Cost analysis of prophylactic antibiotic usage

In health sector the supply and demand can be manuplated by the parts because of the knowledge asymmetry between the producer and consumer. Every additional services mean, extra onerousness for both the client and the government. In this study the cost of improper prophylactic antibiotic (PAB) usage was evaluated.Threehundredtwentyfive clean and clean-contaminated surgical operations which were performed within a month at a university hospital, were evaluated according to a specific guideline. In 238 of these operations the PAB usage was ?formally? correct. In 30 of these PAB was not used as the guideline recommended. In 84, the guideline recommended PAB usage, the surgeons used a PAB but it was different than the recommended one. In 16, a proper PAB was administered longer than it was recommended. In 108, PAB usage was exactly proper. In 87 of 325 operations the PAB usage was ?formally? incorrect. In 71 cases, PAB was used when it was not recommended, and in 16, PAB was not given even it was recommended.Total PAB usage cost was calculated as 7518,08 YTL, but if the rules of the guideline had been stirctly applied, the ?probable cost? should be 3070,71 YTL. When we calculated the total PAB cost with the prices of the cheapest equivalent drugs, the ?probable cost? should be 6213,50 YTL.In conclussion it is possible to make a great amount of savings for country-wide by just motivating a rational PAB using policy.