Vancomycin use in a large teaching hospital in Shiraz, Islamic Republic of Iran, 2003

M. Askarian, O. Assadian, Gh R. Safaee, A. Golkar, S. Namazi, M. R. Movahed

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

We investigated adherence to the Hospital Infection Control Practice Advisory Committee (HICPAC) guidelines on vancomycin prescription in a large university-affiliated hospital in Shiraz. From August to December 2003, 200 hospitalized patients received vancomycin. For only 12 (6%) of these patients was vancomycin prescribed appropriately according to HICPAC guidelines. The main reasons why vancomycin use did not comply with HICPAC recommendations were: surgical prophylaxis in patients with negative cultures for resistant Gram-positive organisms, no investigation of vancomycin serum levels in patients receiving > 48 hours of vancomycin, vancomycin serum levels not repeated in patients receiving > 1 week of vancomycin, no appropriate adjustment of dosage with respect to serum levels in patients receiving vancomycin.

Original languageEnglish (US)
Pages (from-to)1195-1201
Number of pages7
JournalEastern Mediterranean Health Journal
Volume13
Issue number5
DOIs
StatePublished - 2007
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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