Reducing the costs of paediatric antibiotic prescribing in the community by implementing guideline recommendations

Abstract

This is the first Italian study to evaluate the costs related to a specific prescription profile, which already exists in the real setting, hypothesizing its application in a large outpatient child population of the same geographical area. The results show that by improving prescribing appropriateness, it is possible to reduce the expenditure associated with antibiotic prescriptions to outpatient children in the Lombardy region by about one-fifth. The lower rate of hospital admissions for ARI suggests that the adopted profile is also beneficial to children's health.

The effect of an integrated syndromic respiratory disease guideline in primary health care settings

“…ISG has a significant impact on reducing the average cost of drug prescription per patient with respiratory disease because of the decrease in the cost of antibiotics and adjuvant useless drug prescriptions. Similar results were reported in the studies of Piovani et al and the Path-Theta Collaboration [18,25].…”

“…The findings of our study highlight a significant decrease in drug prescription in general and in antibiotic prescription in particular. Similar results were reported when guidelines were used for prescription of antibiotics [15][16][17][18]. Although ISG reduced antibiotic use for respiratory infections by half in Fiji, it did not alter prescription patterns in an Ugandan study.…”

“…Similar results were reported in the studies of Piovani et al . and the Path‐Theta Collaboration [18,25].…”

Impact of pharmacist intervention on antibiotic use and prophylactic antibiotic use in urology clean operations

“…[11][12][13][14][15][16][17] Our study chose urology as the entry point, and it shows that pharmacist intervention on antibiotic use and prophylactic antibiotic use for clean operations is effective. [11][12][13][14][15][16][17] Our study chose urology as the entry point, and it shows that pharmacist intervention on antibiotic use and prophylactic antibiotic use for clean operations is effective.…”

“…Recent studies have demonstrated that pharmacists could play an important role in the responsible use of antibiotics. [11][12][13][14][15][16][17] Our study chose urology as the entry point, and it shows that pharmacist intervention on antibiotic use and prophylactic antibiotic use for clean operations is effective. Pharmacists participating in antibiotic stewardship programmes can promote the responsible antibiotic use and decrease costs while improving such use.…”