Data/hora: 06/06/2024 07:47:05

Provedor de dados: | 55
País: | Brazil
Título: | Impact of piperacillin-tazobactam shortage on meropenem use: implications for antimicrobial stewardship programs
Autores: | Barber,Katie E.; Bell,Allison M.; King,S. Travis; Parham,Jason J.; Stover,Kayla R.
Data: | 2016-12-01
Ano: | 2016
Palavras-chave: | Piperacillin; Meropenem; Pharmaceutical; Antimicrobial stewardship program.
Resumo: | ABSTRACT Drug shortages pose a clear detriment to antimicrobial stewardship (AS) efforts. Our objective was to evaluate the effect of a piperacillin-tazobactam shortage on meropenem use, related costs, and associated changes in AS activity. A quasi-experimental quality improvement review compared adult patients receiving meropenem ≥72 h three months pre-shortage and three months during the shortage. 320 patients were included (pre-shortage: 103; shortage: 217). Baseline characteristics were similar, but the length of stay was slightly longer in pre-shortage [19 (11-32) days] versus shortage [16 (11-32) days] (p = 0.094). In pre-shortage and shortage, median days of therapy and estimated meropenem cost were 7 (5-11) and 7 (5-10) and $309.93 ($173.60-$507.03) and $255.30 ($204.24-$424.31), respectively (p = 0.411 and p = 0.050). Frequency of ID consultation was similar (16.8% in pre- and 25.3% in shortage, p = 0.091). AS interventions increased during the shortage period (99 in pre-shortage and 205 in shortage). De-escalation occurred in 19.4% versus 32.7% of the patients in pre-shortage and shortage (p = 0.014). The piperacillin-tazobactam shortage was associated with a 111% increase in meropenem prescriptions despite active AS, but was not associated with changes in mortality, length of therapy, or meropenem costs. AS should be aware that shortages may require proactive countermeasures to avoid inappropriate antimicrobial use during shortage periods.
Tipo: | Info:eu-repo/semantics/other
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702016000600631
Editor: | Brazilian Society of Infectious Diseases
Relação: | 10.1016/j.bjid.2016.08.001
Formato: | text/html
Fonte: | Brazilian Journal of Infectious Diseases  v.20 n.6 2016
Fonte: | info:eu-repo/semantics/openAccess