کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5867536 1563463 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Major articleExtra length of stay and costs because of health care-associated infections at a German university hospital
ترجمه فارسی عنوان
مقاله اصلی طول مدت اقامت و هزینه های مربوط به عفونت های مربوط به مراقبت های بهداشتی در یک بیمارستان دانشگاهی آلمان
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی


- We examined extra length of stay and associated per diem costs attributable to health care-associated infections.
- Extra length of stay was estimated by multistate modeling.
- Health care-associated infection increased hospital length of stay and cost of care.
- Additional costs attributable to health care-associated infections were €5,823-€11,840 ($7,453-$15,155) per infected patient.
- Potential cost savings of at least €2 million ($2.5 million) per year were estimated for a major tertiary care center.

BackgroundHealth care-associated infections (HAIs) can be associated with increased health care costs. We examined extra length of hospital stay (LOS) and associated per diem costs attributable to HAIs in a large academic medical center.MethodsData for analysis were acquired in a preinterventional phase of a prospective cohort study (ALERTS) conducted over 12 months in 27 general and 4 intensive care units at Jena University Hospital. HAIs were identified among patients hospitalized for ≥48 hours with at least 1 risk factor for HAI and new antimicrobial therapy; the diagnosis was confirmed by U.S. Centers for Disease Control and Prevention criteria. Extra LOS was estimated by multistate modeling, and associated extra costs were based on average per diem costs for clinical units sampled.ResultsOf a total of 22,613 patients hospitalized for ≥48 hours, 893 (3.95%) experienced 1,212 episodes of HAI during 12 months. The associated mean extra LOS ± SEM in general units was 8.45 ± 0.80 days per case and 8.09 ± 0.91 days for patients treated in both general and intensive care units. Additional costs attributable to HAIs were €5,823-€11,840 ($7,453-$15,155) per infected patient.ConclusionHAIs generated substantial extra costs by prolonging hospitalization. Potential clinical and financial savings may be realized by implementing effective infection prevention programs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 44, Issue 2, 1 February 2016, Pages 160-166
نویسندگان
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