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In April 2016 it took over community service for Merton CCG practices. In October 2017 the trust took over the contract for community services in Wandsworth, worth £51.6 million from St George's University Hospitals NHS Foundation Trust [6]
Healthcare in Hertfordshire was the responsibility of the Herts Valleys, East, ... Herts Valleys needs to save £45 million in 2017-18 to break even. East and North ...
Because it failed to meet the NHS targets for elective treatment - 92 patients had waited more than a year in October 1918 - the Herts Valley Clinical Commissioning Group decided to fine the trust £500,000 a month until its performance reaches the national target of 92%. The money will be spent on private and specialist providers.
Narrow-spectrum antibiotics have low propensity to induce bacterial resistance and are less likely to disrupt the microbiome (normal microflora). [3] On the other hand, indiscriminate use of broad-spectrum antibiotics may not only induce the development of bacterial resistance and promote the emergency of multidrug-resistant organisms, but also cause off-target effects due to dysbiosis.
One or both ingredients may be antibiotics. [1] Antibiotic combinations are increasingly important because of antimicrobial resistance. [2] This means that individual antibiotics that used to be effective are no longer effective, [1] and because of the absence of new classes of antibiotic, they allow old antibiotics to be continue to be used. [2]
The overall incidence of adverse drug reactions to sulfa antibiotics is approximately 3%, close to penicillin; [3] hence medications containing sulfonamides are prescribed carefully. Sulfonamide drugs were the first broadly effective antibacterials to be used systemically, and paved the way for the antibiotic revolution in medicine.
Hertfordshire (/ ˈ h ɑːr t f ər d ʃ ɪər / ⓘ HART-fərd-sheer or /-ʃ ər /-shər; often abbreviated Herts) is a ceremonial county in the East of England and one of the home counties. It borders Bedfordshire to the north-west, Cambridgeshire to the north-east, Essex to the east, Greater London to the south and Buckinghamshire to the ...
Tetracyclines are generally used in the treatment of infections of the urinary tract, respiratory tract, and the intestines and are also used in the treatment of chlamydia, especially in patients allergic to β-lactams and macrolides; however, their use for these indications is less popular than it once was due to widespread development of resistance in the causative organisms.