Duke University Hospital Duke Raleigh Hospital Duke Regional Hospital

CRITICAL Drug Shortage ALERT: Intravenous (IV) Metronidazole

Metronidazole injection 500 mg/100 mL pre-mix bags remain on national shortage.  DUHS Pharmacy has an extremely limited supply and expects to fully exhaust supply within a few days. Oral metronidazole is unaffected by this shortage. Providers/pharmacists please utilize PO metronidazole and transition patients from IV to PO as soon as clinically appropriate. Please refer to the IV Metronidazole page for further mitigation strategies (e.g., q12h dosing in favor of q8h dosing for select patients)

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Vancomycin AUC/MIC Dosing - LIVE @ DRAH!

The DRAH Vancomycin Dosing and TDM policy has been updated to include AUC/MIC dosing & TDM recommendations based on recently published guidelines. These changes are effective September 21, 2021. 

CustomID pages (e.g. vancomycin & PK policy) have been updated with relevant information. 

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COVID-19 Vaccines & Inpatient Vaccination Policy

Vaccination against COVID-19 is strongly encouraged.

For information on COVID-19 vaccines & inpatient vaccination process click ---> here!

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DUHS COVID-19 Tracking Dashboard

Visit the DUHS COVID-19 Dashboard to stay informed on COVID-19 metrics including current inpatient census, positive testing rate, and overall DUHS COVID-19 trends. 

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COVID-19 Clinical Trials at DRAH

Does your patient qualify for a COVID-19 Clinical Trial? 

Active DUHS clinical trials and open clinical trials at DRAH are summarized here!  

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What to Choose?? Treatment guidance for the Emergency Department

Decisions about antibiotics in the ED can be hard. We've developed some new ED specific tools to help!

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Guideline for Therapeutic Management of Adult Patients w/ COVID-19

DUHS COVID-19 guideline for therapeutic management (e.g., remdesivir, EUA baricitinib) of adult inpatients can be found ---> here!

Please contact ID Pharmacist with questions at 485-1736 or for assistance with drug approval

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Is Your Patient Penicillin Allergic?

Did you know that the true incidence of penicillin hypersensitivity amongst patients in the United States is <1%?

Did you know that a patient with a reported pencillin allergy has been correlated to higher costs, increased risk of antibiotic resistance, and worse patient outcomes? 

Take Action! Careful evaluation of antimicrobial allergy and prior tolerance history is essential to providing optimal treatment - follow the link to learn more! 

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Improve antibiotic prescribing by incorporating these four moments:

    1. Does this patient have an infection that requires antibiotics?  
    2. Have I ordered appropriate cultures before starting antibiotics?
    3. A day or more has passed. Can I stop antibiotics? Can I narrow therapy? Can I change from IV to PO?
    4. What duration of antibiotic therapy is needed for this patient's diagnosis? 

 

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Do You Know Your Antibiotic Duration?

What is the BEST duration to effectively treat and minimize unintended consequences of antibiotics?? 

View our Targeted Antibiotic Duration document for guidance for appropriate durations of therapy for common disease states

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Rapid Diagnostic at DRAH Rapidly Detects Pathogens in Blood

Rapid diagnostic technology at DRAH can identify 27 molecular targets including common causative pathogens (eg, MRSA, Escherichia coli, Candida albicans) and 3 resistance genes (eg, MecA, KPC) within 1 hour of a positive gram stain from a patient blood sample!

To learn more about the technology and DRAH empiric treatment recommendations based on results, follow the link below!

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Welcome to Duke Raleigh CustomID®

Duke CustomID® is a decision support tool intended to provide clinicians with institution-specific, accessible, easily customizable information about the diagnosis and treatment of infectious diseases.

Duke users with a NetID have full access while online with the Duke Health network. Remote access requires a secure connection via citrix.duke.edu or VPN. Learn more here.

Helpful tip: CustomID® is a web app viewable from most internet browsers, desktop or mobile. Save time by creating a browser bookmark or a shortcut to your desktop/mobile device. For desktop, click the icon on the left side of the address bar and drag to your desktop. For your mobile device, follow phone guidance to add shortcut to your home screen or create a browser bookmark.

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