Cost and Antibiotic Utilization of Pneumonia Patients in Intensive Care Unit

作者: Ramya Kateel , Prabha Adhikari , Sheetal Rajm

DOI: 10.7324/JAPS.2016.60212

关键词: Emergency medicinePneumoniaIntensive care medicineRetrospective cohort studyAspiration pneumoniaClindamycinAntibioticsIntensive care unitMortality rateMedicineAverage cost

摘要: Article history: Received on: 16/10/2015 Revised 17/12/2015 Accepted 28/12/2015 Available online: 27/02/2016 Objective of this study is to evaluate the cost and antibiotic utilization pneumonia patients admitted in intensive care unit. It was a retrospective study. Details required for analysis were acquired from hospital files. Out 320 cases evaluated 110 pneumonia.28.2% people had as their primary diagnosis 71.8% acquired/aspiration pneumonia. The mean length ICU stay 3.30± 1.91 days. 21.8% put on ventilator. mortality rate 34.5%. Betalactum along with betalactamase inhibitor antibiotics prescribed 91% patients, Carbapenams 20%, anti-staphylococcal 51% macrolides miscellaneous 25.5% 36.4% respectively. clindamycin combination most commonly antibiotic. Average per patient who not ventilator Rs 27,123 where ventilated Rs44, 812. This showed that one third admissions due Highest numbers Cost supported two times more than non-ventilated Ventilator support expensive intervention adding followed by investigations.

参考文章(12)
A. Kwetkat, S. Hagel, C. Forstner, M.W. Pletz, Pneumonieprävention durch Pneumokokkenimpfung Zeitschrift Fur Gerontologie Und Geriatrie. ,vol. 48, pp. 614- 618 ,(2015) , 10.1007/S00391-015-0887-Y
Julie Ottosen, Heather Evans, Pneumonia Surgical Clinics of North America. ,vol. 94, pp. 1305- 1317 ,(2014) , 10.1016/J.SUC.2014.09.001
S Dirmesropian, JG Wood, CR MacIntyre, AT Newall, A review of economic evaluations of 13-valent pneumococcal conjugate vaccine (PCV13) in adults and the elderly Human Vaccines & Immunotherapeutics. ,vol. 11, pp. 818- 825 ,(2015) , 10.1080/21645515.2015.1011954
Jordi Almirall, Eduard Mesalles, Jordi Klamburg, Olga Parra, Antoni Agudo, Prognostic Factors of Pneumonia Requiring Admission to the Intensive Care Unit Chest. ,vol. 107, pp. 511- 516 ,(1995) , 10.1378/CHEST.107.2.511
Kristin L. Nichol, K.L. Margolis, J. Wouremna, T. von Sternberg, Effectiveness of influenza vaccine in the elderly Gerontology. ,vol. 42, pp. 274- 279 ,(1996) , 10.1159/000213803
David M. DiBardino, Richard G. Wunderink, Aspiration pneumonia: a review of modern trends Journal of Critical Care. ,vol. 30, pp. 40- 48 ,(2015) , 10.1016/J.JCRC.2014.07.011
Richard G. Wunderink, Grant W. Waterer, Community-Acquired Pneumonia New England Journal of Medicine. ,vol. 370, pp. 543- 551 ,(2014) , 10.1056/NEJMCP1214869
Richard A. Garibaldi, Epidemiology of community-acquired respiratory tract infections in adults The American Journal of Medicine. ,vol. 78, pp. 32- 37 ,(1985) , 10.1016/0002-9343(85)90361-4
Raymond J Foley, Mark L Metersky, Cost-effectiveness of community-acquired pneumonia therapy. Expert Review of Pharmacoeconomics & Outcomes Research. ,vol. 3, pp. 749- 756 ,(2003) , 10.1586/14737167.3.6.749
Robert W. Pinner, Trends in Infectious Diseases Mortality in the United States JAMA: The Journal of the American Medical Association. ,vol. 275, pp. 189- 193 ,(1996) , 10.1001/JAMA.1996.03530270029027