| Antimicrobial stewardship at a large tertiary care academic medical center: cost analysis before, during, and after a 7-year program. | |
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MedLine Citation:
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PMID: 22418628 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background. An antimicrobial stewardship program was fully implemented at the University of Maryland Medical Center in July 2001 (beginning of fiscal year [FY] 2002). Essential to the program was an antimicrobial monitoring team (AMT) consisting of an infectious diseases-trained clinical pharmacist and a part-time infectious diseases physician that provided real-time monitoring of antimicrobial orders and active intervention and education when necessary. The program continued for 7 years and was terminated in order to use the resources to increase infectious diseases consults throughout the medical center as an alternative mode of stewardship. Design. A descriptive cost analysis before, during, and after the program. Patients/setting. A large tertiary care teaching medical center. Methods. Monitoring the utilization (dispensing) costs of the antimicrobial agents quarterly for each FY. Results. The utilization costs decreased from $44,181 per 1,000 patient-days at baseline prior to the full implementation of the program (FY 2001) to $23,933 (a 45.8% decrease) by the end of the program (FY 2008). There was a reduction of approximately $3 million within the first 3 years, much of which was the result of a decrease in the use of antifungal agents in the cancer center. After the program was discontinued at the end of FY 2008, antimicrobial costs increased from $23,933 to $31,653 per 1,000 patient-days, a 32.3% increase within 2 years that is equivalent to a $2 million increase for the medical center, mostly in the antibacterial category. Conclusions. The antimicrobial stewardship program, using an antimicrobial monitoring team, was extremely cost effective over this 7-year period. |
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Authors:
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Harold C Standiford; Shannon Chan; Megan Tripoli; Elizabeth Weekes; Graeme N Forrest |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Infection control and hospital epidemiology : the official journal of the Society of Hospital Epidemiologists of America Volume: 33 ISSN: 1559-6834 ISO Abbreviation: Infect Control Hosp Epidemiol Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-03-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804099 Medline TA: Infect Control Hosp Epidemiol Country: United States |
Other Details:
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Languages: eng Pagination: 338-45 Citation Subset: IM; N |
Affiliation:
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University of Maryland Medical Center, Baltimore, Maryland. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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