Inappropriate antibiotic use has been a contributing factor to the emergence of resistant bacteria and the growth of health care *** evaluate the impact of pharmacist intervention on antibiotic use in respiratory ward...
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Inappropriate antibiotic use has been a contributing factor to the emergence of resistant bacteria and the growth of health care *** evaluate the impact of pharmacist intervention on antibiotic use in respiratory wards,we performed the prospective controlled study in our *** study was carried out over a four-month period beginning in July *** independent respiratory wards were randomized into control and intervention *** treatment strategies were performed in the control group,while a respiratory clinical pharmacist was assigned to the intervention group to make daily rounds with the medical team and give real-time intervention on antibiotic use when *** the patients who received any antibiotics were included and their characteristics,including sex,age and primary lung disease were noted. Primary outcome measures were durations and costs of hospitalization and antibiotic *** addition,all the patients' medical records were independently reviewed by an experienced respiratory specialist to score the inappropriate phenomena of antibiotic use.127 patients were included in the intervention group and 132 in the control *** mean duration of hospitalization did not differ significantly(p>0.05),as well as the mean cost of antibiotics(p>0.05).However,the mean cost of hospitalization were significantly lower in the intervention group than in the control group(p<0.01),and with significantly reduced mean duration of antibiotic therapy(p<0.01).Moreover,the mean score of inappropriate antibiotic use was significantly lower in the intervention group compared to the control group(p<0.01).As shown by the results obtained,pharmacist intervention could contribute to the reduction on economic cost and improvement on antibiotic use as a member of a multidisciplinary team.
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