Could you send the literature or references that you used to make the changes, 
even if soft

Thanks

Sent from my iPhone

On Jun 6, 2012, at 1:00 PM, Terry Clemmer <[email protected]> wrote:

> Stephanie
> When I read the literature carefully the evidence that it improves outcome is 
> soft at best. That being said, in the Urban Central Region of Intermountain 
> Healthcare we have gone to extended infusion of Vancomycin despite the 
> inadequacy of the evidence that it saves lives because it financially made a 
> difference in the cost.
>  
> Terry P. Clemmer, MD
> Director of Critical Care Medicine
> LDS Hospital
> 8th Ave and 'C' Street
> Salt Lake City, Utah 84143
>  
> Phone 801-408-3661
> E-mail: [email protected]
>  
>  
> "Confidential Report for Improvement of Hospital, Facility and Patient 
> Care--Not Part of Medical Record and Not to be Used in Litigation--Prepared 
> Pursuant to Utah Code Ann. § 26-25-1 et seq., or Idaho Code Ann. § 39-1392 et 
> seq."
>  
> From: [email protected] 
> [mailto:[email protected]] On Behalf Of Shawver, 
> Stephanie
> Sent: Friday, June 01, 2012 3:55 PM
> To: [email protected]
> Subject: [Sepsis Groups] Extended Infusion Beta Lactam Antibiotics
>  
> Colleagues,
>  
> I am curious to hear feedback on the recent studies indicating that extended 
> or continuous infusion of certain beta-lactam antibiotics have shown better 
> outcomes for severe sepsis and septic shock patients. Our hospital’s Sepsis 
> Committee is considering changing the antibiotic regime on our protocol to 
> have the applicable beta-lactam antibiotics infused over an extended period 
> of time, if not continuous. Are there any other facilities out there going 
> this route?
>  
> Stephanie Shawver BSN, RN
> Infection Prevention Practitioner & SLMV Sepsis Coordinator 
> St. Luke's Magic Valley
> 801 Pole Line Road West  | Twin Falls, ID 83301
> Office: (208) 814.3052   |  Email: [email protected]
> Infection Prevention Line: (208)-814-5120
> “ We are what we repeatedly do. Excellence then, is not an act but a habit.” 
> - Aristotle
>  
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