Summary
Antibiotic cost information was added to the computerized print-out for each patient of microbiology culture results, next to the antibiotic susceptibility list. During the first six months of this addition, the average monthly cost of antibiotics decreased by 16.5% ($ 7636) compared to the 12 months period preceding the study period. The average antibiotic cost per admission decreased by 15.7% ($ 1.61) and the average antibiotic cost/hospital day decreased by 10.6% ($ 0.23). Antibiotic savings were highest in the Department of Obstetrics and Gynaecology (21.7%) and lowest in the Department of Paediatrics (10.8%). Two-thirds of the average savings were initiated by the house-staff and the remainder by infectious disease consultants. The effect of this system on the level of medical care remains to be studied.
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References
Kass EH (1978) Antimicrobial drug usage in general hospitals in Pennsylvania. Ann Int Med 89: 800–881
Ayliffe GAJ (1978) Antibiotic policies. J Antimicrob Chemother 1: 255–257
Castle MPH, Wilfert CM, Cate TR, Osterhout S (1977) Antibiotics use at Duke University Medical Center. JAMA 237: 2819–2822
Achong MR, Theal HK, Wood J, Goloberg R (1977) Changes in hospital antibiotic therapy after a quality of use study. Lancet 2: 1118–1122
Stolley PD, Becker MH, McVoilla JD, Lasaena L, Gainor M, Saloane LM (1972) Drug prescribing and use in an American community. Ann Intern Med 76: 537–542
Scheckler WE, Bennett JV (1970) Antibiotic usage in seven community hospitals. JAMA 213: 264–267
Kunin CM, Tupasi T, Craig W (1973) Use of antibiotics. Ann Intern Med 79: 555–560
Simmons HE, Stolley PD (1974) This is medical progress? Trends and consequences of antibiotic use in the United States. JAMA 227: 1023–1028
Counts GW (1977) Review and control of antimicrobial usage in hospitalized patients. JAMA 238: 2170–2172
Kunin CM (1985) The responsibility of the infectious diseases community for the optimal use of antimicrobial agents. J Infect Dis 151: 388–398
Craig WA, Unman SJ, Shaw WR, Ramgopal V, Eagom LL, Leolod ET (1978) Hospital use of antimicrobial drugs. Ann Int Med 89: 793–795
Shapiro M, Townsend RT, Rosner B, Kass EH (1979) Use of antimicrobial drugs in general hospitals. III Patterns of prophylaxis. N Engl J Med 301: 351–355
Jones SR, Pannell J, Barks J, Yanchiuk VA, Bratton T, Trowne R, McRee R, Smith J (1977) The effect of an educational program upon hospital antibiotics use. Am J Med Sci 273: 79–85
McGowan JE, Finland M (1974) Usage of antibiotics in a general hospital. Effect of requiring justification. J Infect Dis 130: 165–168
Kunin CM, Efron HY (1977) Audits for antimicrobial usage. Guidelines for peer review. JAMA 237: 1002–1008
Echols RM, Kowalsky SF (1984) The use of an antibiotic order form for an antibiotic utilization review: Influence on physicians prescribing patterns. J Infect Dis 150: 803–807
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Rubinstein, E., Barzilai, A., Segev, S. et al. Antibiotic cost reduction by providing cost information. Eur J Clin Pharmacol 35, 269–272 (1988). https://doi.org/10.1007/BF00558264
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DOI: https://doi.org/10.1007/BF00558264