Table 3.
Active medication orders on the day of urine collection
| Medication | Number of active orders | Discordance by medication (%)† |
|---|---|---|
| Vancomycin | 52 | 11 (21.2) |
| Cefepime | 37 | 8 (21.6) |
| Piperacillin/tazobactam | 33 | 1 (3) |
| Levetiracetam | 22 | 6 (27.3) |
| Enoxaparin | 22 | 0 |
| Meropenem | 15 | 4 (26.7) |
| Lacosamide | 9 | 0 |
| Daptomycin | 8 | 4 (50) |
| Cefazolin | 4 | 0 |
| Levofloxacin | 4 | 0 |
| Ampicillin/sulbactam | 1 | 1 (100) |
| Ceftaroline | 1 | 0 |
| Ceftolozane/tazobactam | 1 | 1 (100) |
| Rivaroxaban | 1 | 0 |
| Aminoglycosides | 2 | 0 |
| Total | 212 | 36 (17%) |
†Discordance by medication calculated as the number of the specified medication orders with a different CrCl8h cutoff than CrClCG divided by the total number of active orders for that medication. CrCl8h: Eight-hour creatinine clearance, CrClCG: Cockcroft–Gault creatinine clearance