title: Economic impact of interventional study on rational use of antiseptics and disinfectants in Super Speciality Hospital of Nagpur.
abstract: OBJECTIVE
  To measure the impact of interventions on rational use of antiseptics and disinfectants (A and D) for cost containment in Super Speciality Hospital (SSH) of Government Medical College, Nagpur (GMCN), India.
  
  
  METHODS
  This study was conducted from October 2003 to March 2007 in SSH of GMCN. In the pre-interventional phase (Phase-I), purchase, stocking and distribution of A and D was studied to find problem areas. Based on this formative data an intervention was planned (Phase-II) during which rationing of the A and D was done. Rational quantities needed for different A and D procedures were calculated based on recommendations of National Aids Control Organization (NACO) with modifications to suit our hospital setup. Detailed information, education, communication and training about rational use of A and D were provided to the hospital staff. In the post-interventional phase (Phase-III), the use of A and D was rationalized at the distribution level and the efficacy of in-use A and D was tested at user sites. Data about medicine expenditure, patient record and A and D usage in various departments was obtained from hospital records. Savings on A and D as against total annual medicine expenditure was calculated taking the cost of A and D in the post-intervention period.
  
  
  RESULTS
  The expenditure on A and D as a result of intervention decreased by 20.7%. Out of the total medicine expenditure, the expenditure on A and D which accounted for 6.2% before intervention, decreased to 1.95% after the intervention.
  
  
  CONCLUSIONS
  The information, education and communication (IEC) interventions attempted by us resulted in significant decrease in the use and expenditure of A and D.
authors.affiliation: Government Medical College, Nagpur - 440 003, India.
authors.forename: Vandana
authors.initials: V
authors.lastname: Agarwal
authors.forename: Kunda
authors.initials: K
authors.lastname: Gharpure
authors.forename: Vijay
authors.initials: V
authors.lastname: Thawani
authors.forename: Sushil
authors.initials: S
authors.lastname: Makhija
authors.forename: Anita
authors.initials: A
authors.lastname: Thakur
authors.forename: Rajaram
authors.initials: R
authors.lastname: Powar