Table 2.
Vancomycin/teicoplanin prescribing for inpatients not conforming to agreed guidelines.
| Number of prescriptions not conforming (Number of prescriptions not conforming/1000 prescriptions audited) | |||
|---|---|---|---|
| Category of prescribing confirmed as not conforming | Pre-ICF Audit-9 weeks | During ICF-104 weeks | P value |
| Empirical treatment | 94 (516) | 157 (145) | < 0.0001 |
| Prophylaxis | 25 (137) | 26 (24) | < 0.0001 |
| β-lactam sensitive isolate* | 8 (44) | 8 (7) | < 0.0005 |
| Coagulase-negative staphylococcus in only one blood culture | 10 (55) | 40 (37) | NS |
| Primary treatment of antibiotic colitis | 11 (60) | 17 (16) | < 0.0005 |
| Treatment of MRSA colonization | 3 (16) | 65 (60) | < 0.05 |
| All the above† | 151 (830) | 313 (288) | < 0.0001 |
N.B. Patients in the Bone Marrow Transplant Centre and Paediatric and Neonatal ICU were not audited. During ICF intervention for MRSA, colonization became most common presumably due to indiscriminate dependence on laboratory reports by clinicians.
From patients without ‘penicillin allergy’.
Among the 182 patients in the pre ICF audit and the 1086 audited during the conduct ofICF, the remainder were deemed to have conformed; 31 and 773, respectively. However, 3and 51, respectively, of the latter were actually ‘unevaluable’.
P values refer to two tailed χ sqauare tests; NS = not significant.