Lee J, Carlson J A, Chamberlain M A
Department of Pharmacy, Central Hospital, Seattle, WA 98112, USA.
Diagn Microbiol Infect Dis. 1995 May-Jun;22(1-2):239-42. doi: 10.1016/0732-8893(95)00076-m.
A multidisciplinary antibiotic review team (MART) was implemented to improve patient care and reduce antimicrobial expenditures. MART consists of pharmacists and infectious disease (ID) physicians reviewing patients three times weekly. Antibiotic expenditures were reduced by recommending conversions to therapeutically equivalent antibiotics, conversion to an oral agent, and completion of treatment with home infusion therapy. In addition, MART proposed therapeutic interchanges from ceftriaxone to cefotaxime to the P and T committee. ID physician or pharmacist offered recommendations and initiated order changes if the attending physician agreed. Annualized savings was $74,371, with 40% of the recommendations resulting in an improved antimicrobial therapy.
一个多学科抗生素审查团队（MART）被组建起来，以改善患者护理并降低抗菌药物支出。MART由药剂师和传染病（ID）医生组成，他们每周对患者进行三次审查。通过建议转换为治疗等效的抗生素、转换为口服制剂以及采用家庭输液疗法完成治疗，抗生素支出得以降低。此外，MART向药品与治疗委员会提议从头孢曲松转换为头孢噻肟进行治疗替换。如果主治医生同意，ID医生或药剂师会提供建议并启动医嘱更改。年度节省金额为74,371美元，40%的建议带来了抗菌治疗的改善。
