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Journal of Clinical Microbiology, August 2001, p. 2823-2828, Vol. 39, No. 8
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.8.2823-2828.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Improved Antimicrobial Interventions Have Benefits

Joan Barenfanger,1,* Michael A. Short,2 and Alisa A. Groesch2

Microbiology, Pathology Department,1 and Pharmacy Department,2 Memorial Medical Center, Springfield, Illinois 62781

Received 14 February 2001/Returned for modification 25 April 2001/Accepted 16 May 2001

Studies have shown benefits to patients from improved interventions involving antimicrobial therapy. The purpose of the present study was to evaluate prospectively the impact of improved interventions by (i) the use of TheraTrac 2, a computer software program which electronically links susceptibility testing results immediately to the pharmacy and alerts pharmacists of potential interventions, and (ii) the education of pharmacists involving microbiologic topics. The study group had the new intervention program. The control group had interventions performed the way that they had previously been done by manually reviewing hard copies of susceptibility testing data. In a 5-month period, all inpatients whose last names began with A to K were the study group; inpatients whose last names began with L to Z were controls. Three analyses were done; one analysis (analysis A) involved only patients with interventions, one analysis (analysis B) involved all patients for whom antimicrobial testing was done and who were matched for diagnosis-related groups (DRGs), regardless of whether an intervention occurred, and one analysis (analysis C) involved these DRG-matched patients by using severity-adjusted data. In analysis A, the study group had a 4.8% decreased rate of mortality, an average of a 16.5-day decreased length of stay per patient, and $20,886 decreased variable direct costs per patient. None of these differences was statistically significant. In analysis B, the study patients had a 1.2% higher mortality rate (P = 0.741), an average of a 2.7-day decreased length of stay per patient (P = 0.035), and $2,626 decreased variable direct costs per patient (P = 0.008). In analysis C, the study patients had a 1.4% lower mortality rate, a 1.2-day decreased length of stay per patient, and $1,466 decreased variable direct costs per patient. In conclusion, the institution of this program caused substantial cost savings.


* Corresponding author. Mailing address: Microbiology, Pathology Department, Memorial Medical Center, 701 N. First St., Springfield, IL 62781. Phone: (217) 788-3018. Fax: (217) 788-5577. E-mail: barenfanger.joan{at}mhsil.com.


Journal of Clinical Microbiology, August 2001, p. 2823-2828, Vol. 39, No. 8
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.8.2823-2828.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.



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Copyright © 2001 by the American Society for Microbiology. All rights reserved.