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PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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Submitted Abstracts

PENSA 2017 Congress

Submitted: September 17, 2017

Abstract ID = 75 | Classification: (7) - Nutrition team including nutrition care process

Title: Medical cost of antibiotics and NST activities

Author(s): Naohiro Washizawa MD, Hirokazu Naganuma RD, Chika Utijima RN, Atsushi Suzuki RPh, Chisato Yamashita LT, Hideki Sekiya DD, Tatsuhiko Furuhashi MD, Masashi Watanabe MD

Institution where study was conducted: Toho University Omori Medical Center, Nutrition Therapy Center Toho Universituy Faculty of Medicine, Clinival Support Service Section

Keywords: Nutrition Support Team (NST), antibiotics

Background: Nutrition Support Team (NST) is a quickly imported to Japan after the position was clarified in the United States in 1970. However, limited to the hospitals are eager to clinical research and facilities can be employed more staff. So multidisciplinary team did not spread widely for a period of time. In 2001, Japanese Society of Parenteral Enteral Nutrition (JSPEN) established the awareness-raising activities, team medics were beginning to spread in the whole of Japan. We made a change the medical practice style with Japanese government support in 2006. When the number of certified NST by JSPEN reached to 1578 in 2010, Japanese Government began to support the hospitals what have active NST with insurance. When it went helping each individual patient by multidisciplinary team, the hospital was able to get a reward of 200 points (2,000 yen) per week for each patients. On the other hand, team working is important matter for cost saving in DPC (diagnosis procedure combination). There are many points of views of costs saving for example laboratory examination, medication, foods, especially leftover of foods, costs of a lawsuit, and so on. Now 1475 teams were certified by Japanese Society of Parenteral Enteral Nutrition in 2016.

Objectives: We investigated the change of bottles of antibiotics belong of NST works.

Methods: Purchased bottles of antibiotics were counted since 2001 to 2014 in Toho University Omori Medical Center.

Results: Total purchased antibiotics decreased from 1827004 bottles (2005 before J-Government support with insurance) to 1660058 bottles (2006 after J-Government support with insurance) and 1697795 bottles (2007). Unfortunately, 2119061 bottles were purchased in 2014 as increasingly. The number of purchased Carbapenem antibiotics decreased from 341220 bottles (2005) to 279330 bottles, 259710 bottles. And the number decreased to 270930 bottles (2013), 261900 bottles (2014) from 284790 bottles (2004) and 341220 bottles (2005).

Conclusion: NST activity was correlated with Government support and affected to the purchased antibiotics.

Email: washi@med.toho-u.ac.jp

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