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Related Experiment Videos

Reducing the cost of surgical prophylaxis.

K S Scher1, J M Bernstein, G L Arenstein

  • 1Surgical Service, VA Medical Center, Dayton, OH 45428.

The American Surgeon
|January 1, 1990
PubMed
Summary

Implementing a four-part antibiotic stewardship program significantly reduced prophylactic antibiotic costs. This initiative controlled expenses without negatively impacting surgical wound infection rates, demonstrating effective cost-saving strategies.

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Area of Science:

  • Infectious Diseases
  • Health Economics
  • Surgical Care

Background:

  • Rising costs of prophylactic antibiotics pose a significant financial burden in healthcare settings.
  • Inappropriate use of broad-spectrum antibiotics contributes to escalating healthcare expenditures.

Purpose of the Study:

  • To evaluate the impact of a restrictive antibiotic prophylaxis program on costs and infection rates.
  • To determine if cost-control measures for prophylactic antibiotics affect patient outcomes.

Main Methods:

  • Implementation of a four-part program: formulary restriction of cephalosporins, prohibition of specific generations, specialized order forms, and a 24-hour mandatory discontinuation policy.
  • Analysis of prophylactic antibiotic costs per case before and after program implementation.

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  • Comparison of surgical wound infection rates (Class I and II) pre- and post-program.

    • Main Results:

    • Total cost for prophylactic antibiotic administration decreased from $37.35 to $21.99 per case.
    • Class I surgical wound infection rates decreased from 2.0% to 1.8%.
    • Class II surgical wound infection rates decreased from 4.9% to 2.1%.

    Conclusions:

    • A multi-faceted antibiotic stewardship program can effectively reduce the cost of prophylactic antibiotic use.
    • These cost-saving interventions did not lead to an increase in surgical wound infection rates.
    • Restrictive antibiotic policies are a viable strategy for controlling healthcare costs without compromising patient safety.