Development of a mobile application for vancomycin dosing calculation: A useful tool for the rational use of antimicrobials

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Abstract

Background

Mobile applications (app) provide many benefits for healthcare professionals, making them a useful support clinical decision system.

Objectives

To describe the development of a mobile app, CalcVAN, to calculate vancomycin dosage regimens for adult and pediatric patients.

Methods

This study is a technological production research to develop a mobile app through the rapid prototyping type for the Android system in the Brazilian context. The mobile app structure was developed in four steps: 1) conception, including the needs assessment, the target audience, the literature search, and the definition of contents; 2) prototype planning, including the definition of topics and writing of modules, the selection of media, and the layout; 3) production of the mobile app, including the selection of multimedia tools, the navigation structure, and planning of environment configuration; and 4) make the mobile app available.

Results

The CalcVAN has six screens, containing the vancomycin dosing calculator for adult and pediatric patients based on weight and estimated creatinine clearance parameters. Moreover, the mobile app is free and can be used without internet connection.

Conclusions

A free mobile app was developed to calculate vancomycin dosage regimens for inpatients. This tool assists to optimize the vancomycin dosing, contributing to the antimicrobial stewardship.

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Most cited references 20

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Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic.

Michael David, Robert S Daum (2010)

Staphylococcus aureus is an important cause of skin and soft-tissue infections (SSTIs), endovascular infections, pneumonia, septic arthritis, endocarditis, osteomyelitis, foreign-body infections, and sepsis. Methicillin-resistant S. aureus (MRSA) isolates were once confined largely to hospitals, other health care environments, and patients frequenting these facilities. Since the mid-1990s, however, there has been an explosion in the number of MRSA infections reported in populations lacking risk factors for exposure to the health care system. This increase in the incidence of MRSA infection has been associated with the recognition of new MRSA clones known as community-associated MRSA (CA-MRSA). CA-MRSA strains differ from the older, health care-associated MRSA strains; they infect a different group of patients, they cause different clinical syndromes, they differ in antimicrobial susceptibility patterns, they spread rapidly among healthy people in the community, and they frequently cause infections in health care environments as well. This review details what is known about the epidemiology of CA-MRSA strains and the clinical spectrum of infectious syndromes associated with them that ranges from a commensal state to severe, overwhelming infection. It also addresses the therapy of these infections and strategies for their prevention.

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Mobile App Rating Scale: A New Tool for Assessing the Quality of Health Mobile Apps

Stoyan Stoyanov, Leanne Hides, David J Kavanagh … (2015)

Background The use of mobile apps for health and well being promotion has grown exponentially in recent years. Yet, there is currently no app-quality assessment tool beyond “star”-ratings. Objective The objective of this study was to develop a reliable, multidimensional measure for trialling, classifying, and rating the quality of mobile health apps. Methods A literature search was conducted to identify articles containing explicit Web or app quality rating criteria published between January 2000 and January 2013. Existing criteria for the assessment of app quality were categorized by an expert panel to develop the new Mobile App Rating Scale (MARS) subscales, items, descriptors, and anchors. There were sixty well being apps that were randomly selected using an iTunes search for MARS rating. There were ten that were used to pilot the rating procedure, and the remaining 50 provided data on interrater reliability. Results There were 372 explicit criteria for assessing Web or app quality that were extracted from 25 published papers, conference proceedings, and Internet resources. There were five broad categories of criteria that were identified including four objective quality scales: engagement, functionality, aesthetics, and information quality; and one subjective quality scale; which were refined into the 23-item MARS. The MARS demonstrated excellent internal consistency (alpha = .90) and interrater reliability intraclass correlation coefficient (ICC = .79). Conclusions The MARS is a simple, objective, and reliable tool for classifying and assessing the quality of mobile health apps. It can also be used to provide a checklist for the design and development of new high quality health apps.

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Mobile devices and apps for health care professionals: uses and benefits.

C Lee Ventola (2014)

Health care professionals' use of mobile devices is transforming clinical practice. Numerous medical software applications can now help with tasks ranging from information and time management to clinical decision-making at the point of care.

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Author and article information

Journal

Journal ID (nlm-ta): Explor Res Clin Soc Pharm

Journal ID (iso-abbrev): Explor Res Clin Soc Pharm

Title: Exploratory Research in Clinical and Social Pharmacy

Publisher: Elsevier

ISSN (Electronic): 2667-2766

Publication date PMC-release: 05 February 2022

Publication date Collection: March 2022

Publication date (Electronic): 05 February 2022

Volume: 5

Electronic Location Identifier: 100115

Affiliations

[a ]Department of Pharmaceutical Sciences, Federal Rural University of Rio de Janeiro, Seropédica, RJ, Brazil

[b ]School of Pharmacy, Federal Rural University of Rio de Janeiro, Seropédica, RJ, Brazil

[c ]Graduate Program in Administration and Management of Pharmaceutical Service, Fluminense Federal University, Niteroi, RJ, Brazil

[d ]Faculty of Estacio, Belem, PA, Brazil

[e ]Salt Engineering and Automation LDTA, Tv. Rui Barbosa 571, sl. 3, Belem, Para, Brazil

Author notes

[* ]Corresponding author at: Department of Pharmaceutical Sciences, Federal Rural University of Rio de Janeiro, Centro Integrado de Ciências da Saúde, R. UAJ - UFRRJ, Seropédica, Rio de Janeiro, Brazil. E-mail address: taciolima@ufrrj.br (Tácio de Mendonça Lima).

Article

Publisher Item ID: S2667-2766(22)00014-2 Publisher ID: 100115

DOI: 10.1016/j.rcsop.2022.100115

PMC ID: 9029900

SO-VID: 5caef4d0-7ab0-4e2c-a8ce-51f80054d576

License:

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

History

Date received : 9 December 2021

Date revision received : 1 February 2022

Date accepted : 1 February 2022

Development of a mobile application for vancomycin dosing calculation: A useful tool for the rational use of antimicrobials

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Abstract

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Most cited references 20

Community-associated methicillin-resistant Staphylococcus aureus: epidemiology and clinical consequences of an emerging epidemic.

Mobile App Rating Scale: A New Tool for Assessing the Quality of Health Mobile Apps

Mobile devices and apps for health care professionals: uses and benefits.

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