Assessing the social cost and benefits of a national requirement establishing antibiotic stewardship programs to prevent Clostridioides difficile infection in US hospitals

Details

• Alternative Title:
  Antimicrob Resist Infect Control
• Personal Author:
  Scott, R. Douglas ; Slayton, Rachel B. ; Lessa, Fernanda C. ; Baggs, James ; Culler, Steven D. ; McDonald, L. Clifford ; Jernigan, John A.
• Description:
  Backgound
  
  Economic evaluations of interventions to prevent healthcare-associated infections in the United States rarely take the societal perspective and thus ignore the potential benefits of morbidity and mortality risk reductions. Using new Department of Health and Human Services guidelines for regulatory impact analysis, we developed a cost-benefit analyses of a national multifaceted, in-hospital Clostridioides difficile infection prevention program (including staffing an antibiotic stewardship program) that incorporated value of statistical life estimates to obtain economic values associated with morbidity and mortality risk reductions.
  
  Methods
  
  We used a net present value model to assess costs and benefits associated with antibiotic stewardship programs. Model inputs included treatment costs, intervention costs, healthcare-associated Clostridioides difficile infection cases, attributable deaths, and the value of statistical life which was used to estimate the economic value of morbidity and mortality risk reductions.
  
  Results
  
  From 2015 to 2020, total net benefits of the intervention to the healthcare system range from $300 million to $7.6 billion when values for morbidity and mortality risk reductions are ignored. Including these values, the net social benefits of the intervention range from $21 billion to $624 billion with the annualized net benefit of $25.5 billion under our most likely outcome scenario.
  
  Conclusions
  
  Incorporating the economic value of morbidity and mortality risk reductions in economic evaluations of healthcare-associated infections will significantly increase the benefits resulting from prevention.
  
  
• Subjects:
  Antibiotic Stewardship Clostridioides Difficile Infection Cost-benefit Analysis Healthcare-associated Infections Regulatory Impact Analysis Research Value Of Statistical Life
• Source:
  Antimicrob Resist Infect Control. 8
• Pubmed ID:
  30680153
• Pubmed Central ID:
  PMC6343309
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  8
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bda1450b582cc9562cbf857469705cec8f6bdacb94ac38dc7f55df9966d44915
• Download URL:
  https://stacks.cdc.gov/view/cdc/75845/cdc_75845_DS1.pdf
• File Type:
  [PDF - 691.36 KB ]