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Hospital Programs to Reduce Antibiotic Resistance Working: Studies
Date:10/20/2011

Another study to be presented at the meeting found that implementation of an antibiotic stewardship program at two University of Minnesota hospitals resulted in two-year savings of $733,000.

The net savings were $244,000 after the researchers factored in salary costs for infectious disease physicians and pharmacists working on the program.

The savings were achieved by reducing inappropriate antibiotic use and by using less-expensive antibiotics when possible. The average number of antibiotics prescribed per adult patient fell from 2.39 to 2.34 and from 2.98 to 2.37 for each child. Antibiotic doses per patient/day fell by 7 percent and antibiotic costs per patient/day decreased by $7.40.

"The patients actually benefit because we are treating infections optimally by not using antibiotics when they are not necessary and using less expensive antibiotics that do the job better and more safely than expensive ones," Dr. Susan Kline, medical director for the University of Minnesota Medical Centers Infection Control Program, Minneapolis, said in the news release. "We also have seen some trends that suggest the program has prevented emergence of antibiotic resistant bacteria."

Despite such positive results, a third study found that only about one-third of U.S. hospitals are fully compliant with the 2007 antimicrobial stewardship guidelines.

Researchers reviewed surveys completed by 270 hospitals and found that all had implemented some components of the guidelines, but 184 (68 percent) were not fully compliant. The most common reason for only partial compliance was lack of funding and personnel for the program, which was cited by 121 (44 percent) of the hospitals.

Because this research was presented at a medical meeting, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

More Information

The U.S. National Institute of Allergy and Infectious Disease has more abou
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