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Journal of Clinical Microbiology, August 2001, p. 2823-2828, Vol. 39, No. 8
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.
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
*
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.
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