P06.04 Costs of antibiotics consumption in neonatal intensive care units in Poland

Abstract

Background: Rapid and accurate identification of meticillinresistant Staphylococcus aureus (MRSA) in hospital admissions is essential for timely decisions on optimal treatment, isolation/bioburden reduction, reducing the potential for cross transmission/self acquisition of healthcare-associated infections (HCAI) and cost containment. The NHS is expected to face a £15bn budget shortfall due to effects of recession. We present the cost effectiveness of the second year of a rapid MRSA screening programme which was implemented at Blackpool Victoria Hospital and the economic advantages of continuing the service despite a 15% cut in overall budget. Methods: A thorough clinico-economic dissection included cost analyses (total cost of the service [equipment, consumables, salaries]; estimated savings from reduction in infections including bacteraemia; collateral benefits of the programme); clinical implications, patient and staff feedback. Latest details to be presented. Results: At time of analysis – 78% (9 bacteraemias against 40 in 07–08) reduction in first year 08–09 [45% – post 48h]. 5 bacteraemias were recorded between Apr-Nov 09, of which 20% were post-48 hrs. The cost of service over 18-mths was less than £591,332. Estimated savings from the overall 30% reduction in all MRSA infections over the previous 18 mths ranged from £806,000 (using £2,000/infection including bacteraemia) to £2,014,597 (using £4,999/infection including bacteraemia) models. 51% reduction in glycopeptide unit-days and spend. Total 31,867 tests were performed and 96% patients could be re-assured of their negative MRSA status within an av 5h turn-around-time. Conclusions: Rapidly available MRSA results are routinely used to compliment clinical decision making and optimise treatment in our hospital. The key to success in this model was the teamwork between management, clinical & ICT. A sound business case and return on investment for the use of rapid diagnostic methods in our hospital can be made.