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- Title
Custos com antimicrobianos no tratamento de pacientes com infecção.
- Authors
de Oliveira, Adriana Cristina; Oliveira de Paula, Adriana; Farnetano Rocha, Rodrigo
- Abstract
Introduction: Costs related to antimicrobial treatment of patients with bloodstream infections caused by resistant microorganisms have been little explored. Objective: Compare the cost of treatment in patients with oxacillin- resistant Staphylococcus aureus (mrsa) and oxacillin-susceptible Staphylococcus aureus (mssa) bloodstream infection (bsi). Methodology: It is a historic cohort study performed in an intensive care unit with patients with Staphylococcus aureus bsi between March/2007 and March/2011. Patients' medical records, records of the hospital infection control committee and of the hospital financial system were used. Univariate analysis were performed. Results: 31 patients with mrsa and mssa infection took part in the study. According to the univariate analysis, directed therapy lowered the spectrum of antibiotics activity and the costs (p = 0,000), bacterial resistance was linked to a bigger expenditure in empiric antimicrobial therapy (p = 0,013), not being found any association for directed or total therapy. Conclusion: Bacterial resistance may influence the costs of antimicrobial therapy. More studies are needed, specifically, evaluating antibacterial therapy.
- Subjects
ANTI-infective agents; BLOODBORNE infections; COMPARATIVE studies; LONGITUDINAL method; MEDICAL care costs; STAPHYLOCOCCAL diseases; STATISTICS; METHICILLIN-resistant staphylococcus aureus; OXACILLIN; CATHETER-related infections; ECONOMICS; THERAPEUTICS
- Publication
Avances en Enfermería, 2015, Vol 33, Issue 3, p352
- ISSN
0121-4500
- Publication type
Article
- DOI
10.15446/av.enferm.v33n3.37356