Direct Costs of Unnecessary Antibiotic Prescribing in Patients Administered Imipenem in the Emergency Department

Persistent Link:
http://hdl.handle.net/10150/614216
Title:
Direct Costs of Unnecessary Antibiotic Prescribing in Patients Administered Imipenem in the Emergency Department
Author:
Klein, Michael; Matthias, Kathryn
Affiliation:
College of Pharmacy, The University of Arizona
Issue Date:
2014
Rights:
Copyright © is held by the author.
Collection Information:
This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
Publisher:
The University of Arizona.
Abstract:
Specific Aims: The aim of this study was to examine the appropriateness of antibiotic use in the first 48 hours of being admitted to the emergency department in a tertiary care medical center. The purpose was to identify inappropriate usage patterns of antibiotics to limit future misuse and prevent the unintended consequences of overuse of antibiotics. Methods: Patients 18 years and older who were admitted to the emergency department at University of Arizona Medical Center – University Campus who were administered imipenem within 48 hours of admission were included. All antibiotics received by included patient were recorded and assessed for appropriateness by two pharmacists with specialized infectious disease training. Inappropriate use of carbapenems or other antibiotics in conjunction with carbapenems was identified and the acquisition cost of the misused antibiotics was calculated. Main Results: Imipenem use was considered inappropriate in 35/52 (71.1%) of patients included in this study. The direct cost of inappropriate antibiotic prescribing was $914.77. Multiple β-lactam antibiotics were used in 24/52 (46.1%) patients while 18/52 (34.6%) of patients received four or more antibiotics within the first 48 hours of admission. Conclusion: Imipenem was frequently used empirically for in cases did not fit the predetermined criteria of use within 48 hours of admission emergency department of the University of Arizona Medical Center – University Campus, resulting in unnecessary direct costs to the medical center.
Description:
Class of 2014 Abstract
Keywords:
Costs; Prescribing; Imipenem; Emergency Department
Advisor:
Matthias, Kathryn

Full metadata record

DC FieldValue Language
dc.contributor.advisorMatthias, Kathrynen
dc.contributor.authorKlein, Michaelen
dc.contributor.authorMatthias, Kathrynen
dc.date.accessioned2016-06-22T20:13:09Z-
dc.date.available2016-06-22T20:13:09Z-
dc.date.issued2014-
dc.identifier.urihttp://hdl.handle.net/10150/614216-
dc.descriptionClass of 2014 Abstracten
dc.description.abstractSpecific Aims: The aim of this study was to examine the appropriateness of antibiotic use in the first 48 hours of being admitted to the emergency department in a tertiary care medical center. The purpose was to identify inappropriate usage patterns of antibiotics to limit future misuse and prevent the unintended consequences of overuse of antibiotics. Methods: Patients 18 years and older who were admitted to the emergency department at University of Arizona Medical Center – University Campus who were administered imipenem within 48 hours of admission were included. All antibiotics received by included patient were recorded and assessed for appropriateness by two pharmacists with specialized infectious disease training. Inappropriate use of carbapenems or other antibiotics in conjunction with carbapenems was identified and the acquisition cost of the misused antibiotics was calculated. Main Results: Imipenem use was considered inappropriate in 35/52 (71.1%) of patients included in this study. The direct cost of inappropriate antibiotic prescribing was $914.77. Multiple β-lactam antibiotics were used in 24/52 (46.1%) patients while 18/52 (34.6%) of patients received four or more antibiotics within the first 48 hours of admission. Conclusion: Imipenem was frequently used empirically for in cases did not fit the predetermined criteria of use within 48 hours of admission emergency department of the University of Arizona Medical Center – University Campus, resulting in unnecessary direct costs to the medical center.en
dc.language.isoen_USen
dc.publisherThe University of Arizona.en
dc.rightsCopyright © is held by the author.en
dc.subjectCostsen
dc.subjectPrescribingen
dc.subjectImipenemen
dc.subjectEmergency Departmenten
dc.titleDirect Costs of Unnecessary Antibiotic Prescribing in Patients Administered Imipenem in the Emergency Departmenten_US
dc.typetexten
dc.typeElectronic Reporten
dc.contributor.departmentCollege of Pharmacy, The University of Arizonaen
dc.description.collectioninformationThis item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Associate Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.en
All Items in UA Campus Repository are protected by copyright, with all rights reserved, unless otherwise indicated.