Browsing General Practice (Scholarly Articles) by Author "Vellinga, Akke"
Now showing items 1-20 of 21
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Adverse effects of amoxicillin for acute lower respiratory tract infection in primary care: Secondary and subgroup analysis of a randomised clinical trial
Tandan, Meera; Vellinga, Akke; Bruyndonckx, Robin; Little, Paul; Verheij, Theo; Butler, Chris C.; Goossens, Herman; Coenen, Samuel (MDPI, 2017-12-13)A European placebo-controlled trial of antibiotic treatment for lower respiratory tract infection (LRTI) conducted in 16 primary care practices networks recruited participants between November 2007 and April 2010, and found ... -
Adverse events of fluoroquinolones vs. other antimicrobials prescribed in primary care: A systematic review and meta-analysis of randomized controlled trials
Tandan, Meera; Cormican, Martin; Vellinga, Akke (Elsevier, 2018-04-25)Background Fluoroquinolones (FQs) are second line antimicrobial agents. Once the decision to prescribe an antimicrobial is made, its choice should be based on both the benefits and harms. This systematic review quantifies ... -
Changing antibiotic prescribing in General Practice – The results of the SIMPle process evaluation
Duane, Sinead; Domegan, Christine; Callan, Aoife; Galvin, Sandra; Cormican, Martin; Murphy, Andrew W.; Vellinga, Akke (Sciedu Press, 2017)Objective: The Supporting the Improvement and Management of Prescribing for Urinary Tract Infections (SIMPle) study, a cluster randomized trial, sought to improve the quality of antibiotic prescribing for Urinary Tract ... -
Chlamydia trachomatis infection and sexual behaviour among female students attending higher education in the Republic of Ireland
O'Connell, Emer; Brennan, Wendy; Cormican, Martin; Glacken, Marita; O'Donovan, Diarmuid; Vellinga, Akke; Lysaght, Fionnguala (2009)Background There are no prevalence data on Chlamydia trachomatis relating to female students attending higher education available for the Republic of Ireland. This information is required to guide on the necessity for ... -
The cost effectiveness of the SIMPle intervention to improve antimicrobial prescribing for urinary tract infection in primary care
Gillespie, Paddy; Callan, Aoife; O'Shea, Eamon; Duane, Sinead; Murphy, Andrew W.; Domegan, Christine; Galvin, Sandra; Vellinga, Akke (Oxford University Press, 2016-09-27)Abstract Background Antimicrobial resistance is a major public health issue. This study examines the cost effectiveness of the SIMPle (Supporting the Improvement and Management of Prescribing for Urinary Tract Infections ... -
Do general practitioners prescribe more antimicrobials when the weekend comes?
Tandan, Meera; Duane, Sinead; Vellinga, Akke (SpringerOpen, 2015-11-24)Inappropriate antimicrobial prescribing contributes to the global spread of antimicrobial resistance. The pending weekend with changed availability of general practitioners (GP) and increased patient concern may increase ... -
The efficacy of mindfulness-based interventions in primary care: a meta-analytic review
Demarzo, Marcelo M.P.; Montero-Marin, Jesús; Cuijpers, Pim; Zabaleta-del-Olmo, Edurne; Mahtani, Kamal R.; Vellinga, Akke; Vicens, Caterina; López-del-Hoyo, Yolanda; García-Campayo, Javier (Annals of Family Medicine, 2015-07-16)PURPOSE Positive effects have been reported after mindfulness-based interventions (MBIs) in diverse clinical and nonclinical populations. Primary care is a key health care setting for addressing common chronic conditions, ... -
Epidemiology of gestational diabetes mellitus according to IADPSG/WHO 2013 criteria among obese pregnant women in Europe
Egan, A. M.; Vellinga, Akke; Dunne, Fidelma (Springer Verlag, 2016-08-29)Accurate prevalence estimates for gestational diabetes mellitus (GDM) amongst pregnant women in Europe are lacking due to the use of a multitude of diagnostic criteria and screening strategies in both high-risk women and ... -
Exploring experiences of delayed prescribing and symptomatic treatment for urinary tract infections among general practitioners and patients in ambulatory care: a qualitative study
Duane, Sinead; Beatty, Paula; Murphy, Andrew W.; Vellinga, Akke (MDPI (Multidisciplinary Digital Publishing Institute), 2016-08-15)"Delayed or back up" antibiotic prescriptions and "symptomatic" treatment may help to reduce inappropriate antibiotic prescribing for Urinary Tract Infections (UTI) in the future. However, more research needs to be conducted ... -
Hand hygiene compliance in the intensive care unit: A systematic review
