Title of article
Vancomycin use in a large teaching hospital in Shiraz, Islamic Republic of Iran, 2003
Author/Authors
Askarian, M. shiraz university of medical sciences - Department of Community Medicine, ايران , Assadian, O. Medical University of Vienna - University Hospital Vienna, Clinical Institute for Hygiene and Medical Microbiology, Austria , Safaee, GhR. jahrom university of medical sciences, ايران , Golkar, A. jahrom university of medical sciences, ايران , Namazi, S. shiraz university of medical sciences - Department of Pharmacy, ايران , Movahed, M.R. University of California - Irvine Medical Center - Department of Medicine, USA
From page
1195
To page
1201
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.
Journal title
Eastern Mediterranean Health Journal
Journal title
Eastern Mediterranean Health Journal
Record number
2638891
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