Shrirajh Satheakeerthy, Sal Ging Vong, Rory Hannah, Melissa Teo, Christina Gao, Brandon Stretton, Aashray Gupta, Joshua Kovoor, Samuel Gluck, Toby Gilbert, Stephen Bacchi
{"title":"Clindamycin intravenous to oral switch automatic notifications: a pilot study","authors":"Shrirajh Satheakeerthy, Sal Ging Vong, Rory Hannah, Melissa Teo, Christina Gao, Brandon Stretton, Aashray Gupta, Joshua Kovoor, Samuel Gluck, Toby Gilbert, Stephen Bacchi","doi":"10.1111/imj.70172","DOIUrl":null,"url":null,"abstract":"<p>Where possible, antimicrobials, such as clindamycin, should be given orally rather than intravenously when efficacy will be equivalent. A single-centre pre-/post-intervention study was conducted. There were 11 134 patients admitted to included wards during the study period. Following the intervention, there was a reduction in the ratio of intravenous to oral clindamycin usage (<i>P</i> < 0.001) and in the median number of doses of intravenous clindamycin administered per day in the included wards (median 6 vs. 10, <i>P</i> < 0.001). The development and use of an automated notification system for rationalising the use of intravenous clindamycin was feasible and may have applicability to other medications.</p>","PeriodicalId":13625,"journal":{"name":"Internal Medicine Journal","volume":"55 9","pages":"1570-1574"},"PeriodicalIF":1.5000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internal Medicine Journal","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/imj.70172","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Where possible, antimicrobials, such as clindamycin, should be given orally rather than intravenously when efficacy will be equivalent. A single-centre pre-/post-intervention study was conducted. There were 11 134 patients admitted to included wards during the study period. Following the intervention, there was a reduction in the ratio of intravenous to oral clindamycin usage (P < 0.001) and in the median number of doses of intravenous clindamycin administered per day in the included wards (median 6 vs. 10, P < 0.001). The development and use of an automated notification system for rationalising the use of intravenous clindamycin was feasible and may have applicability to other medications.
期刊介绍:
The Internal Medicine Journal is the official journal of the Adult Medicine Division of The Royal Australasian College of Physicians (RACP). Its purpose is to publish high-quality internationally competitive peer-reviewed original medical research, both laboratory and clinical, relating to the study and research of human disease. Papers will be considered from all areas of medical practice and science. The Journal also has a major role in continuing medical education and publishes review articles relevant to physician education.