Lambe, Kathryn Ann; Lydon, Sinéad; Madden, Caoimhe; Vellinga, Akke; Hehir, Aoife; Walsh, Mary; O'Connor, Paul (Lippincott, Williams & Wilkins, 2019-09)Abstract Objectives: To synthesize the literature describing compliance with World Health Organization hand hygiene guidelines in ICUs, to evaluate the quality of extant research, and to examine differences in compliance ... -
Improving antimicrobial prescribing: a multinomial model identifying factors associated with first- and second-line prescribing
Tandan, Meera; Burns, Karen; Murphy, Helen; Hennessy, Sarah; Cormican, Martin; Vellinga, Akke (Elsevier, 2018-12-13)Background/objectives: Broad-spectrum, second-line antimicrobials may be prescribed when initial first-line options prove ineffective. This study compares prescribing practices and identifies potential influencing factors ... -
Intervention to improve the quality of antimicrobial prescribing for urinary tract infection: a cluster randomized trial
Vellinga, Akke; Galvin, Sandra; Duane, Sinead; Callan, Aoife; Bennett, Kathleen; Cormican, Martin; Domegan, Christine; Murphy, Andrew W. (Canadian Medical Association, 2015-11-16)Background: Overuse of antimicrobial therapy in the community adds to the global spread of antimicrobial resistance, which is jeopardizing the treatment of common infections.Methods: We designed a cluster randomized complex ... -
A mixed-methods exploration of the educational climate and safety climate during the first year of clinical practice in Ireland
Lydon, Sinéad; Byrne, Dara; Vellinga, Akke; Walsh, Chloe; Madden, Caoimhe; Connolly, Fergal; O'Connor, Paul (Lippincott, Williams & Wilkins, 2019-11)Purpose Educational climate (EC) and safety climate (SC) are key determinants of residents’ professional development. The goal of this study was to gather longitudinal EC data and data on perceptions of SC in residency, ... -
Opt-out as an acceptable method of obtaining consent in medical research: a short report
Vellinga, Akke; Cormican, Martin; Hanahoe, Belinda; Murphy, Andrew W. (BioMed Central, 2011)Background A prospective cohort study was set up to investigate a possible association between antibiotic prescribing and antibiotic resistance of E. coli urinary tract infection in the community. Participation of patients ... -
Out-of-hospital cardiac arrest attended by ambulance services in Ireland: first 2 years' results from a nationwide registry
Masterson, Siobhán; Cullinan, John; McNally, Bryan; Deasy, Conor; Murphy, Andrew; Wright, Peter; O'Reilly, Martin; Vellinga, Akke (BMJ Publishing Group, 2016-10-20)Background National data collection provides information on out-of-hospital cardiac arrest (OHCA) incidence, management and outcomes that may not be generalisable from smaller studies. This retrospective cohort study ... -
Reconsultation and antimicrobial treatment of urinary tract infection in male and female patients in general practice
Tandan, Meera; Duane, Sinead; Cormican, Martin; Murphy, Andrew W.; Vellinga, Akke (MDPI (Multidisciplinary Digital Publishing Institute), 2016-09-15)Current antimicrobial prescribing guidelines indicate that male and female patients with urinary tract infections (UTIs) should be treated with same antimicrobials but for different durations. The aim of this study was to ... -
The spatial distribution of out-of-hospital cardiac arrest and the chain of survival in Ireland: a multi-class urban-rural analysis
Masterson, Siobhán; Cullinan, John; Teljeur, Conor; Vellinga, Akke (Geographical Society of Ireland, 2016)Abstract: Cardiac arrest occurs when the heart suddenly ceases to pump blood around the body. To optimise survival from out-of-hospital cardiac arrest (OHCA), knowledge of the spatial distribution of OHCA and the availability ... -
Using mobile phones to collect patient data: lessons learned from the SIMPle study
Duane, Sinead; Tandan, Meera; Murphy, Andrew W.; Vellinga, Akke (JMIR Publications, 2017-04-25)Background: Mobile phones offer new opportunities to efficiently and interactively collect real-time data from patients with acute illnesses, such as urinary tract infections (UTIs). One of the main benefits of using mobile ... -
Using qualitative insights to change practice: exploring the culture of antibiotic prescribing and consumption for urinary tract infections
Duane, Sinead; Domegan, Christine; Callan, Aoife; Galvin, Sandra; Cormican, Martin; Bennett, Kathleen; Murphy, Andrew W.; Vellinga, Akke (BMJ Publishing Group, 2016-01-11)Objectives: The aim of this paper is to explore the culture of antibiotic prescribing and consumption in the community for urinary tract infections (UTI) from the perspective of the general practitioners (GPs) and community ... -
The very first requirement of treatment is that it should do no harm†, so why are antibiotics still overprescribed?
Vellinga, Akke (Wiley, 2014-01-26)[No abstract available]