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Healthy Skepticism Library item: 8537

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Martucci HJ, Parry MF.
Cephalosporin cost reduction.
Hosp Formul 1981 Apr; 16:(4):396-8,


Abstract:

A multidisciplinary and ongoing educational program designed to control the use of cephalosporin antibiotics in a community hospital is described, including an evaluation of its effects on the prescribing habits of physicians and drug utilization in the hospital. The program, which was directed at all levels of health care, promoted the use of cefazolin sodium (Ancef; Kefzol; I) as the overall cephalosporin of choice because of its low cost, ease of administration and overall activity; furnished information on the comparative costs of cephalosporins and other parenteral antibiotics to increase cost consciousness; limited the use of other cephalosporins to documented infections where I would not be effective; and reinforced the appropriate dosing of I. The participation of the hospital pharmacist, infectious disease specialist, microbiology laboratory personnel and pharmaceutical representatives in the program is described. Results showed that the program significantly affected physician prescribing habits, increased the use of I, and achieved the appropriate dosing of I with resultant cost savings for the hospital.

Keywords:
Anti-Bacterial Agents/administration & dosage Cephalosporins/administration & dosage* Connecticut Drug Information Services* Drug Utilization/economics* Hospital Bed Capacity, 300 to 499 Pharmacy Service, Hospital/economics

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909