Vancomycin Utilization Evaluation in a Major Teaching Hospital in West of Iran
Vancomycin Utilization Evaluation in a Major Teaching Hospital in West of Iran
نویسندگان: هاله رضائی , سجاد خیالی , هادی همیشه کار , پرهام معروفی
کلمات کلیدی: Vancomycin;
Drug Utilization Review;
Drug Resistance;
Bacterial
نشریه: 0 , 2 , 8 , 2020
| نویسنده ثبت کننده مقاله |
هاله رضائی |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
دانشکده داروسازی |
| کد مقاله |
72761 |
| عنوان فارسی مقاله |
Vancomycin Utilization Evaluation in a Major Teaching Hospital in West of Iran |
| عنوان لاتین مقاله |
Vancomycin Utilization Evaluation in a Major Teaching Hospital in West of Iran |
| ناشر |
5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
خیر |
| عنوان نشریه (خارج از لیست فوق) |
journal of pharmaceutical care |
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح چهار – ISC - Islamic Science Citation |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Background: Vancomycin is a potent antibiotic and has central role in the managing of infections
with known resistance to other antibiotics or in patients with allergy to beta-lactams. Irrational use of
vancomycin is associated with increased morbidity and mortality as well as the antibiotic resistant.
Methods: The DUE was done in Imam Reza Hospital, Tabriz, Iran. A total of 100 patients were
included during a 6-month period. We aimed to evaluate vancomycin administration pattern and
assess its compliance with Centers for Disease Control and Prevention (CDC) and the American
Society of Health-System Pharmacists (ASHP) protocols as the primary outcome and its adverse
effects as the secondary outcome.
Results: The mean duration of hospitalization and antibiotic therapy were 22.11 ± 1.76 and 19.08
± 1.51 respectively (mean ± SD). The most causes of vancomycin administration (51%) were
for surgery prophylaxis. In 38% of patients, vancomycin administration was not in accordance to
standard guidelines. Dose and duration of vancomycin therapy was according to ASHP and CDC
guidelines in 74% and 59% of patients. Dose readjustments of antibiotics were necessary in 28
patients which were done in 12 of them. A total of 140 samples were collected from 60 patients. In
30% of patients, vancomycin use was continued without considering the culture results.
Conclusion: It is important to set practical pharmaceutical and therapeutic infection control
committees in hospitals under the clinical pharmacists’ observation. Furthermore, educational
programs for health care professionals regarding rational use of antibiotics can be helpful in
improving antimicrobial medications utilization and monitoring. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| 327-Article Text-1365-1-10-20200626.pdf | 1399/04/11 | 606640 | دانلود |