Antibiotic optimization. An evaluation of patient safety and economic outcomes

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49% of intervention group received suggestions. Per patient antibiotics cost was $400 lower in intervention vs. control (p=0.05). Clinical outcomes similar for patients in both groups.

Reference:
Fraser GL, Stogsdill P, Dickens JD, Wennberg DE, Smith RP, and Prato BS. An evaluation of patient safety and economic outcomes. Archives of Internal Medicine. 1997; 157: 1689-1694

Setting:
600-bed, tertiary-care teaching hospital, Portland, ME, USA

Key staff:
infectious disease physician and clinical pharmacist

Intervention:
Multidisciplinary – Three month randomized controlled trial of patients receiving parenteral antibiotics for three or more consecutive days. Intervention group received suggestion for antibiotics from ID and pharmacist. The control did not.

Impact:
49% of intervention group received suggestions. Per patient antibiotics cost was $400 lower in intervention vs. control (p=0.05). Clinical outcomes similar for patients in both groups.

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Antimicrobial Stewardship (ASP) in Rural and Critical Access Hospitals (CAHs) Using TeleStewardship® Services

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TeleStewardship services in combination with rapid blood pathogen detection increased antimicrobial stewardship interventions and improved compliance with Joint Commission Standards