Skip to main content
×
Home
    • Aa
    • Aa

Vancomycin Use in a Hospital With Vancomycin Restriction

  • Mary-Claire Roghmann (a1), Beulah E. Perdue (a1) and Louis Polish (a1)
Abstract
Abstract

We evaluated vancomycin use in a hospital with endemic vancomycin-resistant enterococci and a vancomycin restriction program. Only 68% of vancomycin was prescribed appropriately. Inappropriate use was due primarily to empirical therapy. In the patients with a microbiological diagnosis following empirical therapy, 83% (25/30) had infections due to bacteria sensitive to an appropriate antibiotic other than vancomycin. However, only 60% (15/25) of these patients had their vancomycin orders changed.

Copyright
Corresponding author
Maryland Health Care System (BT111), 10 N Greene St, Baltimore, MD 21201
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1. DM Shlaes , DN Gerding , JF John Jr, WA Craig , DL Bornstein , RA Duncan , et al. Society for Healthcare Epidemiology of America and Infectious Diseases Society of America Joint Committee on the Prevention of Antimicrobial Resistance: guidelines for the prevention of antimicrobial resistance in hospitals. Infect Control Hosp Epidemiol 1997;18:275291.

3. JG Morris Jr, DK Shay , JN Hebden , RJ McCarter Jr, BE Perdue , W Jarvis , et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin. Establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250259.

4. J Ena , J Dick , R Jones , R Wenzel . The epidemiology of intravenous vancomycin usage in a university hospital. A 10-year study. JAMA 1993;269:598602.

6. TR Frieden , SS Munsiff , DE Low , BM Willey , G Williams , Y Faur , et al. Emergence of vancomycin-resistant enterococci in New York City. Lancet 1993;342:7679.

10. WR Wilson , AW Karchmer , AS Dajani , et al. Antibiotic treatment of adults with infective endocarditis due to streptococci, enterococci, staphylococci, and HACEK microorganisms. American Heart Association. JAMA 1995;274:17061713.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Abstract views

Total abstract views: 17 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 30th March 2017. This data will be updated every 24 hours.