Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars

The rapid transition from intravenous to oral antimicrobial therapy in hospitalized patients is being catalyzed by the need to gain further efficiencies in health care delivery without Compromising patient cure. The successful transition to oral therapy reduces complication from intravenous access d...

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Main Author: Thomas J Louie
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1994/587910
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author Thomas J Louie
author_facet Thomas J Louie
author_sort Thomas J Louie
collection DOAJ
description The rapid transition from intravenous to oral antimicrobial therapy in hospitalized patients is being catalyzed by the need to gain further efficiencies in health care delivery without Compromising patient cure. The successful transition to oral therapy reduces complication from intravenous access devices. reduces cost of therapy and facilitates early discharge. both older and newer antimicrobials can be used as stepdown therapy. Although there are gaps in our information base with regards to outcome studies. the application of newer “pharmacodynamic” principles of antimicrobials action and careful selection of antimicrobials based on in vitro activity and pharmacokinetics will maximize the effectiveness of stepdown treatment of infections.
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series Canadian Journal of Infectious Diseases
spelling doaj-art-c30dbaa04d8a468cb0813b27707b1d392025-02-03T01:13:14ZengWileyCanadian Journal of Infectious Diseases1180-23321994-01-015Suppl C45C50C10.1155/1994/587910Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care DollarsThomas J Louie0Division of Infectious Diseases, Departments of Medicine and Microbiology - Infectious Diseases, University of Calgary, Calgary, Alberta, CanadaThe rapid transition from intravenous to oral antimicrobial therapy in hospitalized patients is being catalyzed by the need to gain further efficiencies in health care delivery without Compromising patient cure. The successful transition to oral therapy reduces complication from intravenous access devices. reduces cost of therapy and facilitates early discharge. both older and newer antimicrobials can be used as stepdown therapy. Although there are gaps in our information base with regards to outcome studies. the application of newer “pharmacodynamic” principles of antimicrobials action and careful selection of antimicrobials based on in vitro activity and pharmacokinetics will maximize the effectiveness of stepdown treatment of infections.http://dx.doi.org/10.1155/1994/587910
spellingShingle Thomas J Louie
Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
Canadian Journal of Infectious Diseases
title Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
title_full Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
title_fullStr Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
title_full_unstemmed Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
title_short Intravenous to Oral Stepdown Antibiotic Therapy: Another Cost-Effective Strategy in an Era of Shrinking Health Care Dollars
title_sort intravenous to oral stepdown antibiotic therapy another cost effective strategy in an era of shrinking health care dollars
url http://dx.doi.org/10.1155/1994/587910
work_keys_str_mv AT thomasjlouie intravenoustooralstepdownantibiotictherapyanothercosteffectivestrategyinaneraofshrinkinghealthcaredollars