Skip to main content Accessibility help
×
Home
Hostname: page-component-cf9d5c678-xvx2z Total loading time: 0.168 Render date: 2021-08-04T01:17:21.627Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Comparative Assessment of Antimicrobial Usage Measures in the Department of Veterans Affairs

Published online by Cambridge University Press:  02 January 2015

Patricia L. Schirmer
Affiliation:
Office of Public Health, Department of Veterans Affairs, Palo Alto, California
Renee C. Mercier
Affiliation:
Office of Public Health, Department of Veterans Affairs, Palo Alto, California University of New Mexico, Albuquerque, New Mexico
Russell A. Ryono
Affiliation:
VA Palo Alto Health Care System, Palo Alto, California
Nancy Nguyen
Affiliation:
VA Palo Alto Health Care System, Palo Alto, California
Cynthia A. Lucero
Affiliation:
Office of Public Health, Department of Veterans Affairs, Palo Alto, California
Gina Oda
Affiliation:
Office of Public Health, Department of Veterans Affairs, Palo Alto, California
Mark Holodniy
Affiliation:
Office of Public Health, Department of Veterans Affairs, Palo Alto, California
Corresponding
E-mail address:

Abstract

We compared 2 data sources—antimicrobial orders and bar-coded medication administration (BCMA)—for calculating the number of grams used, grams used based on defined daily dose, and days of therapy at one Veterans Affairs Medical Center for 2009-2010. The number of grams used calculated from BCMA data provided the most informative antimicrobial utilization measure.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. VA Benefits and Health Care Utilization. National Center for Veterans Analysis and Statistics. Updated August 2011. http://www.va.gov/vetdata/docs/Quickfacts/Summer2011.pdf.Google Scholar
2. Schwartz, D, Evans, RS, Camins, B, et al. Deriving measures of intensive care unit antimicrobial use from computerized pharmacy data: methods, validation, and overcoming barriers. Infect Control Hosp Epidemiol 2011;32:472480.CrossRefGoogle ScholarPubMed
3. Caffrey, AR, Luo, R, Welch, VL, et al. National daptomycin, linezolid, and vancomycin utilization patterns in the Veterans Affairs Health System. Abstract K-939. 50th Interscience Conference on Anrimicrobial Agents and Chemotherapy. Boston, MA, 2010.Google Scholar
4. Polk, R, Fox, C, Mahoney, A, Letcavage, J, MacDougall, C. Measurement of adult antibacterial drug use in 130 US hospitals: comparison of defined daily dose and days of therapy. Clin Infect Dis 2007;44:664670.CrossRefGoogle ScholarPubMed
5. de With, K, Bestehorn, H, Steib Bauert, M, Kern, WV. Comparison of defined versus recommended versus prescribed daily doses for measuring hospital antibiotic consumption. Infection 2009;37:349352.CrossRefGoogle ScholarPubMed
6. de With, K, Maier, L, Steib Bauert, M, Kern, P, Kern, WV. Trends in antibiotic use at a university hospital: defined or prescribed daily doses? patient days or admissions as denominator? Infection 2006;34:9194.CrossRefGoogle ScholarPubMed
7. Hutchinson, J, Patrick, D, Marra, F, et al. Measurement of antibiotic consumption: a practical guide to the use of the anatomical therapeutic chemical classification and definied daily dose system methodology in Canada. Can J Infect Dis 2004;15:2935.CrossRefGoogle Scholar
8. Guidelines for ATC classification and DDD assignment, Oslo 2009. In: Methodology WcCfDS, ed. 2010.Google Scholar
9. Itokazu, G, Glowacki, R, Schwartz, D, Wisniewski, M, Rydman, R, Weinstein, R. Antimicrobial consumption data from pharmacy and nursing records: how good are they? Infect Control Hosp Epidemiol 2005;26:395400.CrossRefGoogle Scholar
9
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Comparative Assessment of Antimicrobial Usage Measures in the Department of Veterans Affairs
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Comparative Assessment of Antimicrobial Usage Measures in the Department of Veterans Affairs
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Comparative Assessment of Antimicrobial Usage Measures in the Department of Veterans Affairs
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *