This case report presents a 31-year-old male with a complex interplay of cardiac, hepatic, and renal dysfunction, characterized by extra-hepatic portal venous obstruction (EHPVO), decompensated chronic liver disease (DCLD), and rheumatic heart disease (RHD) with severe mitral ste...
Open access
Research Article10.9734/irjgh/2024/v7i1104
Neuromelioidosis, a severe neurological form of melioidosis caused by Burkholderia pseudomallei, presents significant diagnostic and therapeutic challenges. This case report describes a 28-year-old post-natal woman with progressive right-sided weakness, facial palsy, and respirat...
Open access
Research Article10.9734/ijmpcr/2024/v17i3390
Aims: This study evaluates the effect of integrated interventions including prescriber education and de-escalation strategies on improving antibiotic prescribing practices, optimizing the Access: Watch ratio, reducing Reserve antibiotic use, and improving Length of Therapy (LOT)...
Open access
Research Article10.9734/jamps/2025/v27i1743
Background: Research and literature on antimicrobial de-escalation are often confined to assessment of safety and efficacy of de-escalation for patients with infection and, not antimicrobial utilization. Evidence suggests that the key intervention to stop further emergence of ant...
Open access
Research Article10.9734/ajrid/2024/v15i9369