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Hospital Usage of Parenteral Antimicrobial Agents: A Gradated Utilization Review and Cost Containment Program

Published online by Cambridge University Press:  02 January 2015

Lawrence L. Pelletier Jr
Lawrence L. Pelletier Jr*
Affiliation:
Medical Service, Wichita Veterans Administration Medical Center and Department of Internal Medicine, University of Kansas Medical School-Wichita, Kansas
*
Medical Service, Wichita VAMC, 5500 E Kellogg, Wichita, KS 67218
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Abstract

Forty percent to 60% of antimicrobial agents administered in hospitals without effective antimicrobial review and control programs are not needed. Excessive use of antimicrobial agents in the hospital promotes colonization of patients with resistant organisms, needlessly exposes them to the risk of an adverse drug reaction, and increases the cost of care. A gradated antimicrobial utilization review program is presented that determines hospital usage, develops guidelines for appropriate cost-effective drug administration, provides several options for implementation, and monitors outcome so that measures can be modified for specific situations. The techniques used are basic epidemiologic measures currently used to assess hospital infections.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 6 , Issue 6 , June 1985 , pp. 226 - 230
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1985

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