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Table 5 Antibiotics stewardship programme (ASP) related cost breakdown in pre-ASP and post-ASP phases

From: An antibiotic stewardship program in a surgical ICU of a resource-limited country: financial impact with improved clinical outcomes

Variable

Pre-ASP intervention

Post-ASP intervention

Unit cost (US$)

Quantity

Total cost (US$)

Unit cost (US$)

Quantity

Total cost (US$)

Direct cost

 Physician cost (hours)

–

–

–

   

  Education

  Consultation

  Feedback

   

25

180

4500

 Microbiologist cost (hours)

–

–

–

   

  Data collection

  Susceptibility reporting

   

12

90

1080

 Pharmacist cost (hours)

–

–

–

   

  Data collection and analysis

  Interventions

   

5

215

1075

 Administrative cost for ASP designing, implementing, monitoring and evaluating (hours)

–

–

–

30

50

1500

Indirect cost

 Pharmacy time (hours)

  Pharmacist order processing

3

200

600

3

80

240

  Technician (preparation and dispensing

2

400

800

2

190

380

 Medication administration nurses time (hours)

2.5

750

1875

2.5

396

990

 Consumables and logistics related to IV ABXs administration

1.5

4400

6600

1.5

2840

4260

 SICU bed per day cost

540

5.2*

2808

540

4.7*

2538

  1. *Mean length of SICU stay (day); The same brands of all the antibiotics were purchased and used throughout the study in pre and post phases