Article ; Online: Consecutive antibiotic shortages highlight discrepancies between microbiology and prescribing practices for intra-abdominal infections.
Antimicrobial agents and chemotherapy
2021 Volume 95, Issue 5
Abstract: Piperacillin-tazobactam (TZP) is frequently used for intra-abdominal infection (IAI). Our institution experienced consecutive shortages of TZP and cefepime, providing an opportunity to review prescribing patterns and microbiology for IAI. Hospitalized ... ...
| Abstract | Piperacillin-tazobactam (TZP) is frequently used for intra-abdominal infection (IAI). Our institution experienced consecutive shortages of TZP and cefepime, providing an opportunity to review prescribing patterns and microbiology for IAI. Hospitalized adult patients treated for IAI, based on provider selection of IAI as the indication within the antibiotic order, between March 2014 and February 2018 were identified from the University of Virginia Clinical Data Repository and Infection Prevention and Control Database. Antimicrobial utilization, microbiologic data, and clinical outcomes were compared across four year-long periods: pre-shortage, TZP shortage, cefepime shortage, and post-shortage. There were 7,668 episodes of antimicrobial prescribing for an indication of IAI during the study period. Cefepime use for IAI increased 190% during the TZP shortage; meanwhile ceftriaxone use increased by only 57%. There was no increase in in-house mortality, colonization with resistant organisms, or |
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| Language | English | ||||||||||
| Publishing date | 2021-02-16 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 217602-6 | ||||||||||
| ISSN | 1098-6596 ; 0066-4804 | ||||||||||
| ISSN (online) | 1098-6596 | ||||||||||
| ISSN | 0066-4804 | ||||||||||
| DOI | 10.1128/AAC.01980-20 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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