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Appropriate use of vancomycin in a pediatric emergency department through the use of a standardized electronic
Sarah Likis Powell1, Erica Liebelt2
1Children's Hospital of Alabama, Birmingham, AL.
Objectives:
(a) Compare utilization of vancomycin in the ED prior to and after implementation of standardized treatment guideline and order template (STGOT); (b) assess the appropriate use as initial therapy based on indication versus admitting diagnosis.
Methods:
Chart audits on all patients who received vancomycin and were admitted. Overall utilization and appropriateness of starting therapy were compared pre-and post-STGOT implementation.
Results:
Overall utilization of vancomycin was 4% pre-STGOT compared to 3% post-STGOT; 98% of patients pre-STGOT compared to 99% post-STGOT received vancomycin appropriately.
Conclusion:
There was no difference in vancomycin utilization and appropriateness of initiating therapy after STGOT implementation.
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