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Estimating the cost of inappropriate antibiotic prophylaxis prior to dental procedures

Published online by Cambridge University Press:  10 July 2023

Cynthia L. Gong*
Affiliation:
Division of Neonatology, Fetal & Neonatal Institute, Children’s Hospital Los Angeles, Los Angeles, California Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California
Anh Duong
Affiliation:
Alfred E. Mann School of Pharmacy, University of Southern California, Los Angeles, California
Kenneth M. Zangwill
Affiliation:
Division of Pediatric Infectious Diseases, Department of Infection Prevention and Control, and The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, California
*
Corresponding author: Cynthia L. Gong; Email: gongc@usc.edu

Abstract

Inappropriate dental antibiotic prescriptions to prevent infective endocarditis in the United States results in ∼$31 million in excess costs to the healthcare system and patients. This includes out-of-pocket costs ($20.5 million), drug costs ($2.69 million) and adverse event costs (eg, Clostridioides difficile and hypersensitivity) of $5.82 million (amoxicillin), $1.99 million (clindamycin), and $380,849 (cephalexin).

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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