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  1. A Vancomycin monitoring program at a Community hospital.

    Article - En anglais

    Background 

    Because of concern about patients'increased risk of developing resistance to vancomycin, a vncimycin monitoring program involving education, not restriction, on the prudent use of vancomycin was developed at the Barnes-Jewish Christian (BJC) North Region hospitals in St Louis.

    The program was spearheaded by the pharmacy department and monitored by interdisciplinary committees within the hospital.

    Methods 

    An educational note based on a Centers for Disease Control and Prevention (CDC) guideline for prudent use of vancomycin was prepared and placed in patient charts by a designated pharmacist.

    This intervention was tracked along with the medical staff's response to the note.

    In a one-year period, the rate of appropriate use of vancomycin increased from 59% to 80% (p<0.01), whereas the number of care interventions involving vancomycin usage decreased by approximately 75%. Discussion : A community hospital can promote appropriate use of antibiotics, in this case vancomycin.

    The fact that the rate at which vancomycin was appropriately prescribed increased and the number of pharmacist interventions (notes) decreased suggests that the vancomycin note reminders and related educational material were successful.

    Although these numbers do not represent 100% compliance, treatment with vancomycin may have been clinically appropriate for some of the cases even if the situation was not listed as an appropriate use of the CDC guideline. (...)

    Mots-clés Pascal : Médicament, Sensibilité résistance, Chimiothérapie, Traitement, Recommandation, Prescription, Médecin, Pratique professionnelle, Antibiotique, Antiinfectieux

    Mots-clés Pascal anglais : Drug, Sensitivity resistance, Chemotherapy, Treatment, Recommendation, Prescription, Physician, Professional practice, Antibiotic, Antiinfectious

    Notice produite par :
    ORS Auvergne - Observatoire Régional de la Santé d'Auvergne

    Code Inist : 002B30A11. Création : 19/02/1999.