6种疾病住院患者医院感染的经济损失

Economic loss due to nosocomial infection in patients with 6 kinds of diseases

目的探讨单纯性阑尾炎、胆囊结石伴胆囊炎、剖宫产、子宫肌瘤、支气管肺炎、甲状腺功能亢进(甲亢)6种疾病住院患者医院感染造成的经济损失。方法依照分层随机抽样的原则,对新疆不同级别30所医院的42 324份病历资料进行回顾性调查。结果从个案角度观察,不同疾病医院感染经济损失以单纯性阑尾炎最高,平均每例患者多支出人民币1 508.89元;不同部位医院感染额外支出的直接医疗费用以下呼吸道感染最高,平均3 229.95元。但是,从社会角度观察,不同疾病医院感染经济损失以剖宫产最高,达364 279.02元;不同部位医院感染经济损失以上呼吸道感染最高,达1 738 870元。结论医院感染造成了巨大的经济损失,预防和控制医院感染的发生具有重大的经济效益和社会效益。

Objective To explore the econcmic loss caused by nosocomial infection （NI） in patients with 6 kinds of diseases （simple appendicitis, cholecystolithiasis with cholecystitis, cesarean section, hysteromyoma, hronchopneumonia, and hyperthyroidism）- Methods Based on stratified random sampling, 42 324 case data from 30 differentlevel hospitals in Xinjiang were reviewed retrospectively. Results From point of disease, NI of appendicitis brought about the highest economic loss among the differem diseases , each patient spent extra Y 1 508.89 yuan; and the di- rect extra medical cost due to lower respiratory tract infection was the highest among all sites of infection （average Y3 299.95 yuan） ; from social point of view, economic loss due to NI of cesarean section was the highest, which were 11（364 279. 02 yuan ; from the point of different site, economic loss caused by upper respiratory infection was the highest （￥1 738 870 yuan）. Conclusion Economic loss caused by NI are remarkable, it is of great economic and social benefit to prevent and control NI.