综合医院专科重症监护病房住院患者医院感染直接经济损失研究

Direct economic losses due to nosocomial infections in hospitalized patients in specialist intensive care unit of general hospital

目的探讨综合医院专科重症监护病房(ICU)住院患者,发生医院感染所造成的直接经济损失。方法采用1∶1病例对照研究方法,分析医院感染的直接经济损失和延长的住院天数共113对。结果感染组比对照组平均每例增加医疗费57 569.51元,不同专科ICU经济损失以神经内科ICU最高,平均每例增加68 905.73元,医院感染部位不同经济损失亦不同,以导管相关性血流感染最多;医院感染延长住院天数平均每例增加18.29 d,两组间差异有统计学意义(P<0.01)。结论医院感染不但增加患者的经济负担,同时增加平均住院日,降低床位周转率,因此,应按医院感染经济损失的特点合理确定医院感染控制工作的重点和优先,充分利用现有的卫生资源,提高医院感染管理工作的社会效益和经济效益。

OBJECTIVE To investigate the general hospital specialist intensive care unit（ICU） hospitalized patients with nosocomial infections caused direct economic losses.METHODS A 1∶1 case-control study to analyze the direct economic losses of nosocomial infection and prolonged hospital stay 113 pairs.RESULTS The infection group than in the control group with an average of 57569.51 yuan increase in health care costs,economic losses to different specialties neurology ICU highest increase of 68,905.73 yuan per patient,hospital infections in different parts of the economic loss is also different to most catheter-related bloodstream infections.Hospital infection prolonged hospital stay increase in the number of days with an average of 18.29 d.There were significant differences between the two groups（P0.01）.CONCLUSION Patients with hospital infections will not only increase the financial burden,while increasing the average length of stay,reduce bed turnover rate.Therefore,economic loss should be the characteristics of hospital infection hospital infection control reasonably determine the focus and priority,make full use of existing health resources to enhance the management of hospital infection social and economic benefits.