PMID: 9164379May 26, 1997Paper

Effect of a vancomycin restriction policy on ordering practices during an outbreak of vancomycin-resistant Enterococcus faecium

Archives of Internal Medicine
A M AnglimBarry M Farr

Abstract

With the development of nosocomial pathogens that are resistant to multiple antimicrobial agents, reasonable restriction of antibiotic use has become a priority. During an outbreak of vancomycin-resistant enterococcal infections, an audit of vancomycin hydrochloride use was conducted during October 3 through 21, 1994, and January 24 through February 2, 1995. During these periods, all orders for vancomycin were reviewed by clinical pharmacists. Use was classified as either appropriate or inappropriate based on recommendations by the Hospital Infection Control Practice Advisory Committee (HICPAC) of the Centers for Disease Control and Prevention, Atlanta, Ga. A policy restricting the use of vancomycin was adopted in November 1994. During the first audit in October 1994, 61% of vancomycin orders were considered inappropriate according to HICPAC criteria. At the time of this audit, the first cases of an outbreak of nosocomial vancomycin-resistant Enterococcus faecium had been detected. The follow-up audit showed that 30% of vancomycin orders were inappropriate by HICPAC criteria (P < .001). Overall use of vancomycin decreased by 50% and remained at this lower level for the following year. The institution of a vancomycin restriction...Continue Reading

Citations

Nov 24, 1998·Journal of the American Medical Informatics Association : JAMIA·K G ShojaniaD W Bates
May 23, 2002·Antimicrobial Agents and Chemotherapy·Stephan HarbarthYehuda Carmeli
Feb 3, 2007·Pharmacy World & Science : PWS·Vera von GuntenJohnny Beney
Dec 19, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Timothy H DellitUNKNOWN Society for Healthcare Epidemiology of America
Apr 9, 2002·Journal of Chemotherapy·J LinM P Bostrom
Aug 20, 2016·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Sun Y LeeSara M Alexanian
Apr 20, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·K E ByersB M Farr
Jul 8, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M E EvansR P Rapp
Nov 28, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Ann R ThomasDavid W Fleming
Aug 31, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·P R CieslakJ M Ling
Nov 8, 2014·The Pediatric Infectious Disease Journal·Shannon ChanM Cecilia Di Pentima
Nov 8, 2003·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·M Thane ForthmanSusan I DesHarnais
Feb 11, 2003·Critical Care Medicine·Michael S Niederman
Nov 6, 2007·Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan·Toshiya Katayama
Feb 26, 2010·The Pediatric Infectious Disease Journal·M Cecilia Di Pentima, Shannon Chan
Jun 6, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Carlene A MutoUNKNOWN SHEA

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allergy & Infectious Diseases

Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.

Antimicrobial Resistance (ASM)

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.

Antimicrobial Resistance

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.

Allergy & Infectious Diseases (ASM)

Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.

Related Papers

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
J QualeK Patel
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
L G RubinH D Isenberg
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
S HandwergerB Walters
Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Hospital Infection Control Practices Advisory Committee (HICPAC)
© 2021 Meta ULC. All rights reserved