Navigation Links
Monitoring antibiotic use cuts millions in wasteful spending, study finds
Date:3/15/2012

CHICAGO (March 12, 2012) Curbing unnecessary use of antibiotics is our best defense against the spread of drug-resistant infections. A new study suggests another benefit to antimicrobial stewardship: a potential cost savings of millions of dollars now wasted on therapies that don't help patients.

The research is published in the April issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, in a special topic issue focused on antimicrobial stewardship. Antimicrobial stewardship programs and interventions help prescribers know when antibiotics are needed and what the best treatment choices are for a particular patient.

According to the study, which evaluated a seven-year antimicrobial stewardship program at University of Maryland Medical Center (UMMC), the program eliminated $3 million from the hospital's annual budget for antimicrobials by its third year. After seven years, it had cut antibiotic spending per-patient day nearly in half. Cost savings were evident across hospital departments, including the cancer center, trauma center, surgical and medical intensive care units and transplant service.

Importantly, these savings did not compromise quality of patient care. The study found no increases in mortality, length of stay, or readmission to the hospital.

Despite its success, however, the program was terminated in 2008 in favor of providing more infectious diseases consults. The consequences of that decision were immediate. Antimicrobial costs increased by 32 percentnearly $2 millionwithin two years after the program was terminated according to the research.

"Our results clearly show that an antimicrobial stewardship program like the one at UMMC is safe, effective, and makes good financial sense," said Harold Standiford, MD, medical director for antimicrobial effectiveness at UMMC and the study's lead author.

The central component of the UMMC program was an antimicrobial monitoring team (AMT) that included an infectious diseases physician and a clinical pharmacist with infectious diseases training. The AMT made daily rounds and provided real time monitoring of antimicrobial use with active intervention and education when changes in treatment were recommended. The team also provided leadership in discussions about changes to antibiotics on the formulary and the development of relative policies and guidelines.

When the program was terminated, the AMT was disbanded in favor of additional personnel who provided infectious diseases consults throughout the hospital including in areas caring for highly specialized patients. It was believed that these additional personnel, though decentralized, would provide appropriate stewardship and render the AMT redundant. That decision proved costly, however, and in light of this study's findings the medical center has restarted a modified stewardship program including an AMT.

"Our research shows that investing in stewardship not only helps preserve our dwindling antibiotic tools, it can also help to eliminate wasteful healthcare spending," Dr. Standiford said. "We believe it's an important lesson to keep in mind when considering the allocation of resources to stewardship programs."


'/>"/>

Contact: Tamara Moore
tmoore@gymr.com
202-745-5114
Society for Healthcare Epidemiology of America
Source:Eurekalert

Related medicine news :

1. Home monitoring may help manage and reduce costs for heart failure
2. Monitoring food with millimeter waves
3. Blood pressure monitoring: Room for improvement
4. Panel endorses active monitoring and delay of treatment for low-risk prostate cancer
5. Self-Monitoring of Blood Thinner May Halve Clot Risk
6. Warfarin May Need Less Monitoring for Some
7. After Brain Injury, Oxygen Monitoring Vital, Study Finds
8. MRIs could become powerful tools for monitoring cholesteral therapy
9. Experts find continuous glucose monitoring beneficial in maintaining target blood glucose levels
10. Experts offer solutions at ACR Imaging Informatics Summit & Radiation Dose Monitoring Forum
11. Remote ICD monitoring a safe alternative to conventional follow up
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/24/2017)... ... July 24, 2017 , ... Summer storms are inevitable as weather temperatures in ... often result in massive tree damage requiring emergency tree service. Giroud Tree ... trimming, tree cabling and hazardous tree removal. , “A summer storm is ...
(Date:7/24/2017)... ... July 24, 2017 , ... Clinical ... MSceppa Consulting **, Aug. 22-23, 2017 – Arlington, VA, http://www.fdanews.com/cqa , ... Increased FDA scrutiny and growing demands to track and report adverse events place ...
(Date:7/24/2017)... , ... July 24, 2017 , ... ... to change manufacturers future. , The agency is hammering out a game plan ... of the farthest-ranging laws ever to affect FDA-regulated firms. The new law:, ...
(Date:7/24/2017)... Province (PRWEB) , ... July 24, 2017 , ... ... Medicine's "Chinese Medicine Clinical Vitiligo Hospital" was set up, and the awarding ceremony ... of traditional Chinese medicine, the head of the army's health system, and national ...
(Date:7/24/2017)... ... 24, 2017 , ... Advanced Dermatology, P.C. announces ... (516) 784-5858. The office opened earlier this summer and is currently accepting new ... Leah Wiederman. , Advanced Dermatology, P.C. founder and medical director Dr. Joshua ...
Breaking Medicine News(10 mins):
(Date:7/21/2017)... YORKTOWN, N.Y. and EDMONTON, ... IBM ) scientists and the University of ... have published new data in Nature,s partner journal, ... learning algorithms helped predict instances of schizophrenia with ... technology predicted the severity of specific symptoms in ...
(Date:7/21/2017)... SPRING, Md. and RESEARCH TRIANGLE ... United Therapeutics Corporation (NASDAQ: UTHR ) announced ... financial results before the market opens on Thursday, July ... Therapeutics will host a teleconference on Thursday, July 27, ... accessible by dialing 1-877-351-5881, with international callers dialing 1-970-315-0533.  ...
(Date:7/21/2017)...  Endo International plc (NASDAQ: ENDP ) ... its manufacturing network, the Company will be ceasing operations ... Huntsville, Alabama . The closure of the ... 12 to 18 months. The Huntsville ... commoditized products and these restructuring actions are intended to ...
Breaking Medicine Technology: