An Antibiotic Order Form Intervention Does Not Improve or Reduce Vancomycin Use

Abstract

Inappropriate vancomycin use and vancomycin use overall increased after the introduction of an AOF. An AOF intervention did not have its intended effect of improving and reducing vancomycin use.

A Call to Action for Antimicrobial Stewardship in the Emergency Department: Approaches and Strategies

“…For example, while they have been used successfully in reducing inappropriate surgical prophylaxis; 51 they have not been shown to be useful in reducing vancomycin in pediatric inpatients. 52 In the critical care setting, restrictions on antibiotic use have resulted in reducing selected antimicrobial agents, though that success has been offset in some studies by increasing use of other broad-spectrum agents. 53,54 The most notable challenge with order forms which has been described is their practical inconvenience and undue time requirements; 33 accordingly, future evaluation of the utility and impact of antibiotic order forms in ED should attend to streamlining methods for integrating them into EDs and will require further study.…”

Drug use density in critically ill children and newborns: Analysis of various methodologies

“…These methods include the total number of defined daily doses (DDDs), prescribed daily doses (PDDs), days of medication use, or doses of medication (indexed to number of patients or patient days total, 100 or 1000) and the proportion of patients receiving the medication (1). Each of the above methods has advantages and disadvantages.…”

Antimicrobial Stewardship in Pediatric Care: Strategies and Future Directions

“…After the development of the ASP team, it is necessary to determine the types of strategies to use. The list of core and supplemental strategies recommended in the IDSA ASP guideline are shown in Table …”