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Home intravenous antibiotic therapy programme, 1999.

D Steinmetz1, E Berkovits, H Edelstein

  • 1Hospital-at-Home Department, Health Continuation Management Unit, Clalit Health Services, Haifa and Western Galilee District, Israel.

The Journal of Infection
|September 8, 2001
PubMed
Summary
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Trends in outpatient antibiotic use in Israel during the years 2000-2010: setting targets for an intervention.

Infection·2012

Home Intravenous Antibiotic Therapy (HIAT) is a safe and effective treatment option. This program significantly reduced healthcare costs while providing comfortable care for patients.

Area of Science:

  • Infectious Diseases
  • Health Economics
  • Pharmacology

Background:

  • Home Intravenous Antibiotic Therapy (HIAT) offers an alternative to inpatient care.
  • Evaluating HIAT programs is crucial for optimizing resource allocation and patient outcomes.

Purpose of the Study:

  • To assess the cost-effectiveness of the HIAT program in Northern Israel.
  • To evaluate the safety and patient comfort associated with HIAT.

Main Methods:

  • Retrospective review of medical records for patients receiving HIAT in 1999.
  • Analysis of clinical diagnoses, pathogens, antibiotics used, complications, and cost savings.

Main Results:

  • 284 HIAT courses were administered to 250 patients, with soft-tissue infections and osteomyelitis being common diagnoses.

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  • Pseudomonas aeruginosa was the most frequent pathogen, and Ceftazidine the most prescribed antibiotic.
  • The HIAT program resulted in significant cost savings of $815,000 with only minor complications reported.
  • Conclusions:

    • HIAT is an effective and safe treatment modality.
    • The program demonstrates significant economic benefits and enhances patient comfort.
    • HIAT represents a valuable healthcare strategy with a positive financial impact.