A Multicenter Study on Optimizing Piperacillin-Tazobactam Use: Lessons on Why Interventions Fail

被引：2

作者：

Gaynes, Robert P. ^{[1
,2
,3
]}

Gould, Carolyn V. ^{[1
,2
]}

Edwards, Jonathan ^{[1
]}

Antoine, Theresa L. ^{[1
]}

Blumberg, Henry M. ^{[2
,4
]}

DeSilva, Kathryn ^{[3
]}

King, Mark ^{[2
,4
]}

Kraman, Alice ^{[5
]}

Pack, Jan ^{[6
]}

Ribner, Bruce ^{[2
,6
]}

Seybold, Ulrich ^{[7
]}

Steinberg, James ^{[2
,5
]}

Jernigan, John A. ^{[1
,2
]}

机构：

[1] Ctr Dis Control & Prevent, Div Healthcare Qual Promot, Atlanta, GA 30333 USA

[2] Emory Univ, Sch Med, Div Infect Dis, Atlanta, GA USA

[3] Atlanta Vet Affairs Med Ctr, Atlanta, GA USA

[4] Grady Mem Hosp, Dept Epidemiol, Atlanta, GA USA

[5] Emory Crawford Long Hosp, Atlanta, GA USA

[6] Emory Univ Hosp, Atlanta, GA 30322 USA

[7] Univ Munich, Med Poliklin, D-8000 Munich, Germany

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2009年 / 30卷 / 08期

关键词：

RANDOMIZED CONTROLLED-TRIAL; DECISION-SUPPORT;

D O I：

10.1086/599002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We examined interventions to optimize piperacillin-tazobactam use at 4 hospitals. Interventions for rotating house staff did not affect use. We could target empiric therapy in only 35% of cases. Because prescribing practices seemed to be institution specific, interventions should address attitudes of local prescribers. Interventions should target empiric therapy and ordering of appropriate cultures.

引用

页码：794 / 796

页数：3

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