Hostname: page-component-7479d7b7d-767nl Total loading time: 0 Render date: 2024-07-09T13:22:54.267Z Has data issue: false hasContentIssue false

Knowledge, Attitudes, and Behaviors Regarding Piperacillin-Tazobactam Prescribing Practices: Results From a Multicenter Study

Published online by Cambridge University Press:  21 June 2016

Theresa L. Antoine*
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Amy B. Curtis
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia College of Health and Human Services, Western Michigan University, Kalamazoo, Michigan
Henry M. Blumberg
Affiliation:
Grady Memorial Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Kathryn DeSilva
Affiliation:
Atlanta Veterans Affairs Medical Center, Atlanta, Georgia
Mesfin Fransua
Affiliation:
Grady Memorial Hospital, Atlanta, Georgia Morehouse School of Medicine, Atlanta, Georgia
Carolyn V. Gould
Affiliation:
Emory Crawford Long Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Mark King
Affiliation:
Grady Memorial Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia Boulder Community Hospital, Boulder, Colorado
Alice A. Kraman
Affiliation:
Emory Crawford Long Hospital, Atlanta, Georgia
Jan Pack
Affiliation:
Emory University Hospital, Atlanta, Georgia
Bruce Ribner
Affiliation:
Emory University Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Ulrich Seybold
Affiliation:
Grady Memorial Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
James P. Steinberg
Affiliation:
Emory Crawford Long Hospital, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Jane B. Wells
Affiliation:
Grady Memorial Hospital, Atlanta, Georgia
Ronda L. Sinkowitz-Cochran
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Denise Cardo
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
John A. Jernigan
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
Robert P. Gaynes
Affiliation:
Atlanta Veterans Affairs Medical Center, Atlanta, Georgia Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
*
1600 Clifton Road, Mailstop A-31, Atlanta, GA30333 (tantoine@cdc.gov)

Abstract

We investigated knowledge, attitudes, and behaviors of prescribers concerning piperacillin-tazobactam use at 4 Emory University-affiliated hospitals. Discussions during focus groups indicated that the participants' perceived knowledge of clinical criteria for appropriate piperacillin-tazobactam use was inadequate. Retrospective review of medical records identified inappropriate practices. These findings have influenced ongoing interventions aimed at optimizing piperacillin-tazobactam use.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Brinsley, K, Srinivasan, A, Sinkowitz-Cochran, R, et al. Implementation of the campaign to prevent antimicrobial resistance in healthcare settings: 12 steps to prevent antimicrobial resistance among hospitalized adults— experiences from 3 institutions. Am J Infect Control 2005; 33:5354.Google Scholar
2. Monnet, DL, Archibald, LK, Phillips, L, Tenover, FC, McGowan, JE Jr, Gaynes, RP. Antimicrobial use and resistance in eight US hospitals: complexities of analysis and modeling. Intensive Care Antimicrobial Resistance Epidemiology Project and National Nosocomial Infections Surveillance System Hospitals. Infect Control Hosp Epidemiol 1998; 19:388394.CrossRefGoogle ScholarPubMed
3. Krueger, RA. Focus Groups: A Practical Guide for Applied Research. 2nd ed. Thousand Oaks, CA: Sage Publications; 1994.Google Scholar
4. Mandell, LA, Bartlett, JG, Dowell, SF, File, TM Jr, Musher, DM, Whitney, C. Update of practice guidelines for the management of communityacquired pneumonia in immunocompetent adults. Clin Infect Dis 2003; 37:14051433.Google Scholar
5. National Nosocomial Infections Surveillance (NNIS) System. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004; 32:470485.Google Scholar
6. Solomkin, JS, Mazuski, JE, Baron, EJ, et al. Guidelines for the selection of anti-infective agents for complicated intra-abdominal infections. Clin Infect Dis 2003;37:9971005.Google Scholar
7. Lipsky, BA, Berendt, AR, Deery, HG, et al. Diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2004; 39:885910.Google Scholar
8. Goldmann, DA, Weinstein, RA, Wenzel, RP, et al. Strategies to prevent and control the emergence and spread of antimicrobial-resistant microorganisms in hospitals: a challenge to hospital leadership. JAMA 1996; 275:234240.CrossRefGoogle ScholarPubMed