A TEAM-APPROACH TO REDUCE ANTIBIOTIC COSTS

被引:14
作者
KARKI, SD
HOLDEN, JMC
MARIANO, E
机构
[1] ROCHESTER PSYCHIAT CTR,ROCHESTER,NY
[2] UNIV ROCHESTER,PSYCHIAT,ROCHESTER,NY 14627
来源
DICP-THE ANNALS OF PHARMACOTHERAPY | 1990年 / 24卷 / 02期
关键词
D O I
10.1177/106002809002400216
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
After partial success in reducing antibiotic drug costs by traditional methods (i.e., closed formulary, use of generic drugs, retrospective drug usage review, continuing education), a study of a new 'team approach' was implemented. The study involved a clinical pharmacist and physicians working together to select the most appropriate antibiotic therapy. The clinical pharmacist reviewed the culture and sensitivity data and the pattern of infectious disease over the six-month period prior to the initiation of the study and prepared a list of the most appropriate antibiotics based on clinical efficacy and cost effectiveness. He then joined the physicians on morning rounds to monitor therapy and help in the selection of the most appropriate drug regimen. At the end of the study period, antibiotic cost savings of 58.6 percent were achieved.
引用
收藏
页码:202 / 205
页数:4
相关论文
共 52 条
[1]  
AVRON J, 1988, ARCH INTERN MED, V148, P1720
[2]  
BARRIERE SL, 1984, CLIN PHARMACY, V3, P351
[3]   CONTROVERSIES IN ANTIMICROBIAL THERAPY - FORMULARY DECISIONS ON 3RD-GENERATION CEPHALOSPORINS [J].
BARRIERE, SL .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1986, 43 (03) :625-629
[4]   COST CONTAINMENT THROUGH RESTRICTION OF CEPHALOSPORINS [J].
BRITTON, HL ;
SCHWINGHAMMER, TL ;
ROMANO, MJ .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1981, 38 (12) :1897-1900
[6]   CEFTAZIDIME VERSUS TOBRAMYCIN-TICARCILLIN IN THE TREATMENT OF PNEUMONIA AND BACTEREMIA [J].
CONE, LA ;
WOODARD, DR ;
STOLTZMAN, DS ;
BYRD, RG .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1985, 28 (01) :33-36
[7]   PHARMACOKINETICS OF CEFTIZOXIME [J].
CUTLER, RE ;
BLAIR, AD ;
BURGESS, ED ;
PARKS, D .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 1982, 10 :91-97
[8]   EFFECT OF AMINOGLYCOSIDE-USE RESTRICTIONS ON DRUG COST [J].
DETORRES, OH ;
WHITE, RE .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1984, 41 (06) :1137-1139
[9]  
DOLUISIO JT, 1982, REV INFECT DIS, V4, pS333
[10]   COST SAVINGS ACHIEVED THROUGH CEPHALOSPORIN USE REVIEW AND RESTRICTION [J].
DZIERBA, SH ;
REILLY, RT ;
CASELNOVA, DA .
AMERICAN JOURNAL OF HOSPITAL PHARMACY, 1986, 43 (09) :2194-2197