Avicenna Journal of Medicine

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


Rorak Hooten1, Jose Luis Marquez1, Kady Goldlist1, Rafael Urcis1, Matthew Adams1, Kathryn R Matthias2, David E Nix2, Mayar Al Mohajer3 
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

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.


How to cite this article:
Hooten R, Luis Marquez J, Goldlist K, Urcis R, Adams M, Matthias KR, Nix DE, Al Mohajer M. Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit.Avicenna J Med 2019;9:107-110


How to cite this URL:
Hooten R, Luis Marquez J, Goldlist K, Urcis R, Adams M, Matthias KR, Nix DE, Al Mohajer M. Overprescription of antibiotics in patients with community-acquired pneumonia in the intensive care unit. Avicenna J Med [serial online] 2019 [cited 2019 Sep 17 ];9:107-110
Available from: http://www.avicennajmed.com/article.asp?issn=2231-0770;year=2019;volume=9;issue=3;spage=107;epage=110;aulast=Hooten;type=0