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Inappropriate Use of Antifungal Medications in a Tertiary Care Center in Thailand: A Prospective Study

Published online by Cambridge University Press:  02 January 2015

Apisada Sutepvarnon ,
Anucha Apisarnthanarak ,
Bernard Camins ,
Kristin Mondy  and
Victoria J. Fraser
Apisada Sutepvarnon
Affiliation:
Division of Infectious Diseases and Infection Control, Faculty of Medicine, Thammasart University Hospital, Pratumthani, Thailand
Anucha Apisarnthanarak*
Affiliation:
Division of Infectious Diseases and Infection Control, Faculty of Medicine, Thammasart University Hospital, Pratumthani, Thailand
Bernard Camins
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Kristin Mondy
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
Victoria J. Fraser
Affiliation:
Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri
*
Division of Infectious Diseases, Faculty of Medicine, Thammasart University Hospital, Pratumthani, Thailand12120 (anapisarn@yahoo.com)
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Abstract

The incidence and factors associated with inappropriate use of antifungal medications were studied in a Thai tertiary care center. The incidence of inappropriate antifungal use was 74% (in 42 of 57 patients). Isolation of Candida species from urine (P = .004) was a risk factor, whereas receipt of an infectious diseases consultation (P = .004) was protective.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 4 , April 2008 , pp. 370 - 373
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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References

1.Loeffler, J, Stevens, DA. Antifungal drug resistance. Clin Infect Dis 2003;36(suppl 1):S31–41.Google Scholar
2.NCCLS. Methods for antifungal disk diffusion susceptibility testing of yeasts: Approved guideline. NCCLS document. Wayne, PA: NCCLS, 2004:M44–A.Google Scholar
3.Mandel, GL, Bennett, JE, Dolin, R, eds. Mandeli, Douglas and Bennett's Principles and Practice of Infectious Diseases. 6th ed. New York, NY: Churchill Livingstone; 2005.Google Scholar
4.Kunin, CM, Tupasi, T, Craig, WA. Use of antibiotics: a brief exposition of the problem and some tentative solutions. Ann Intern Med 1973;79:555–560.Google Scholar
5.Warren, JW, Abrutyn, E, Hebel, JR. Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis. Clin Infect Dis 1999;29:745–758.CrossRefGoogle ScholarPubMed
6.Lundstrom, T, Sobel, J. Nosocomial candiduria: a review. Clin Infect Dis 2001;32:1602–1607.Google Scholar
7.Gutierrez, F, Patrick, GW, Cohen, J. Antimicrobial practice: an audit of the use of antifungal agents. J Antimicrob Chemother 1996;37:175–185.CrossRefGoogle ScholarPubMed
8.Apisarnthanarak, A, Danchaivijitr, S, Bailey, TC, Fraser, VJ. Inappropriate antibiotic use in a tertiary care center in Thailand: an incidence study and review of experience in Thailand. Infect Control Hosp Epidemiol 2006;27:416–420.Google Scholar
9.Classen, DC, Burk, JP, Wenzel, RP. Infectious diseases consultation: impact on outcomes for hospitalized patients and results of a preliminary study. Clin Infect Dis 1997;24:468–470.Google Scholar
10.Petrak, RM, Sexton, DJ, Butera, ML, et al.The value of an infectious diseases specialist. Clin Infect Dis 2003;36:1013–1017.CrossRefGoogle ScholarPubMed