BackgroundAntibiotic consumption is a major driver of bacterial resistance. To address the increasing burden of multi-drug resistant bacterial infections, antibiotic stewardship programmes are promoted worldwide to rationalize antibiotic prescribing and conserve remaining antibiotics. Few studies have been reported from developing countries and none from Africa that report on an intervention based approach with outcomes that include morbidity and mortality.MethodsAn antibiotic prescription chart and weekly antibiotic stewardship ward round was introduced into two medical wards of an academic teaching hospital in South Africa between January-December 2012. Electronic pharmacy records were used to collect the volume and cost of antibiotics used, the patient database was analysed to determine inpatient mortality and 30-day re-admission rates, and laboratory records to determine use of infection-related tests. Outcomes were compared to a control period, January-December 2011.ResultsDuring the intervention period, 475.8 defined daily doses were prescribed per 1000 inpatient days compared to 592.0 defined daily doses/1000 inpatient days during the control period. This represents a 19.6% decrease in volume with a cost reduction of 35% of the pharmacy’s antibiotic budget. There was a concomitant increase in laboratory tests driven by requests for procalcitonin. There was no difference in inpatient mortality or 30-day readmission rate during the control and intervention periods.ConclusionsIntroduction of antibiotic stewardship ward rounds and a dedicated prescription chart in a developing country setting can achieve reduction in antibiotic consumption without harm to patients. Increased laboratory costs should be anticipated when introducing an antibiotic stewardship program.

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Background: Researchers have described empathy as a cognitive attribute, which means it predominantly involves understanding another person's concerns. It has also been described as an affective or emotional characteristic, which implies that it primarily involves feeling another person's pain and suffering. Because empathic patient interactions by dentists are associated with improved patient outcomes, self-reported declines in empathy during dental student training are a concern. Aim: To measure empathy levels among 3 rd year, 4 th year undergraduate students and interns studying in dental colleges of Bangalore city and to investigate the differences in empathy scores based on gender and year of dental training. Methodology: A cross sectional descriptive research was undertaken among 800 dental students (3 rd year, final year and interns) to measure the empathy levels using Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) questionnaire containing 20 items answered on a 5-point Likert scale (strongly agree, agree, neutral , disagree and strongly agree). The data was analyzed using SPSS 21. Results: Out of 800(100%) dental students, 300 (37.5%) were males and 500 (62.5%) were females with the mean age of males and females 22.93 ± 1.72 and 21.87 ± 1.28 respectively. The mean empathy scores with respect to age was more for 21-22 yrs whereas based on gender, empathy scores were more for males and there was not much difference found with the empathy scores with respect to fourth year students and interns. Conclusion: This cross-sectional study explored differences in empathy among dental student groups in the context of existing evidence that empathy declines as students progress through dental course.

The present study revealed that most of study participants have noticed the warnings on tobacco products, and most of them believe that they could understand warning labels. This study also showed that most of study participants believed that pictorial health warnings create awareness about probable health hazards of tobacco use and that these pictorial presentations on tobacco packs positively assist in reducing or quitting tobacco smoking.

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