通过大型系统干预项目减少抗生素使用和节省资金。

IF 1 4区医学 Q3 PEDIATRICS

Clinical Pediatrics Pub Date : 2024-12-24 DOI:10.1177/00099228241307426

Puneet Jairath, Michael Howard Goodstein, Karli Unick, Ryan Sentz

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引用次数: 0

摘要

临床医生继续寻找方法，以减少抗生素的使用及其后遗症的婴儿早发性败血症（EOS）的危险因素。我们进行了大规模系统干预（LSI），以减少抗生素的使用，减少婴儿暴露于任何抗生素的比例，并评估这种干预的经济影响。对2018年1月至2020年6月在约克医院出生的妊娠≥35周并从新生儿托儿所出院的婴儿进行抗生素使用监测。包括凯撒败血症计算器在内的lsi于2019年1月至6月实施。比较干预前后12个月的质量指标。总共有5021名婴儿出院。抗生素使用减少68%，婴儿接触抗生素减少64%。每个有风险的新生儿节省了697美元，并且没有再入院。系统性大规模集成电路可以安全地减少新生儿抗生素暴露，并创造显著的成本节约。

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Reduction in Antibiotic Usage and Financial Savings Through a Large System Intervention Project.

Clinicians continue to seek out ways to decrease antibiotic usage and its sequelae for infants with risk factors for Early Onset Sepsis (EOS). We carried out a large system intervention (LSI) to decrease antibiotic usage, decrease the proportion of infants exposed to any antibiotics and evaluate the financial impact of this intervention. Antibiotic use was monitored from January 2018 through June 2020 for infants born at York Hospital ≥ 35 weeks gestation and discharged from Newborn Nursery. LSIs, including the Kaiser Sepsis Calculator, were implemented January-June 2019. Quality metrics were compared 12-months before and after the intervention. Overall, 5021 infants were discharged from the nursery. Antibiotic usage decreased 68% and infant exposure to antibiotics decreased 64%. There was a savings of $697 per at risk newborn and there were no readmissions for EOS. A Systemic LSI can safely reduce newborn antibiotic exposure and create significant cost saving.

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来源期刊

Clinical Pediatrics 医学-小儿科

CiteScore

2.10

自引率

6.20%

发文量

189

审稿时长

3-8 weeks

期刊介绍： Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.