title: Appropriate use of vancomycin in a pediatric emergency department through the use of a standardized electronic guideline.
abstract: OBJECTIVE
  (a) Compare utilization of vancomycin in the ED prior to and after implementation of standardized treatment guideline and order template (STGOT); (b) assess the appropriate use as initial therapy based on indication versus admitting diagnosis.
  
  
  METHODS
  Chart audits on all patients who received vancomycin and were admitted. Overall utilization and appropriateness of starting therapy were compared pre-and post-STGOT implementation.
  
  
  RESULTS
  Overall utilization of vancomycin was 4% pre-STGOT compared to 3% post-STGOT; 98% of patients pre-STGOT compared to 99% post-STGOT received vancomycin appropriately.
  
  
  CONCLUSIONS
  There was no difference in vancomycin utilization and appropriateness of initiating therapy after STGOT implementation.
authors.affiliation: Children's Hospital of Alabama, Birmingham, AL. Electronic address: sarah.powell@childrensal.org.
authors.forename: Sarah Likis
authors.initials: SL
authors.lastname: Powell
authors.affiliation: University of Alabama at Birmingham School of Medicine.
authors.forename: Erica
authors.initials: E
authors.lastname: Liebelt
mesh_terms: D016208:Databases, Factual; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000592:standards*; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D050316:Medical Order Entry Systems / Q000592:standards*; D010372:Pediatrics; D017410:Practice Guidelines as Topic; D011786:Quality Control; D012189:Retrospective Studies; D014640:Vancomycin / Q000627:therapeutic use*
chemical_list: D014640:Vancomycin
keywords: Electronic guideline; Pediatric emergency department; Vancomycin