This study focused on physician-pharmacist collaboration within hospitals, and it was the first study measuring interprofessional collaboration in Iraq. The results showed there is physician-pharmacist collaboration within Iraqi hospitals and exchange characteristics had significant influence on this collaboration.

The objectives of this study were to measure the incidence and types of medication prescribing errors (MPEs)

Background Laparoscopic sleeve gastrectomy was recently described as an effective approach for the operative treatment of obesity, but the ideal procedure remains controversial. One of the most debated issues is the resection distance from the pylorus. We conducted this study to elucidate any potential differences in the short-term outcomes between 2 and 6 cm distance from the pylorus in laparoscopic sleeve gastrectomy. Methods A prospective observational cohort study in a selected cohort of 96 patients was conducted from January 2018 to March 2019 in morbidly obese patients who had laparoscopic sleeve gastrectomy performed at Suez Canal University Hospital. Outcome was expressed by excess weight loss percentage, resolution of comorbidities, improvement of quality of life, and incidence of complications after laparoscopic sleeve gastrectomy. The morbidly obese patients (body mass index [BMI] > 40 kg/m2 or > 35 kg/m2 with obesity-related comorbidities) in the study were divided into two equal groups: (1) Group 1 (48 patients) underwent laparoscopic sleeve gastrectomy with a 2 cm distance from the pylorus resection distance and (2) Group 2 (48 patients) underwent laparoscopic sleeve gastrectomy with a 6 cm distance from the pylorus resection distance. Body weight, BMI, bariatric quality of life, lipid profile, and comorbidities were evaluated pre- and post-operatively for a duration of 12 months. Results Statistically, no significant differences between the two study groups regarding the excess weight loss percentage, comorbidity resolution throughout the postoperative follow-up, enhancement of the quality of life score throughout the postoperative follow-up, or incidence of complications (25% in Group 1 versus 25% in Group 2, p > 0.05) were found. Conclusion Laparoscopic sleeve gastrectomy was an effective and safe management for morbid obesity and obesity-related comorbidities with significant short-term weight loss; it also improved weight-related quality of life and had an acceptable complication rate. The distance from the pylorus resection distance did not affect the short-term effects of laparoscopic sleeve gastrectomy regarding excess weight loss percentage, resolution of comorbidities, change in quality of life, or occurrence of complications.

No abstract

To estimate the incidence and risk factors of surgical site infections, to determine the antimicrobial susceptibility pattern among the organisms isolated and to assess the ability of our protocol for preoperative antibiotic prophylaxis to prevent surgical site infections (SSI), a prospective SSI surveillance in Cairo University hospital using the criteria of the Centers for Disease Control of elective procedures, 881 patients were recruited in six months. Data of surgical procedures, and preoperative antibiotic prophylaxis were collected. Patients were followed up for 30 days after surgery. The incidence of SSI infections was 9.2%. A significant increase was associated with a prolonged preoperative hospital stay, prolonged surgery, contaminated wounds and presence of the drain. The most common organism was Staphylococcus aureus (24.3%) then Klebsiella pneumonia (18.5%). MRSA constituted 68% of S. aureus, ESBL-producing Gram negative bacilli 41.8% and multidrug-resistant 25.4%. This is an insight to risk factors associated with SSI, the causative pathogens and their sensitivity in our hospital that can help in updating the preoperative antimicrobial prophylaxis.