For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Freezing workers have 5 to 30 per cent seroprevalence for leptospirosis, study
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PRACTICE
Freezing workers have 5 to 30 per cent seroprevalence for leptospirosis, study
Wednesday 26 September 2018, 01:00 AM

Occupational leptospirosis is acquired through direct or indirect contact with animal urines
OCCUPATIONAL HEALTH
New Zealand is a highly agricultural economy, and occupational exposure to farm animals – including during processing – presents a significant risk of potentially fatal leptospirosis
Key points, Pathogenic leptospires have a persistent mammalian habitat in the renal proximal convoluted tubule; thus, exposure to animal urine is a key risk.
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Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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