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Vancomycin and teicoplanin use in Victorian hospitals. The Victorian Drug Usage Evaluation Group.
- Source :
-
The Medical journal of Australia [Med J Aust] 1999 Aug 02; Vol. 171 (3), pp. 127-31. - Publication Year :
- 1999
-
Abstract
- Objective: To determine patterns of prescribing of glycopeptide antibiotics (vancomycin and teicoplanin) in Victorian hospitals and identify areas for targeted intervention.<br />Design: A concurrent, observational, multisite evaluation of drug use.<br />Setting: Thirty-five Victorian hospitals, 1-14 September 1997.<br />Study Population: Patients commencing a glycopeptide antibiotic course.<br />Main Outcome Measures: Rate of glycopeptide antibiotic use; indications; duration of use; main hospitals using glycopeptide antibiotics.<br />Results: 293 patients (269 adults and 24 neonates) commenced on 302 glycopeptide antibiotic courses: 296 intravenous (i.v.) vancomycin courses and three each of oral vancomycin and parenteral teicoplanin. The overall rate of use was 10.3 courses per 1000 inpatient separations. Of 271 i.v. vancomycin courses for adults, 176 (65%) were for treatment--120 empirically. The median duration of treatment courses was 4.7 days (interquartile range, 2.0-8.2 days). A flucloxacillin-resistant organism was confirmed for 44% of treatment courses. Ninety-five i.v. vancomycin courses were for prophylaxis, including for cardiac (54%) and vascular surgery (21%); 82% of prophylactic courses were administered for less than 24 hours. Of all the glycopeptide antibiotic courses, 69% were administered at five major metropolitan hospitals.<br />Conclusions: Glycopeptide antibiotic use in Victoria is concentrated in the major metropolitan hospitals. Prolonged durations of vancomycin therapy, including for surgical prophylaxis and empirical therapy not subsequently confirmed by microbiology findings, would be suitable targets for interventional strategies.
- Subjects :
- Administration, Oral
Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents administration & dosage
Antibiotic Prophylaxis
Child
Child, Preschool
Drug Utilization
Female
Floxacillin therapeutic use
Humans
Infant
Infant, Newborn
Infusions, Parenteral
Injections, Intravenous
Male
Middle Aged
Penicillin Resistance
Penicillins therapeutic use
Pharmacy Service, Hospital
Teicoplanin administration & dosage
Time Factors
Vancomycin administration & dosage
Victoria
Anti-Bacterial Agents therapeutic use
Teicoplanin therapeutic use
Vancomycin therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 0025-729X
- Volume :
- 171
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- The Medical journal of Australia
- Publication Type :
- Academic Journal
- Accession number :
- 10474603
- Full Text :
- https://doi.org/10.5694/j.1326-5377.1999.tb123561.x