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Cost Reduction With Successful Implementation of an Antibiotic Prophylaxis Program in a Private Hospital in Ribeirão Preto, Brazil

Published online by Cambridge University Press:  02 January 2015

Silvia N. Szente Fonseca ,
Sônia R. Melon Kunzle ,
Sheila A. Barbosa Silva ,
Jorge G. Schmidt Jr  and
Roberto R. Mele
Silvia N. Szente Fonseca*
Affiliation:
Hospital Infection Control Department of Hospital Sâo Francisco, Ribeirâo Preto, Brazil
Sônia R. Melon Kunzle
Affiliation:
Hospital Infection Control Department of Hospital Sâo Francisco, Ribeirâo Preto, Brazil
Sheila A. Barbosa Silva
Affiliation:
Hospital Infection Control Department of Hospital Sâo Francisco, Ribeirâo Preto, Brazil
Jorge G. Schmidt Jr
Affiliation:
Hospital Infection Control Department of Hospital Sâo Francisco, Ribeirâo Preto, Brazil
Roberto R. Mele
Affiliation:
Hospital Infection Control Department of Hospital Sâo Francisco, Ribeirâo Preto, Brazil
*
Hospital Sâo Francisco, Rua Bernardino de Campos, 912, CEP 14015-130 Ribeirâo Preto, SP, Brazil
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Abstract

Objective:

To describe the implementation and results of a perioperative antibiotic prophylaxis (PAP) program.

Design:

A protocol for correct use of PAP was implemented in December 1994. For selected months we measured the PAP protocol compliance of a random sample of clean and clean-contaminated procedures and calculated the cost of incorrect use of PAP.

Setting:

A 180-bed general hospital in Ribeirão Preto, Brazil.

Results:

The cost of unnecessary PAP in the obstetric and gynecologic, cardiothoracic, and orthopedic services dropped from $4,224.54 ($23.47/procedure) in November 1994 to $1,147.24 ($6.17/procedure, January 1995), $544.42 ($3.58/procedure, May 1995), $99.06 ($0.50/procedure, August 1995), and $30 ($0.12/procedure, March 1996). In November 1994, only 13.6% of all surgical procedures were done with correct use of PAP, compared to 59% in January 1995, 73% in August 1995, 78% in March 1996, 92% in November 1996, and 98% in May 1997.

Conclusions:

Incorrect PAP use wastes resources, which is a particular problem in developing countries. Our program is simple and can be implemented without the use of computers and now is being adopted in other hospitals in our region. We credit the success of our program to the commitment of all participants and to the strong support of the hospital directors.

Type
The International Perspective
Information
Infection Control & Hospital Epidemiology , Volume 20 , Issue 1 , January 1999 , pp. 77 - 79
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1999

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