015

Medication Adherence and Health Insurance/health Benefit in Adult Diabetics in Kingston, Jamaica

Issue: 
Vol 65, Issue 2: 2016
DOI: 
10.7727/wimj.2014.282
Pages: 
320-2
Synopsis: 
The aim of this study was to determine the association between health insurance/health benefit and medication adherence amongst adult diabetic patients in Kingston, Jamaica. In this cross-sectional study, the target population was diabetics who attended the diabetic outpatient clinics in health centres in Kingston. Two health centres were selectively chosen in Kingston. All diabetic patients attending the diabetic clinics and over the age of 18 were conveniently sampled. An interviewer-administered questionnaire was utilized. Health insurance/health benefit was assessed by this questionnaire. Adherence was measured by patients’ self reports of medication usage in the previous week. The Chi-squared was used to determine significance of associations. The sample population was 76% female and 24% male. Type 2 diabetics comprised 93.8%. More than 95% of patients were over the age of 40. Approximately 32% of participants were employed. Approximately 75% of patients had health insurance/health benefit. Among those who had health insurance or health benefit, 71.5% was adherent and 28.5% was non-adherent. This difference was statistically significant (χ2=6.553, p = 0.01). Prevalence of medication non-adherence was 33%.In Kingston, diabetic patients who are adherent are more likely to have health insurance/health benefit (p = 0.01).

ABSTRACT 

Objective: To determine the association between health insurance/health benefit and medication adherence amongst adult diabetic patients in Kingston, Jamaica.

Received: 
15 Oct, 2014
Accepted: 
29 Oct, 2014
PDF Attachment: 
PDF icon wimj_iss2_2016_320-22.pdf
Journal Sections: 
Original Articles
Keywords: 
diabetes
medication adherence
health insurance
Journal Authors: 
RJ Bridgelal-Nagassar
K James
RP Nagassar
S Maharaj
e-Published: 15 May, 2015

The Prevalence of Domestic Violence within Different Socio-economic Classes in Central Trinidad

Issue: 
Vol 59, issue 1 (2010)
Pages: 
20–5
Synopsis: 
Domestic violence was reported within all socioeconomic class groupings but it was most prevalent within the working class and lower middle socioeconomic classes. The major perceived cause of domestic violence was alcohol/drug abuse.

ABSTRACT

Objectives: Domestic violence is a medical and social issue that often leads to negative consequences for society. This paper examines the association between the prevalence of domestic violence in relation to the different socio-economic classes in Central Trinidad. The paper also explores the major perceived causes of physical abuse in Central Trinidad.

PDF Attachment: 
PDF icon dr_rp_nagassar_wimj_january1.qxd_.pdf
Journal Sections: 
Original Articles
Keywords: 
domestic violence
socio-economic groups
Journal Authors: 
RP Nagassar
JM Rawlins
NR Sampson
J Zackerali
K Chankadyal
C Ramasir
R Boodram
e-Published: 01 Oct, 2013
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West Indian Medical Journal

Faculty of Medical Sciences,
The University of the West Indies,
Mona, Kingston 7
Tel: (876) 927-1214
Fax: (876) 927-1846
wimj@uwimona.edu.jm
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