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Excessive Use of Vancomycin: A Successful Intervention Strategy at an Academic Medical Center

  • Carol Dukes Hamilton (a1), Richard Drew (a1) (a2), Stephen W. Janning (a3), Joanne Kure Latour (a3) and Shelly Hayward (a3)...

Abstract

The project goal was to decrease excessive vancomycin use. Interventions included an educational chart note the first day of therapy, followed by pharmacists discussing the need for continued therapy with patients' physicians. Empirical vancomycin use improved from 20% to 90% compliance with guidelines within 6 months of the intervention

Copyright

COPYRIGHT: © The Society for Healthcare Epidemiology of America 2000

Corresponding author

Box 3306, Duke University Medical Center, Durham, NC, 27710

References

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1.Morris, JG Jr, Shay, DK, Hebden, JN, McCarter, RJ Jr, Perdue, BE, Jarvis, W, et al. Enterococci resistant to multiple antimicrobial agents, including vancomycin: establishment of endemicity in a university medical center. Ann Intern Med 1995;123:250–259.
2.Vincent, JL, Bihari, DJ, Suter, PM, Bruining, HA, White, J, Nicolas-Chanoin, MH, et al. The prevalence of nosocomial infection in intensive care units in Europe: results of the European prevalence of infection in intensive care (EPIC) study. EPIC International Advisory Committee. JAMA 1995;274:639–644.
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4.Ena, J, Dick, RW, Jones, RN, Wenzel, RP. The epidemiology of intravenous vancomycin usage in a university hospital: a 10 year study. JAMA 1993;269:598–602.
5.Centers for Disease Control and Prevention. Nosocomial enterococci resistant to vancomycin—United States, 1989-1993. MMWR 1993;42:597–599.
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7.Centers for Disease Control and Prevention. Recommendations for preventing the spread of vancomycin resistance: recommendations of the Hospital Infection Control Practices Advisory Committee (HICPAC). MMWR 1995;44(RR-12):1–13.
  • Cited by 18

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Excessive Use of Vancomycin: A Successful Intervention Strategy at an Academic Medical Center

  • Carol Dukes Hamilton (a1), Richard Drew (a1) (a2), Stephen W. Janning (a3), Joanne Kure Latour (a3) and Shelly Hayward (a3)...

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