BACKGROUND: @entity8307 ( @entity8307 ) has had an important impact on infections historically requiring prolonged intravenous antibiotic treatment. Within the past decade, new antibiotics with oral/intravenous bioequivalence, plus recent data on infection management, have increased the potential role of the @entity166 ( @entity166 ) consultant for @entity8307 . METHODS: We studied the impact of mandatory @entity166 consultation on the use and outcomes of @entity8307 in @entity1 initially hospitalized. The study was approved by the Institutional Review Board and the Executive Committee of the Medical Staff of Baystate Medical Center. @entity1 older than 18 years of age being considered for discharge to home on @entity8307 were identified, primarily through discharge planning. Formal @entity166 consultation was performed to determine both need for @entity8307 and a variety of issues regarding antibiotic choice. Thirty-day telephone follow-up determined outcomes. Data regarding demographics, outcomes, and costs were analyzed. RESULTS: Forty-four @entity1 received mandatory @entity166 consultation, 39 (88.6%) of whom had some change in antibiotic recommendations. Seventeen (38.6%) were discharged on oral antibiotics, 1 (2.3%) had antibiotics discontinued, 13 (29.6%) had a change in parenteral antibiotic, 5 (11.4%) had a change in antibiotic dose, and 3 (6.8%) had a change in antibiotic duration. Follow-up demonstrated a single rehospitalization for unrelated issues. The total cost savings were 33,667.00 US dollars, approximately 760.00 US dollars per @entity1 . Charges of consults were approximately 11,970.00 US dollars, still resulting in savings of close to 21,700.00 US dollars, or almost 500.00 US dollars per @entity1 . CONCLUSIONS: Mandatory @entity166 consultation resulted in substantial cost savings and excellent outcomes.

Impact of mandatory inpatient XXXX on outpatient parenteral antibiotic therapy.

@entity8307 :: ('MESH:D004761', 'Disease') :: ['OPAT', 'Outpatient parenteral antibiotic therapy'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity166 :: ('MESH:D003141', 'Disease') :: ['Infectious Disease', 'ID']
@entity166 :: (MESH:D003141,Disease) :: ['infectious disease consultation']
