Economic and clinical contributions of an antimicrobial barrier dressing: a strategy for the reduction of surgical site infections

Journal of Medical Economics
David LeaperRichard Searle

Abstract

In patients at risk of surgical site infection (SSI), there is evidence that an antimicrobial barrier dressing (Acticoat* ) applied immediately post-procedure is effective in reducing the incidence of infection. The objective of this study was to assess when it is appropriate to use an antimicrobial barrier dressing rather than a post-operative film dressing, by evaluating the net cost and budget impact of the two strategies. An economic model was developed, which estimates expected expenditure on dressings and the expected costs of surgical site infection during the initial inpatient episode, based on published literature on the pre-discharge costs of surgical infection and the efficacy of an antimicrobial barrier dressing in preventing SSI. At an SSI risk of 10%, an antimicrobial barrier dressing strategy is cost neutral if the incidence of infection is reduced by at least 9% compared with a post-operative film dressing. At 35% efficacy, expenditure on dressings would be higher by £30,760 per 1000 patients, and the cost of treating infection would be lower by £111,650, resulting in a net cost saving of £80,890. The break-even infection risk for cost neutrality is 2.6%. Although this cost analysis is based on published data, t...Continue Reading

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Citations

Nov 15, 2011·International Wound Journal·David Leaper
Jul 28, 2016·International Wound Journal·Christina Lindholm, Richard Searle
Mar 1, 2011·Journal of Wound Care·David Leaper
Feb 19, 2015·Current Opinion in Infectious Diseases·David Leaper, Karen Ousey
Nov 15, 2013·British Journal of Nursing : BJN·Jackie Stephen-Haynes
Apr 11, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Koichi TomitaShigeyuki Kawachi
Jul 26, 2012·Current Infectious Disease Reports·Ralf-Peter Vonberg, Petra Gastmeier

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