Use of antibiotics in an Italian children's hospital, 1993-1995; clinical and economic considerations.
Antibiotic consumption and expenditure was studied during 1993 and 1995 in G. Gaslini children's hospital, an Italian 400-bed paediatric hospital, to see if any changes in use had occurred. There was an increase in the cost of antibacterial agents from 1993 to 1995, with a decrease in the daily cost of antibiotics and in the consumption of antiviral, antifungal and antiparasitic agents. There was a notable increase in the use of glycopeptides and carbapenems between 1995 and 1993 especially in specialities such as onco-haematology and intensive care. We suggest a basis for an antibiotic management programme aimed at reducing costs while still providing a high standard of care for patients.
Bassetti
M
M
Infectious Diseases Department, University of Genoa, G. Gaslini Childern's Hospital, L.go G. Gaslini 5, 16147, Genoa, Italy. mattba@tin.it
Collidà
A
A
Rossi
R
R
Cruciani
M
M
Di Biagio
A
A
Bassetti
D
D
D000900:Anti-Bacterial Agents / Q000191:economics* / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D002648:Child; D004363:Drug Utilization; D006760:Hospitalization; D006776:Hospitals, Pediatric; D006801:Humans
D000900:Anti-Bacterial Agents