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BRIEF REPORT
Year : 2019  |  Volume : 9  |  Issue : 3  |  Page : 107-110

Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit


1 Department of Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA
2 Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson, AZ, USA
3 Department of Medicine, Baylor College of Medicine, Houston, TX, USA

Correspondence Address:
Dr. Mayar Al Mohajer
Infection Prevention and Control, Room 508E, Baylor St. Luke’s Medical Center, MC 1–166, 6720 Bertner Ave, Houston, TX 77030
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajm.AJM_189_18

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Purpose: We aimed to assess factors associated with therapy failure in patients with community-acquired pneumonia in the intensive care unit (ICU). Methods: Electronic charts of patients with International Classification of Diseases, Ninth Revision, codes of pneumonia who were admitted to the ICU at a tertiary academic medical center in Southern Arizona were reviewed. Results: Antipseudomonal coverage and anti-methicillin-resistant Staphylococcus aureus (MRSA) coverage were often prescribed (58.4% and 54.1%, respectively). Antipseudomonal coverage was rarely necessary as pseudomonal pneumonia was found in only one case (0.9%). Antipseudomonal and anti-MRSA coverage was not associated with improved outcomes. Conclusion: Overprescription of antibiotics in this population remains a significant problem. More work is needed to further limit unnecessary antibiotic use.


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