Zugl.: Berlin, Freie Universiẗat, Diss., 2008. / Includes bibliographical references.

Thesis (M.D.S.)--University of Sydney, 1991. / Title from title screen (viewed Apr. 16, 2009) Submitted in fulfilment of the requirements for the degree of Master of Dental Surgery, Faculty of Dentistry. Includes bibliography. Also available in print form.

In the last decades, there has been an escalating consumption of antibiotics with the number of antibiotic prescriptions increasing worldwide. Overuse or inappropriate use of antibiotics has resulted in a major increase in the development of multi-drug resistant pathogens. Antimicrobial resistance is one of the world’s most serious public health problems with great implication in terms of morbidity, mortality, and costs. To date, there has been no formal antibiotic use study conducted in the West Wollega zone of Ethiopia to assess antibiotic utilization. The objective of this study was to determine the pattern of antibiotic use in two hospitals in the West Wollega zone of Ethiopia, namely Gimbie Adventist Hospital and Nedjo Hospitals, using drug utilization metrics and the costs associated. In addition it was to assess the correlation between diagnosed infectious diseases and antibiotic prescriptions. This study was a cross-sectional, retrospective, descriptive review of antibiotic usage in the two hospitals in the year 2007. Prescriptions dispensed in the first month of each quarter of 2007 were reviewed. The number of prescriptions screened, antibiotic courses started, antibiotic days by specific agent and overall, the cost of individual and all antibiotics, the number and type of infectious diseases diagnosed were collected from which core drug use indicators were calculated. The correlation between infectious disease diagnosed and the antibiotic days prescribed were analyzed. A total of 18568 antibiotic and non-antibiotic prescriptions were reviewed retrospectively in the four months of the study period, 47 percent of which contained at least one antibiotic. The average number of antibiotics per prescription was 1.33 and 1.09 whilst the percentage of injectable antibiotics prescribed was 83.2 percent and 3.76 percent to outpatients and inpatients respectively. Antibiotics prescribed from the Essential Drug List (EDL) and List of Drugs for District Hospital (LDDH) were 63.0 percent, 74.8 percent, and 90.8 percent and 76.1 percent for outpatients and inpatients respectively. 98.6 percent of outpatient and 97.0 percent inpatient prescribed antibiotics were actually dispensed. Penicillins and quinolones were the most prescribed antibiotics in both inpatient and outpatient departments constituting 43.46 percent and 24.08 percent respectively. The antibiotic utilization ratio, incidence of outpatient antibiotic use, incidence of inpatient antibiotic use, the number of Defined Daily Doses (DDD)/1000inhabitants/year and DDD/100 Occupied Bed Days (OBD) for the zone was 0.16, 17.25, 23.56, 158.61, and 70 respectively. Antibiotic cost constituted 33.7 percent of all expenditure on drug, cost of antibiotic per patient care day and cost per antibiotic day was 3.84 Ethiopian Birr (ETB) ($0.40) and 6.29 ETB ($0.66) respectively. The correlation between infectious diseases diagnosed and antibiotic prescription shows significant variation. At outpatient departments alone an average number of antibiotic courses started was 2.7 at Gimbie Adventist Hospital and 7.6 for Nedjo Hospital. When overall antibiotic days prescribed and required was compared in both hospitals, there were 2.4 and 5 times more antibiotic days prescribed than were required for Gimbie and Nedjo Hospitals respectively. This suggests that the overuse of antibiotic is worse in the government hospital (Nedjo Hospital) than in the mission hospital (Gimbie Adventist Hospital). This study suggested that there was overuse of antibiotics in the West Wollega hospitals although further investigation is needed to identify its underlying causes and nature. It is recommended that the health personnel, the hospital management, the zonal and regional Health Bureau, the regulatory bodies and Non-Governmental Organizations (NGOs) work hand-in-hand to promote the rational use of antibiotics in this region so that the consequences and financial cost of antimicrobial resistance can be prevented.

Please read the abstract in the section 00front of this document / Dissertation (M Inst Agrar (Plant Protection))--University of Pretoria, 2006. / Microbiology and Plant Pathology / unrestricted

The importance of fish culture has been increasing since 1990’s. The steady growth of fish culture helps to ensure a stable supply of fish for human consumption. However, when compared with capture fisheries, production from fish culture is greatly influenced by fish diseases. Outbreaks of fish diseases have caused great economic loss to fish culture. Research has been conducted to understand and reduce the occurrence of fish diseases in fish culture. In Hong Kong, bacterial infection is the most common cause of fish diseases. This project is therefore directed to isolate and identify the causative bacterial pathogen of some fish disease cases with the aim of setting up a local fish disease database for assisting the identification of diseases and improving the understanding of fish diseases in fish farms in Hong Kong. In this project, seven fish disease cases caused by bacteria were investigated with the AFCD officials in Hong Kong. Nine fish disease bacterial pathogens were isolated and identified using different methods (including commercial biochemical test kits, automated system and DNA sequencing). The bacteria identified included Aeromonas hydrophila, Lactococcus garvieae, Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus iniae, Vibrio vulnificus and Aeromonas salmonicida. Sensitivity tests to 10 common antibiotics conducted for the identified bacteria showed that spectinomycin is the most broad spectrum antibiotics. In addition, a long-term physical storage of bacterial stock with glycerol and glass beads was established for further research of the identified bacteria. For efficient data analysis, an electronic database using Microsoft Access to hold the identification results and case history of each isolated bacteria was developed. Different data entry forms and reports were also constructed to facilitate easy data entry and data access for users. The three bacteria identification methods were compared for their efficiency and accuracy. Some limitations encountered in this project including time constraints and low accuracy of some biochemical identification tests were discussed and recommendations to overcome these limitations and improvements to the constructed database were made. / published_or_final_version / Environmental Management / Master / Master of Science in Environmental Management

Thesis (M.S.)--Virginia Polytechnic Institute and State University, 1991. / Vita. Abstract. Includes bibliographical references (leaves 100-103). Also available via the Internet.

Thesis--Auburn University, 2008. / Abstract. Vita. Includes bibliographical references (p. 68-88).

Thesis (Ph. D.)--University of Wisconsin--Madison, 1983. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 126-135).

Thesis (Ph. D.)--University of North Texas, May, 2009. / Title from title page display. Includes bibliographical references.

Thesis (M.S.)--University of Wisconsin--Madison. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 110-118).