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Association between a rapid diagnostic test to detect methicillin-resistant Staphylococcus Aureus pneumonia and decreased vancomycin use in a medical intensive care unit over a 30-month period

Published online by Cambridge University Press:  01 February 2021

Chiagozie I. Pickens*
Affiliation:
Pulmonary and Critical Care Division, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Chao Qi
Affiliation:
Department of Pathology, Northwestern Memorial Hospital, Chicago, Illinois Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Michael Postelnick
Affiliation:
Department of Pharmacy, Northwestern Memorial Hospital, Chicago, Illinois
Joseph Paonessa
Affiliation:
Pulmonary and Critical Care Division, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Helen K. Donnelly
Affiliation:
Pulmonary and Critical Care Division, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Richard G. Wunderink*
Affiliation:
Pulmonary and Critical Care Division, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
*
Author for correspondence: Chiagozie I Pickens, E-mail: chiagozie-ononye@northwestern.edu. Or Richard G. Wunderink, E-mail: r-wunderink@northwestern.edu
Author for correspondence: Chiagozie I Pickens, E-mail: chiagozie-ononye@northwestern.edu. Or Richard G. Wunderink, E-mail: r-wunderink@northwestern.edu

Abstract

Vancomycin overuse is common, yet few data are available regarding how to improve stewardship of this antibiotic. We identify an association between use of a PCR assay to rule out MRSA pneumonia and a significant, sustained decrease in average vancomycin days of therapy over a 30-month period.

Type
Concise Communication
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

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