O063 Use of MRSA screening to discontinue teicoplanin on a tertiary vascular surgical firm
نویسندگان
چکیده
Abstract Introduction The aim of this study was to determine whether the implementation new educational interventions could reduce use teicoplanin in Diabetic Foot Infections (DFI) on a Vascular surgical firm and prevent potential toxicity. Local trust guidelines state that DFI should be treated with piperacillin-tazobactam teicoplanin. Following groin/nasal swab, can then withdrawn if patient has negative screen for MRSA (methicillin-resistant Staphylococcus aureus). Methods Interventions were undertaken overuse These consisted Ward Pharmacist teaching, updating Doctor Handbook sending an email Juniors explaining current antibiotic guidelines. Alongside these pre-existing weekly microbiology Consultant-led ward rounds. Teicoplanin prescribing compared groups identified pre (n=44) post intervention (n=36). Inclusion criteria diabetes/ prediabetes, no allergies penicillin or prosthetic material grafts situ. Results mean number excess doses decreased from 4.84 (pre-intervention) 1.00 (post-intervention). Largest received by one reduced 11 6. One 400 mg vial costs £9.30, resulting average saving £35.71 per patient. Conclusion described firm. This resulted more cost-effective practice, drug administration rounds becoming time efficient less waste thus facilitating sustainable practice. Future research further explore impact sustainability calculating carbon emissions usage ward. Take-home message Educational have helped patients under care vascular led reduction expenses, promoting
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac242.063