Evidence map›Paper›PMID 39334329›Full record

ArticleJournal of pharmaceutical health care and sciences2024

Impact of automated pop-up alerts on simultaneous prescriptions of antimicrobial agents and metal cations.

Takanori Matsumoto, Taichi Matsumoto, Chiyo Tsutsumi, Yoshiro Hadano

Abstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Takanori MatsumotoDepartment of Pharmacy, St. Mary's Hospital, 422 Tsubuku-Honmachi, Kurume, Fukuoka, 830-8543, Japan. takanori.m@st-mary-med.or.jp.ORCID http://orcid.org/0009-0002-0453-3763
Taichi MatsumotoBasic Medical Research Unit, St. Mary's Research Center, 422 Tsubuku-Honmachi, Kurume, Fukuoka, 830-8543, Japan.
Chiyo TsutsumiFaculty of Nursing, St. Mary's College, 422 Tsubuku-Honmachi, Kurume, Fukuoka, 830-8558, Japan.
Yoshiro HadanoDivision of Infection Control and Prevention, Shimane University Hospital, 89-1 Enyacho, Izumo, Shimane, 693-8501, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntimicrobial agents (AMAs) are essential for treating infections. A part of AMAs chelate with metal cations (MCs), reducing their blood concentrations. That drug-drug interaction could lead to a reduction of therapeutic efficacy and the emergence of drug-resistant bacteria. However, prescriptions ordering concomitant intake (co-intake) of AMAs and MCs are frequently seen in clinical settings. A method for preventing such prescriptions is urgently needed.

methodsWe implemented pop-up alerts in the hospital's ordering and pharmacy dispensation support system to notify the prescriptions ordering co-intake of AMAs and MCs for physicians and pharmacists, respectively. To assess the effectiveness of the pop-up alerts, we investigated the number of prescriptions ordering co-intake of AMAs and MCs and the number of pharmacist inquiries to prevent co-intake of AMAs and MCs before and after the implementation of pop-up alerts.

resultsBefore the implementation of pop-up alerts, 84.5% of prescriptions containing AMA and MCs ordered co-intake of AMAs and MCs. Implementing pop-up alerts time-dependently reduced the proportion of prescriptions ordering co-intake of AMAs and MCs to 43.8% and 29.5% one year and two years later, respectively. The reduction of tetracycline-containing prescriptions was mainly significant. Before the implementation of pop-up alerts, the proportion of prescriptions in which pharmacists prevented co-intake of AMAs and MCs was 3.4%. Implementing pop-up alerts time-dependently increased proportions of such prescriptions to 20.9% and 28.2% one year and two years later.

conclusionImplementing pop-up alerts reduced prescriptions ordering co-intake of AMAs and MCs and accelerated pharmacists to prevent co-intake of AMAs and MCs. The implementation of dual pop-up alerts in the hospital's ordering and pharmacy dispensation support system could help prevent co-intake of AMAs and MCs.

Indexed as

Antimicrobial agentsAutomated pop-up alertsChelationMetal cations

Identifiers

PMID39334329
PMCPMC11430289

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