Vanco alternatives

Data Element (edit)
Field Name:	vanco alternatives
CCMDB Label:	not stated
CCMDB tab:	Pharm
Table:	L_Pharm_Flowsheet table
Data type:	number
Length:	integer
Program:	CC
Created/Raw:	Raw
Start Date:	1988-07-11
End Date:	2300-01-01
Sort Index:	19

vanco alternatives contains manually collected doses of vanco alternatives that were given.

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Legacy implementation right in the table

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Additional info

• As of 2020 Vancomycin is a unique drug, i.e. there are no other antimicrobials of the same chemical class. This is contrasted, for example, with methicillin, for which oxicillin, nafcillin and others are its cousins.
• What we are calling "Vanco alternatives" are not of the same class, but are used clinically when either the bug is vanco resistant or the patient cannot tolerate vanco. And in particular, resistance to Vanco is not at all correlated with resistance to these Vanco alternatives (again unlike methicillin where resistance to any of that class indicates resistance to all members of that class of antimicrobials).

These are drugs that are alternatives to Vancomycin.

Including:

• linezolid (Zyvoxam)
• daptomycin (Cubicin)
• quinipristin/dalfopristin