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A team approach to reduce antibiotic costs
S D Karki1, J M Holden, E Mariano
1Rochester Psychiatric Center, NY.
DICP : the Annals of Pharmacotherapy
|February 1, 1990
Summary
A collaborative team approach involving clinical pharmacists and physicians significantly reduced antibiotic costs by 58.6%. This strategy optimized antibiotic selection for better cost-effectiveness and clinical outcomes.
Area of Science:
- Health Economics
- Infectious Disease Management
- Clinical Pharmacy
Background:
- Traditional methods for reducing antibiotic drug costs have shown partial success.
- Methods include closed formulary, generic drug use, retrospective review, and continuing education.
- A need exists for more effective cost-saving strategies in antibiotic therapy.
Purpose of the Study:
- To evaluate the effectiveness of a novel "team approach" in reducing antibiotic costs.
- To assess the impact of collaboration between clinical pharmacists and physicians on antibiotic expenditure.
- To determine the cost-effectiveness of a pharmacist-physician collaborative model for antibiotic selection.
Main Methods:
- A six-month study implemented a collaborative team approach involving clinical pharmacists and physicians.
- Clinical pharmacists analyzed culture and sensitivity data and infectious disease patterns.
- Pharmacists collaborated with physicians on morning rounds to monitor therapy and guide antibiotic selection based on efficacy and cost.
Main Results:
- The study achieved significant antibiotic cost savings of 58.6 percent.
- The team approach demonstrated superior cost reduction compared to previous methods.
- Optimized antibiotic selection based on clinical data and cost-effectiveness was achieved.
Conclusions:
- A collaborative team approach integrating clinical pharmacists and physicians is highly effective in reducing antibiotic costs.
- This model enhances cost-effectiveness while ensuring appropriate antibiotic therapy.
- The findings support the implementation of interdisciplinary collaboration for antimicrobial stewardship.