在牙科手术之前估计不适当的抗生素预防的成本
Cynthia L Gong1,2, Anh Duong3, Kenneth M Zangwill4
1Division of Neonatology, Fetal & Neonatal Institute, Children's Hospital Los Angeles, Los Angeles, California.
在美国,不适当的牙科抗生素处方用于预防传染性内心炎导致超过3100万美元的过度医疗费用. 这包括来自不良事件和与药物相关的重大支出.
科学领域:
- 牙科医学 牙科医学
- 预防传染病 预防传染病
- 卫生经济学 卫生经济学
背景情况:
- 在特定的牙科手术中,建议对感染性内心炎 (IE) 进行抗生素预防.
- 对IE预防的不适当的处方做法在美国是令人担忧的.
- 低于最佳的抗生素使用有助于医疗保健支出和不良事件.
研究的目的:
- 量化与美国IE预防不适当的牙科抗生素处方相关的过度成本.
- 确定这些超额成本的组成部分,包括自付,药物和不良事件费用.
主要方法:
- 分析处方数据和相关成本.
- 估计因非适用抗生素使用而造成的过度支出.
- 将成本分为直接药物费用和间接不良事件成本.
主要成果:
- 不适当的牙科抗生素处方用于IE预防导致大约3100万美元的过度成本.
- 在总的超额成本中,自付费用占2050万美元.
- 包括Clostridioides difficile和过敏反应在内的不良事件成本,总共为阿莫西西林582万美元,克林达米辛199万美元和塞法列辛380,849美元.
结论:
- 对IE预防的不适当的牙科抗生素处方对美国医疗保健系统和患者造成了巨大的经济负担.
- 减少牙科中不必要的抗生素使用可以节省大量成本,并减轻不良药物事件.
- 在牙科环境中优化抗生素管理对于经济和患者安全的结果至关重要.
更多相关视频
05:32Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
Published on: September 21, 2015
08:33Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
相关概念视频
Tonsillitis II: Management
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Endocarditis III: Medical Management
Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
