Cost Minimization Analysis of Antibiotic Used by Sepsis Patients at a Hospital in Bandung
Journal Title: Indonesian Journal of Clinical Pharmacy - Year 2013, Vol 2, Issue 1
Abstract
Empirical therapy is one of the important supporting therapies for successful sepsis management including, sepsis with respiratory infection. Inappropiate empirical antibiotic therapy leads to resistance of antibiotics which results increases length of stay, mortality and subsequently higher the cost of healthcare and decreases the quality of hospital’s service. This study’s objective was to determine which the antibiotic combination group used for the treatment of sepsis with respiratory infection is the most efficient in cost minimization at a hospital in Bandung. Observational analitycal study is conducted by retrospective data. Data were collected from medical record of inpatients sepsis with respiratory infection who received empirical antibiotic therapy of ceftazidime-levofloxacin or cefotaxime-erythromycin. Direct medical cost were calculated from empirical antibiotic costs, costs of medical treatment, medical expenses, hospitalization costs, and administrative costs. The results showed that total cost of the combination of ceftazidime-levofloxacin is 12,751,082,49 IDR and cefotaxime-erythromycin is 21,641,678,02 IDR. It can be conclude that the combination of ceftazidime-levofloxacin is more efficient than cefotaxime-erythromycin.
Authors and Affiliations
Okky S. Purwanti, Rano K. Sinuraya, Ivan S. Pradipta, Rizky Abdulah
Keywords
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