高血压脑出血医院感染经济损失的对照研究

The Economic Losses due to Nosocomial Infection in Patients with Hypertensive Cerebral Hemorrhage: A Case-control Study

目的 了解高血压脑出血患者因医院感染造成直接经济损失。方法 用前瞻性和回顾性相结合的调查方法对80对患者进行病例对照研究。结果 感染组平均每例住院天数比对照组延长12d,两组差异有显著性（P〈0.01）;住院费用感染组比对照组平均每例多花费11 846元,旦多部位感染比单一部位感染住院费用高;在抗生素使用种类和数量上,感染组治疗性用药明显高于对照组预防性用药费用。结论 积极开展医院感染经济损失的研究,能为医院创造无形效益,从而引起领导者的重视,促进医院感染管理的发展。

OBJECTIVE To evaluate the direct economic losses caused by nosocomial infection (NI) in patients with hypertensive cerebral hemorrhage. METHODS All patients(80 with NI as case group, 80 without NI as control group) in pairs were investigated through case-control study prospectively and retrospectively. RESULTS The average bed-staytime of NI group exceeded that of control by 12 days, there is a significant difference between two groups (P<0. 01). The average of expenses in medical service in NI group was higher when compared to that of control,the increased charge was 11 846 yuan, and it costed more in patients with multi-focal infection than those with single-focal infection. Patients with NI would have to pay to more different kinds of antibiotics and their increases in quantity for treating, while the cost for antibiotics prophylaxis in control group was smaller. CONCLUSIONS NI made patients suffered from more pain and economic losses, heavier burden on doctors and nurses, cut down on bed-turnover,waste in medicine resources. So study of economic losses in NI will contribute to infection control, and it will benefit the hospital, further pay the attention of leader and promote the development of nosocomial infection control.