Page 35 - Christiana Care Focus October 2018
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           *includes moxifloxacin (non-formulary)
Source: UHC; DOT = days of therapy;
FQ = fluoroquinolone. When comparing monthly trends each year, there has been a significant decrease in fluoroquinolone and aztreonam use, likely attributed to more thorough beta-lactam (penicillin) allergy assessments. Fluoroquinolones have been associated with increasing resistance, toxigenic C. difficile infections, as well as toxicity. Aztreonam has a lim- ited spectrum of activity, with increasing bacterial resistance and significant cost. These agents should be reserved for those with severe beta lactam allergies (anaphylaxis, hives, swelling, shortness of breath, edema).
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