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Vancomycin Use in a Hospital With Vancomycin Restriction

Published online by Cambridge University Press:  02 January 2015

Mary-Claire Roghmann ,
Beulah E. Perdue  and
Louis Polish
Mary-Claire Roghmann*
Affiliation:
University of Maryland School of Medicine and University of Maryland Medical System, Baltimore, Maryland
Beulah E. Perdue
Affiliation:
University of Maryland School of Medicine and University of Maryland Medical System, Baltimore, Maryland
Louis Polish
Affiliation:
University of Maryland School of Medicine and University of Maryland Medical System, Baltimore, Maryland
*
Maryland Health Care System (BT111), 10 N Greene St, Baltimore, MD 21201
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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.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 1 , January 1999 , pp. 60 - 63
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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