医院感染经济损失的1:1病例对照研究

Case-control study on the economic losses due to nosocomial infection (NI)

目的为准确了解医院感染所造成的经济损失。方法采用病例对照研究的方法，调查医院感染的直接经济损失，共１０１对。结果病例组的总医疗费用平均为５９８９元，对照组的总医疗费用平均为３３２７元，增加了２６１５元。不同科室中以肿瘤科医院感染经济损失最高，平均增加７３８９元；感染部位以伤口感染增加费用最高，平均增加３２３２元；多部位感染比１个部位感染医疗费用增多，平均每例增加费用１５４９元。１０１例感染者中，其平均住院天数为２６．２９天，比对照组平均住院天数１５．１５天高出１１．１４天。结论医院感染将会使患者负担加重、增加医务人员工作量、降低病床周转率、医院收入下降，故预防和控制医院感染将获得巨大的社会效益和经济效益。

OBJECTIVE In order to exactly understand the ecomonic losses cause by nosocomial infection were studied. METHODS This paper investigated the economic losses due to nosocomial infection and others, some inpatients adopied case-control study method, total in one hundred and one pairs. RESULTS Total medical treatment charges of case group: average 5989 yuan, total medical treatment charged of control group: average 3327 yuan, increased 2615 yuan. The economic losses of the department of tumor due to NI in all departments of hospital was the highest, increased charges: average 7389 yuan, the second one was the department of surgery, increased charges: average 2508 yuan. The economic losses varied with infection place, the economic due to operative wound infection was the highest, increased charges: average 3232 yuan, the following were the deep respiratory tract and urinary tract infection, increasd charges: average 2900 yuan and 1613 yuan. The medical treatment charges of multiple infection was higher than simple infection, increased charges: average 1549 yuan. In one hunered and one cases we gained their hospialization days: average 26.19, the hospialization days of control group: average 15.15, increased days: 11.14. CONCLUSION NI would made patients to bear a heavily burden, increased quantities of doctor and nurse's work, cut down the turnover rate of hospital bed, decreased the hospital money received, so prevention and control of NI will attain tremendous social and economic profit.