Utilization pattern of vancomycin in a University Teaching Hospital in Oman

Comparison with international guidelines

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: To assess the prescribing and utilization pattern of vancomycin in Sultan Qaboos University Hospital (SQUH) in Oman. Methods: A retrospective study that included in-patients at SQUH who had used vancomycin from January 1 2009 to December 31 2009 was conducted to determine the utilization patterns of the drug vis a vis to the Hospital Infection Control Practices Advisory Committee (HICPAC) guidelines and the North American Therapeutic Drug Monitoring Consensus (NATDMC) recommendations. Information regarding patient characteristics and vancomycin therapy were obtained from patients' medical records. Statistical analyses were performed using descriptive statistics. Results: Out of 478 prescriptions for 365 patients, 79.1 % were considered inappropriate, based on HICPAC guidelines. This was mainly due to the continuous use of vancomycin following negative microbiological cultures for β-lactam-resistant Gram-positive microorganisms. Vancomycin was prescribed mostly for treatment of sepsis (27.1 %), followed by prophylaxis against various clinical conditions (20.8 %). Therapeutic drug monitoring (TDM) practices at SQUH did not comply with NATDMC recommendations on the use of trough concentration in the specified range as a guide for monitoring of therapy. Conclusion: Irrational use of vancomycin was recorded in this study. The need for a restrictive policy and a revision of the current TDM in the setting are recommended.

Original languageEnglish
Pages (from-to)117-121
Number of pages5
JournalTropical Journal of Pharmaceutical Research
Volume12
Issue number1
Publication statusPublished - Feb 2013

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Oman
Vancomycin
Teaching Hospitals
Drug Monitoring
Guidelines
Advisory Committees
Infection Control
Cross Infection
Drug Utilization
Lactams
Medical Records
Prescriptions
Sepsis
Therapeutics
Retrospective Studies
Sultan

Keywords

  • Drug utilization
  • Infection
  • Therapeutic drug monitoring
  • Vancomycin

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Pharmacology (medical)

Cite this

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title = "Utilization pattern of vancomycin in a University Teaching Hospital in Oman: Comparison with international guidelines",
abstract = "Purpose: To assess the prescribing and utilization pattern of vancomycin in Sultan Qaboos University Hospital (SQUH) in Oman. Methods: A retrospective study that included in-patients at SQUH who had used vancomycin from January 1 2009 to December 31 2009 was conducted to determine the utilization patterns of the drug vis a vis to the Hospital Infection Control Practices Advisory Committee (HICPAC) guidelines and the North American Therapeutic Drug Monitoring Consensus (NATDMC) recommendations. Information regarding patient characteristics and vancomycin therapy were obtained from patients' medical records. Statistical analyses were performed using descriptive statistics. Results: Out of 478 prescriptions for 365 patients, 79.1 {\%} were considered inappropriate, based on HICPAC guidelines. This was mainly due to the continuous use of vancomycin following negative microbiological cultures for β-lactam-resistant Gram-positive microorganisms. Vancomycin was prescribed mostly for treatment of sepsis (27.1 {\%}), followed by prophylaxis against various clinical conditions (20.8 {\%}). Therapeutic drug monitoring (TDM) practices at SQUH did not comply with NATDMC recommendations on the use of trough concentration in the specified range as a guide for monitoring of therapy. Conclusion: Irrational use of vancomycin was recorded in this study. The need for a restrictive policy and a revision of the current TDM in the setting are recommended.",
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author = "{Al Za'abi}, Mohammed and Samreen Shafiq and {Al Riyami}, Dawood and Ali, {Badreldin H.}",
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AU - Al Riyami, Dawood

AU - Ali, Badreldin H.

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N2 - Purpose: To assess the prescribing and utilization pattern of vancomycin in Sultan Qaboos University Hospital (SQUH) in Oman. Methods: A retrospective study that included in-patients at SQUH who had used vancomycin from January 1 2009 to December 31 2009 was conducted to determine the utilization patterns of the drug vis a vis to the Hospital Infection Control Practices Advisory Committee (HICPAC) guidelines and the North American Therapeutic Drug Monitoring Consensus (NATDMC) recommendations. Information regarding patient characteristics and vancomycin therapy were obtained from patients' medical records. Statistical analyses were performed using descriptive statistics. Results: Out of 478 prescriptions for 365 patients, 79.1 % were considered inappropriate, based on HICPAC guidelines. This was mainly due to the continuous use of vancomycin following negative microbiological cultures for β-lactam-resistant Gram-positive microorganisms. Vancomycin was prescribed mostly for treatment of sepsis (27.1 %), followed by prophylaxis against various clinical conditions (20.8 %). Therapeutic drug monitoring (TDM) practices at SQUH did not comply with NATDMC recommendations on the use of trough concentration in the specified range as a guide for monitoring of therapy. Conclusion: Irrational use of vancomycin was recorded in this study. The need for a restrictive policy and a revision of the current TDM in the setting are recommended.

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