Abstract
Background
In order to stimulate appropriate antimicrobial use and thereby lower the chances of resistance development, an Antibiotic Stewardship Team (A-Team) has been implemented at the University Medical Center Groningen, the Netherlands. Focus of the A-Team was a pro-active day 2 case-audit, which was financially evaluated here to calculate the return on investment from a hospital perspective.
Methods
Effects were evaluated by comparing audited patients with a historic cohort with the same diagnosis-related groups. Based upon this evaluation a cost-minimization model was created that can be used to predict the financial effects of a day 2 case-audit. Sensitivity analyses were performed to deal with uncertainties. Finally, the model was used to financially evaluate the A-Team.
Results
One whole year including 114 patients was evaluated. Implementation costs were calculated to be (sic)17,732, which represent total costs spent to implement this A-Team. For this specific patient group admitted to a urology ward and consulted on day 2 by the A-Team, the model estimated total savings of (sic)60,306 after one year for this single department, leading to a return on investment of 5.9.
Conclusions
The implemented multi-disciplinary A-Team performing a day 2 case-audit in the hospital had a positive return on investment caused by a reduced length of stay due to a more appropriate antibiotic therapy. Based on the extensive data analysis, a model of this intervention could be constructed. This model could be used by other institutions, using their own data to estimate the effects of a day 2 case-audit in their hospital.
Original language | English |
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Article number | e0126106 |
Number of pages | 12 |
Journal | PLoS ONE |
Volume | 10 |
Issue number | 5 |
DOIs | |
Publication status | Published - 8-May-2015 |
Keywords
- ANTIMICROBIAL STEWARDSHIP
- HEALTH-CARE
- ECONOMIC OUTCOMES
- PROGRAM
- INFECTIONS
- INTERVENTION
- PREVENTION
- GUIDELINES
- MANAGEMENT
- RESISTANCE
Datasets
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Data from: Cost-minimization model of a multidisciplinary antibiotic stewardship team based on a successful implementation on a urology ward of an academic hospital
Dik, J. (Creator), Hendrix, R. (Creator), Friedrich, A. (Creator), Luttjeboer, J. (Creator), Nannan Panday, P. (Creator), Wilting, K. R. (Creator), Lo-Ten-Foe, J. R. (Creator), Postma, M. (Creator) & Sinha, B. (Creator), University of Groningen, 8-May-2015
DOI: 10.5061/dryad.kq2r1
Dataset