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Concerns regarding the cost of ertapenem have been cited as a deterrent for this regimen. Objective: The objective of this study was to investigate the cost-effectiveness of single-dose ertapenem compared to existing standard regimens. Methods: A decision analytic cost-effectiveness model was designed from a hospital perspective to compare four strategies for the postpartum management of chorioamnionitis after cesarean delivery: i no antibiotics; ii a one-time intravenous dose of ampicillin, gentamicin, and clindamycin AGC-1 ; iii h coverage with intravenous ampicillin, gentamicin, and clindamycin AGC ; and iv intravenous ertapenem, one dose. Antibiotic drug costs were obtained from the pharmacy department at a private academic hospital. Effectiveness was quantified as percentage of patients who avoided postcesarean infectious morbidity endometritis or SSI. No antibiotics and AGC were more costly and equally or less effective than comparators dominated strategies.
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