Academic Journal
Prescription of Aminoglycosides in 23 French Neonatal Intensive Care Units.
| العنوان: | Prescription of Aminoglycosides in 23 French Neonatal Intensive Care Units. |
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| المؤلفون: | Martin-Mons, Séverine, Gouyon, Béatrice, Lorrain, Séverine, Abasse, Soumeth, Alexandre, Cénéric, Binson, Guillaume, Brat, Roselyne, Caeymaex, Laurence, Couringa, Yvan, Desbruyeres, Cécile, Meglio, Marine Dorsi-Di, Escourrou, Guillaume, Flamein, Florence, Flechelles, Olivier, Girard, Olivier, Kermorvant-Duchemin, Elsa, Lapillonne, Alexandre, Lafon, Catherine, Di Maio, Massimo, Mazeiras, Gaël, Mourdie, Julien, Moussy-Durandy, Amélie, Pages, Anne-Sophie, Ramful, Duksha, Razafimahefa, Hasinirina, Rosenthal, Jean-Marc, Iacobelli, Silvia, Gouyon, Jean-Bernard |
| المساهمون: | Centre d'Études Périnatales de l'Océan Indien (CEPOI), Université de La Réunion (UR)-Centre Hospitalier Universitaire de La Réunion (CHU La Réunion), Centre Hospitalier de Mayotte, Centre hospitalier universitaire de Poitiers = Poitiers University Hospital (CHU de Poitiers La Milétrie ), Centre Hospitalier Régional d'Orléans (CHRO), Centre Hospitalier Intercommunal de Créteil (CHIC), Centre Hospitalier Métropole Savoie Chambéry, Centre hospitalier territorial Gaston-Bourret Nouméa, Centre Hospitalier Intercommunal André Grégoire Montreuil (CHI André Gregoire), Centre Hospitalier Universitaire de Lille (CHU de Lille), Centre Hospitalier Universitaire de Martinique Fort-de-France, Martinique, Centre Hospitalier de Saint-Denis Ile-de-France, Groupe Hospitalier Artois-Ternois Centre Hospitalier d’Arras, Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Centre Hospitalier de la Côte Basque (CHCB), Groupe Hospitalier du Havre Hôpital Jacques Monod (MONTIVILLIERS) (GHH), Centre hospitalier intercommunal de Poissy/Saint-Germain-en-Laye - CHIPS Poissy, Service de Néonatalogie CHPC - Site Louis Pasteur, Site Louis Pasteur CHPC, CH Centre Hospitalier Public du Cotentin (CHPC)-CH Centre Hospitalier Public du Cotentin (CHPC), Centre Hospitalier Universitaire de La Réunion (CHU La Réunion), Centre Hospitalier Sud Francilien |
| المصدر: | EISSN: 2079-6382 ; Antibiotics ; https://hal.science/hal-03618890 ; Antibiotics, 2021, Antibiotics 2021, 10 (11), pp.1422. ⟨10.3390/antibiotics10111422⟩ |
| بيانات النشر: | HAL CCSD MDPI |
| سنة النشر: | 2021 |
| المجموعة: | Université de la Réunion: HAL |
| مصطلحات موضوعية: | [SDV]Life Sciences [q-bio], [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition |
| الوصف: | International audience ; Background: Aminoglycosides are the most prescribed antibiotics in neonatal intensive care units (NICU). Reducing exposure to antibiotics in the NICU is highly desirable, particularly through benchmarking methods.Methods: Description of aminoglycosides prescriptions in 23 French NICU using the same computerized system over a 4-year period (2017-2020). A benchmarking program of antibiotics prescription was associated.Results: The population included 53,818 patients. Exposition rates to gentamicin and amikacin were 31.7% (n = 17,049) and 9.1% (n = 4894), respectively. Among neonates exposed to gentamicin, 90.4% of gentamicin and 77.6% of amikacin treatments were started within the 1st week of life. Among neonates exposed to amikacin, 77.6% started amikacin within the 1st week. The average daily dose of gentamicin at first prescription increased over the study period from 3.9 in 2017 to 4.4 mg/kg/d in 2020 (p < 0.0001). Conversely, the corresponding amikacin daily doses decreased from 13.0 in 2017 to 12.3 mg/kg/d in 2020 (p = 0.001). The time interval between the first 2 doses of gentamicin was mainly distributed in 3 values during the first week of life: 49.4% at 24 h, 26.4% at 36 h, and 22.9% at 48 h. At first amikacin prescription, the time interval was distributed in 4 categories: 48% at 24 h, 4.1% at 30 h, 8.5% at 36 h, and 37.1% at 48 h. As compared to literature guidelines, the rates of overdose and underdose in gentamicin (1.5% and 2.7%) and amikacin (0.3% and 1.0%). They significantly decreased for gentamicin over the study period. In multivariate analysis, the factors significantly associated with GENT overdose were the year of admission, prematurity, length of stay, and duration of the treatment.Conclusion: This prescription strategy ensured a low rate of overdose and underdose, and some benefits of the benchmarking program is suggested. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/34827360; hal-03618890; https://hal.science/hal-03618890; https://hal.science/hal-03618890/document; https://hal.science/hal-03618890/file/antibiotics-10-01422.pdf; PUBMED: 34827360; PUBMEDCENTRAL: PMC8614949 |
| DOI: | 10.3390/antibiotics10111422 |
| الاتاحة: | https://hal.science/hal-03618890 https://hal.science/hal-03618890/document https://hal.science/hal-03618890/file/antibiotics-10-01422.pdf https://doi.org/10.3390/antibiotics10111422 |
| Rights: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.EDFE0F54 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/antibiotics10111422 |
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