The Medical journal of Australia
-
Multicenter Study
Invasive management and late clinical outcomes in contemporary Australian management of acute coronary syndromes: observations from the ACACIA registry.
To describe the impact of invasive management on 12-month survival among patients with suspected acute coronary syndrome (ACS) in Australia. ⋯ A substantial burden of late morbidity and mortality persists among patients with ACS within contemporary Australian clinical practice. Under-use of invasive management may be associated with an excess in 12-month mortality, suggesting the need for more use of invasive management among these patients.
-
Multicenter Study Controlled Clinical Trial
Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand hygiene culture-change program and subsequent successful statewide roll-out.
To assess the efficacy of a multimodal, centrally coordinated, multisite hand hygiene culture-change program (HHCCP) for reducing rates of methicillin-resistant Staphylococcus aureus (MRSA) bacteraemia and disease in Victorian hospitals. ⋯ Pilot and subsequent statewide implementation of a multimodal HHCCP was effective in significantly improving HH compliance and reducing rates of MRSA infection.
-
Multicenter Study Comparative Study
Heavy cannabis use and depressive symptoms in three Aboriginal communities in Arnhem Land, Northern Territory.
To determine the extent to which depressive symptoms are associated with heavy cannabis use in an Aboriginal population in Arnhem Land, Northern Territory. ⋯ Given its high prevalence in Indigenous populations, the development of clinical and prevention strategies for cannabis misuse are warranted.
-
Multicenter Study Comparative Study
Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999--June 2005.
To describe rates of hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians. ⋯ Indigenous people, particularly women, were disproportionately represented among those hospitalised for head injury due to assault. Head injury imposes a substantial burden of care on individuals and communities. Along with the costs of treating head injury, these are good reasons to strengthen efforts to prevent head injury generally, with special attention to high-risk population segments.
-
Multicenter Study Comparative Study
Effect of swimming pools on antibiotic use and clinic attendance for infections in two Aboriginal communities in Western Australia.
To determine whether installation of swimming pools in remote Aboriginal communities reduces infection-related outpatient attendances and prescription of antibiotics. ⋯ Swimming pools in remote communities are associated with reduced prevalence of skin infections. Where disease prevalence is high, pools are also associated with reduced rates of antibiotic prescriptions and middle-ear and respiratory tract infections. In communities with resident health staff, examination of clinic records is an efficient method of monitoring the effects of public health interventions on the burden of infectious diseases.