Discontinuation of antimicrobials and costs of treating patients with infection
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Paulista de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000900011 |
Resumo: | OBJECTIVE: To evaluate the repercussions of discontinuation the cost with the antimicrobial treatment of patients with bloodstream infection. METHODS: A historical cohort study conducted in the intensive care unit of a hospital in Belo Horizonte (MG). The population included 62 patients with bloodstream infection caused by Staphylococcus aureus. Data were collected between March/2007 and March/2011 from patients' medical records, Commission of Hospital Infection Control and Sector of Costs, with descriptive and univariate analysis. RESULTS: Colonization was associated with the occurrence of infection with resistant microorganisms (p <0.05). The antimicrobial discontinuation reduced the spectrum of action of the antibiotic prescribed, and the treatment costs (R$ 2,673.12 to R$ 727.03, p = 0.001). CONCLUSION: The discontinuation of antimicrobials favored the redirection of patient therapy, reducing, where necessary, the spectrum of action of the prescribed antimicrobial and, consequently, the costs of treatment. |
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Acta Paulista de Enfermagem (Online) |
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Discontinuation of antimicrobials and costs of treating patients with infectionDrug resistanceDrug costsBacterial infectionsOBJECTIVE: To evaluate the repercussions of discontinuation the cost with the antimicrobial treatment of patients with bloodstream infection. METHODS: A historical cohort study conducted in the intensive care unit of a hospital in Belo Horizonte (MG). The population included 62 patients with bloodstream infection caused by Staphylococcus aureus. Data were collected between March/2007 and March/2011 from patients' medical records, Commission of Hospital Infection Control and Sector of Costs, with descriptive and univariate analysis. RESULTS: Colonization was associated with the occurrence of infection with resistant microorganisms (p <0.05). The antimicrobial discontinuation reduced the spectrum of action of the antibiotic prescribed, and the treatment costs (R$ 2,673.12 to R$ 727.03, p = 0.001). CONCLUSION: The discontinuation of antimicrobials favored the redirection of patient therapy, reducing, where necessary, the spectrum of action of the prescribed antimicrobial and, consequently, the costs of treatment.Escola Paulista de Enfermagem, Universidade Federal de São Paulo2012-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000900011Acta Paulista de Enfermagem v.25 n.spe2 2012reponame:Acta Paulista de Enfermagem (Online)instname:Universidade Federal de São Paulo (UNIFESP)instacron:USP10.1590/S0103-21002012000900011info:eu-repo/semantics/openAccessOliveira,Adriana Cristina dePaula,Adriana Oliveira deeng2013-03-04T00:00:00Zoai:scielo:S0103-21002012000900011Revistahttp://www.scielo.br/apePUBhttps://old.scielo.br/oai/scielo-oai.phpape@unifesp.br||schirmer.janine@unifesp.br1982-01940103-2100opendoar:2013-03-04T00:00Acta Paulista de Enfermagem (Online) - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Discontinuation of antimicrobials and costs of treating patients with infection |
title |
Discontinuation of antimicrobials and costs of treating patients with infection |
spellingShingle |
Discontinuation of antimicrobials and costs of treating patients with infection Oliveira,Adriana Cristina de Drug resistance Drug costs Bacterial infections |
title_short |
Discontinuation of antimicrobials and costs of treating patients with infection |
title_full |
Discontinuation of antimicrobials and costs of treating patients with infection |
title_fullStr |
Discontinuation of antimicrobials and costs of treating patients with infection |
title_full_unstemmed |
Discontinuation of antimicrobials and costs of treating patients with infection |
title_sort |
Discontinuation of antimicrobials and costs of treating patients with infection |
author |
Oliveira,Adriana Cristina de |
author_facet |
Oliveira,Adriana Cristina de Paula,Adriana Oliveira de |
author_role |
author |
author2 |
Paula,Adriana Oliveira de |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Oliveira,Adriana Cristina de Paula,Adriana Oliveira de |
dc.subject.por.fl_str_mv |
Drug resistance Drug costs Bacterial infections |
topic |
Drug resistance Drug costs Bacterial infections |
description |
OBJECTIVE: To evaluate the repercussions of discontinuation the cost with the antimicrobial treatment of patients with bloodstream infection. METHODS: A historical cohort study conducted in the intensive care unit of a hospital in Belo Horizonte (MG). The population included 62 patients with bloodstream infection caused by Staphylococcus aureus. Data were collected between March/2007 and March/2011 from patients' medical records, Commission of Hospital Infection Control and Sector of Costs, with descriptive and univariate analysis. RESULTS: Colonization was associated with the occurrence of infection with resistant microorganisms (p <0.05). The antimicrobial discontinuation reduced the spectrum of action of the antibiotic prescribed, and the treatment costs (R$ 2,673.12 to R$ 727.03, p = 0.001). CONCLUSION: The discontinuation of antimicrobials favored the redirection of patient therapy, reducing, where necessary, the spectrum of action of the prescribed antimicrobial and, consequently, the costs of treatment. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000900011 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002012000900011 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0103-21002012000900011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Paulista de Enfermagem, Universidade Federal de São Paulo |
publisher.none.fl_str_mv |
Escola Paulista de Enfermagem, Universidade Federal de São Paulo |
dc.source.none.fl_str_mv |
Acta Paulista de Enfermagem v.25 n.spe2 2012 reponame:Acta Paulista de Enfermagem (Online) instname:Universidade Federal de São Paulo (UNIFESP) instacron:USP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Acta Paulista de Enfermagem (Online) |
collection |
Acta Paulista de Enfermagem (Online) |
repository.name.fl_str_mv |
Acta Paulista de Enfermagem (Online) - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
ape@unifesp.br||schirmer.janine@unifesp.br |
_version_ |
1748858265434849280 |