Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

3 results

  • Chapter 18 - Poverty and perinatal morbidity as risk factors for mental illness
  • from Section 4 - Systems of development for special populations
  • Edited by Samuel O. Okpaku
  • Book: Essentials of Global Mental Health
  • Published online: 05 March 2014
  • Print publication: 27 February 2014, pp 163-172
  • View abstract

    Summary

    Despite the often uphill human rights battle that lies before individuals with mental illness, pioneering individuals and groups have been inspired to act, organizing grassroots movements of affected individuals in a wide variety of contexts. The mental health movement in Ghana has grown dramatically from its inception at the grassroots level. The Mental Health Society of Ghana (MEHSOG) is made up of representatives from the district associations and some community groups. The main aim of Pan African Network of People with Psychosocial Disabilities (PANUSP) was to work with groups across Africa to establish more organized branches in different countries. Grassroots movements are most powerful when led by the vulnerable groups directly affected by the injustices these movements seek to change. Grassroots movements in mental health are fueled by the tireless efforts of passionate individuals who often have overcome great personal injustices to advocate for change for themselves and others.
  • Decreased Resistance of Pseudomonas aeruginosa with Restriction of Ciprofloxacin in a Large Teaching Hospital's Intensive Care and Intermediate Care Units
  • G. Jonathan Lewis, Xiangming Fang, Michael Gooch, Paul P. Cook
  • Journal: Infection Control & Hospital Epidemiology / Volume 33 / Issue 4 / April 2012
  • Published online by Cambridge University Press: 02 January 2015, pp. 368-373
  • Print publication: April 2012
  • View abstract
    Objective.

    To examine the effect of restricting ciprofloxacin on the resistance of nosocomial gram-negative bacilli, including Pseudomonas aeruginosa, to antipseudomonal carbapenems.

    Design.

    Interrupted time-series analysis.

    Setting.

    Tertiary care teaching hospital with 11 intensive care and intermediate care units with a total of 295 beds.

    Patients.

    All nosocomial isolates of P. aeruginosa.

    Intervention.

    Restriction of ciprofloxacin.

    Results.

    There was a significant decreasing trend observed in the percentage (P = .0351) and the rate (P = .0006) of isolates of P. aeruginosa that were resistant to antipseudomonal carbapenems following the restriction of ciprofloxacin. There was also a significant decreasing trend observed in the percentage (P = .0017) and the rate (P = .0001) of isolates of ciprofloxacin-resistant P. aeruginosa. The rate of cefepime-resistant P. aeruginosa isolates declined (P = .004 ) but the percentage of cefepime-resistant P. aeruginosa isolates did not change. There were no significant changes observed in the rate or the percentage of piperacillin-tazobactam-resistant P. aeruginosa isolates. There were no significant changes observed in the susceptibilities of nosocomial Enterobacteriaciae or Acinetobacter baumannii isolates that were resistant to carbapenems. Over the study period there was a significant increase in the use of carbapenems (P = .0134); the use of ciprofloxacin decreased significantly (P = .0027). There were no significant changes in the use of piperacillin-tazobactam or cefepime.

    Conclusion.

    Restriction of ciprofloxacin was associated with a decreased resistance of P. aeruginosa isolates to antipseudomonal carbapenems and ciprofloxacin in our hospital's intermediate care and intensive care units. There were no changes observed in the susceptibilities of nosocomial Enterobacteriaciae or A. baumannii to carbapenems, despite increased carbapenem use. Reducing ciprofloxacin use may be a means of controlling multidrug-resistant P. aeruginosa.