手卫生成本效益与成本效果分析

Cost-benefit and Cost-effectiveness of Hand Hygiene

目的:了解手卫生的成本效益和成本效果。方法:比较用水和肥皂洗手与使用速干手消毒剂的成本,分析某ICU手卫生与插管相关感染的关系及产生的经济效益。结果:使用速干手消毒剂与用肥皂洗手相比,每百次洗手可节约成本10.5元。该院ICU2008年速干手消毒剂的使用量(79L)较2007年(39L)有明显增加,同时2008年插管相关性感染率较2007年明显下降,并节约医疗费用60万元。结论:手卫生可降低医院感染发生率,减少医院损失,具有很好的成本效益和成本效果。

Objective： To understand the Cost-benefit and Cost-effectiveness of Hand Hygiene. Methods： The cost of washing hands with soap and water was compared with that of washing hands with alcohol-based hand rub, to analyze the relationship between hand hygiene and catheter related infection in a specific intensive care unit （ICU）, and the cost benefit of hand hygiene in this unit was analyzed. Results： Using alcohol-based hand rub can save 10.5yuan per 100 hand hygiene practices. The amount of alcohol-based hand rub used in 2008 was more than in 2007, and the catheter related infection rates in 2008 were lower than in 2007 in ICU. The reduced healthcare cost is six handred thousand yuan. Conclusion： Hand hygiene can decrease the infection rate, reduce the hospital losing. The cost benefit and cost effectiveness are very good.