Appropriate Use of Vancomycin in a Pediatric Emergency Department Through the Use of a Standardized Electronic Guideline 1

• We looked at the appropriateness of using vancomycin in a pediatric emergency department using a standardized electronic guideline.
• We examined the admitting diagnosis and the documented findings to determine the appropriateness of the ordered vancomycin indication, and the overall utilization of vancomycin ordered on admitted patients' pre- and post-standardized electronic guideline implementation.
• Compliance with using the standardized electronic guideline was 99%.
• There was no difference in overall vancomycin utilization and appropriateness of initiating therapy after the standardized electronic guideline implementation.

Objectivesa. Compare utilization of vancomycin in the ED prior to and after implementation of standardized treatment guideline and order template (STGOT); b. assess the appropriate use as initial therapy based on indication versus admitting diagnosis.MethodsChart audits on all patients who received vancomycin and were admitted. Overall utilization and appropriateness of starting therapy were compared pre-and post-STGOT implementation.ResultsOverall utilization of vancomycin was 4% pre-STGOT compared to 3% post-STGOT; 98% of patients pre-STGOT compared to 99% post-STGOT received vancomycin appropriately.ConclusionThere was no difference in vancomycin utilization and appropriateness of initiating therapy after STGOT implementation.