Decreasing vancomycin utilization in a neonatal intensive care unit.
This study evaluated the efficacy of education versus audit and feedback in decreasing vancomycin utilization. Data were collected prospectively from October 1, 2012-April 30, 2014 over the following 3 periods: baseline, after education and introduction of a late-onset sepsis treatment guideline, and after prospective audit-feedback to physicians. Vancomycin utilization and administration duration >3 days significantly decreased with education and guideline use, but it was not affected by addition of audit and feedback.
Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX. Electronic address: galit.holzmann-pazgal@uth.tmc.edu.
Galit
G
Holzmann-Pazgal
Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX.
Amir M
AM
Khan
Department of Family and Community Medicine, University of Texas Medical School at Houston, Houston, TX.
Thomas F
TF
Northrup
Department of Pharmacy Services, Children's Memorial Hermann Hospital-Texas Medical Center, Houston, TX.
Christine
C
Domonoske
Department of Pediatrics, University of Texas Medical School at Houston, Houston, TX.
Eric C
EC
Eichenwald
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D004363:Drug Utilization; D004501:Education, Medical; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D011446:Prospective Studies; D014640:Vancomycin / Q000627:therapeutic use*
D000900:Anti-Bacterial Agents; D014640:Vancomycin
Antimicrobial resistance; Antimicrobial stewardship; Neonatal intensive care unit; Pediatrics; Vancomycin