Matches in SemOpenAlex for { <https://semopenalex.org/work/W2896912046> ?p ?o ?g. }
Showing items 1 to 94 of
94
with 100 items per page.
- W2896912046 endingPage "S500" @default.
- W2896912046 startingPage "S499" @default.
- W2896912046 abstract "Inappropriate IV vancomycin prescribing for febrile neutropenia (FN) is an excellent stewardship target given well-established guidelines specifying indications for its use. As a supplement to an educational initiative with institutional FN guidelines, we conducted methicillin-resistant Staphylococcus aureus (MRSA) colonization screening to estimate its prevalence on our hematology/oncology unit. We hypothesize that MRSA prevalence data can augment existing stewardship efforts to improve IV vancomycin use in FN. (1) Pre-intervention: we conducted a retrospective chart review of vancomycin receipt for FN on a 32-bed Hematology/Oncology unit, November 2015–May 2016 (control group). (2) Intervention: in January 2017, we implemented an institutional FN guideline with recurring education to hematology/oncology providers emphasizing criteria for appropriate vancomycin initiation. Vancomycin audit was again conducted from February 2017–October 2017 (intervention group). The primary outcome was appropriateness of vancomycin use per guideline indications (chi-squared analysis). Use was considered inappropriate if no guideline indications were met. (3) MRSA screening: cultures were obtained from the nares, axilla and groin on admission and bimonthly for 6 weeks and plated on CHROMagar. Screened patients were followed for 5 months for the occurrence of clinical MRSA infection. Forty-three of 88 controls were started on vancomycin appropriately vs. 60 of 91 intervention group patients (49% vs. 66%, P = 0.02). Results of MRSA screening and follow-up for invasive infection are shown in Table 1. Recurring, guideline-focused education can improve appropriateness of vancomycin for FN. High NPV in our study supports the hypothesis that MRSA screening can augment stewardship efforts to reduce vancomycin use when not indicated. All authors: No reported disclosures." @default.
- W2896912046 created "2018-10-26" @default.
- W2896912046 creator A5010925671 @default.
- W2896912046 creator A5015702765 @default.
- W2896912046 creator A5016161338 @default.
- W2896912046 creator A5019050010 @default.
- W2896912046 creator A5030538658 @default.
- W2896912046 creator A5049809110 @default.
- W2896912046 creator A5051049867 @default.
- W2896912046 creator A5067796007 @default.
- W2896912046 creator A5071058547 @default.
- W2896912046 creator A5072849182 @default.
- W2896912046 date "2018-11-01" @default.
- W2896912046 modified "2023-10-03" @default.
- W2896912046 title "1596. Thinking Locally: Can Unit-Specific Methicillin-Resistant Staphylococcus aureus Screening Augment Stewardship Interventions for Febrile Neutropenia?" @default.
- W2896912046 doi "https://doi.org/10.1093/ofid/ofy210.1424" @default.
- W2896912046 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6253358" @default.
- W2896912046 hasPublicationYear "2018" @default.
- W2896912046 type Work @default.
- W2896912046 sameAs 2896912046 @default.
- W2896912046 citedByCount "0" @default.
- W2896912046 crossrefType "journal-article" @default.
- W2896912046 hasAuthorship W2896912046A5010925671 @default.
- W2896912046 hasAuthorship W2896912046A5015702765 @default.
- W2896912046 hasAuthorship W2896912046A5016161338 @default.
- W2896912046 hasAuthorship W2896912046A5019050010 @default.
- W2896912046 hasAuthorship W2896912046A5030538658 @default.
- W2896912046 hasAuthorship W2896912046A5049809110 @default.
- W2896912046 hasAuthorship W2896912046A5051049867 @default.
- W2896912046 hasAuthorship W2896912046A5067796007 @default.
- W2896912046 hasAuthorship W2896912046A5071058547 @default.
- W2896912046 hasAuthorship W2896912046A5072849182 @default.
- W2896912046 hasBestOaLocation W28969120461 @default.
- W2896912046 hasConcept C126322002 @default.
- W2896912046 hasConcept C142724271 @default.
- W2896912046 hasConcept C177713679 @default.
- W2896912046 hasConcept C2776040555 @default.
- W2896912046 hasConcept C2776694085 @default.
- W2896912046 hasConcept C2776703206 @default.
- W2896912046 hasConcept C2777052132 @default.
- W2896912046 hasConcept C2777063308 @default.
- W2896912046 hasConcept C2778850193 @default.
- W2896912046 hasConcept C2778980435 @default.
- W2896912046 hasConcept C2779489039 @default.
- W2896912046 hasConcept C2780182762 @default.
- W2896912046 hasConcept C501593827 @default.
- W2896912046 hasConcept C523546767 @default.
- W2896912046 hasConcept C54355233 @default.
- W2896912046 hasConcept C71924100 @default.
- W2896912046 hasConcept C86803240 @default.
- W2896912046 hasConcept C89423630 @default.
- W2896912046 hasConcept C94665300 @default.
- W2896912046 hasConceptScore W2896912046C126322002 @default.
- W2896912046 hasConceptScore W2896912046C142724271 @default.
- W2896912046 hasConceptScore W2896912046C177713679 @default.
- W2896912046 hasConceptScore W2896912046C2776040555 @default.
- W2896912046 hasConceptScore W2896912046C2776694085 @default.
- W2896912046 hasConceptScore W2896912046C2776703206 @default.
- W2896912046 hasConceptScore W2896912046C2777052132 @default.
- W2896912046 hasConceptScore W2896912046C2777063308 @default.
- W2896912046 hasConceptScore W2896912046C2778850193 @default.
- W2896912046 hasConceptScore W2896912046C2778980435 @default.
- W2896912046 hasConceptScore W2896912046C2779489039 @default.
- W2896912046 hasConceptScore W2896912046C2780182762 @default.
- W2896912046 hasConceptScore W2896912046C501593827 @default.
- W2896912046 hasConceptScore W2896912046C523546767 @default.
- W2896912046 hasConceptScore W2896912046C54355233 @default.
- W2896912046 hasConceptScore W2896912046C71924100 @default.
- W2896912046 hasConceptScore W2896912046C86803240 @default.
- W2896912046 hasConceptScore W2896912046C89423630 @default.
- W2896912046 hasConceptScore W2896912046C94665300 @default.
- W2896912046 hasIssue "suppl_1" @default.
- W2896912046 hasLocation W28969120461 @default.
- W2896912046 hasLocation W28969120462 @default.
- W2896912046 hasLocation W28969120463 @default.
- W2896912046 hasOpenAccess W2896912046 @default.
- W2896912046 hasPrimaryLocation W28969120461 @default.
- W2896912046 hasRelatedWork W2023518339 @default.
- W2896912046 hasRelatedWork W2032268624 @default.
- W2896912046 hasRelatedWork W2129911918 @default.
- W2896912046 hasRelatedWork W2153012695 @default.
- W2896912046 hasRelatedWork W2163948114 @default.
- W2896912046 hasRelatedWork W2292085469 @default.
- W2896912046 hasRelatedWork W2359821395 @default.
- W2896912046 hasRelatedWork W2411510431 @default.
- W2896912046 hasRelatedWork W2896912046 @default.
- W2896912046 hasRelatedWork W2980623856 @default.
- W2896912046 hasVolume "5" @default.
- W2896912046 isParatext "false" @default.
- W2896912046 isRetracted "false" @default.
- W2896912046 magId "2896912046" @default.
- W2896912046 workType "article" @default.