I discussed this on several occasions with microbiologists in Oxford. My recollection of their conclusions was that the improvements in process outcomes reported from the USA weren’t available in the UK because the way that antibiotics were already managed in the UK was much better. So expectations shouldn’t be based on transferability of fractional improvement…

There’s a worked example of an economic evaluation in an Appendix of this HTA: http://www.nice.org.uk/nicemedia/pdf/CG47Guidance.pdf

Jonathan


On 17 Jan 2014, at 10:48, Myers Martin (LTHTR) <[log in to unmask]> wrote:

I would be grateful if anyone could share their experiences on whether that the introduction of procalcitonin reduced antibiotic use, reduced bed days and reduced admission. 
 
Thanks
 
martin
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