某三级甲等综合医院医院感染管理工作的效果与效益分析

Effect and benefit of management of healthcare-associated infection in a tertiary hospital

目的对某三级甲等综合医院2008年与2013年的医院感染情况进行比较,评价该院5年医院感染管理工作所取得的效果和效益,以探究医院感染管理工作的价值。方法查阅2008年与2013年该院前瞻性目标监测的数据,分别调查40 368例和71 294例患者,分析医院感染率的变化趋势,评价医院感染管理工作的效果,结合医院感染所造成的经济损失,将效果转化为效益。结果医院感染预防控制工作效果和效益显著,调整后医院感染率从2008年的2.3%下降至2013年的1.0%;2013年医院感染管理工作共避免了918例医院感染的发生;2013年医院感染管理工作避免了患者2 739.9万元的经济损失,为医院带来了1 552.7万元的经济效益。结论开展有组织的医院感染管理工作可以有效降低医院感染率,具有显著的效果和效益,是一项值得推进的工作。

OBJECTIVE To investigate the prevalence of healthcare-associated infection in a tertiary hospital in 2008 and 2013and evaluate the effects and benefits that the management of healthcare-associated infection achieved in five years so as to explore the value of the management of healthcare-associated infections.METHODS The medical records of the prospective targeted surveillance that was conducted in 2008 and 2013were reviewed,totally 40 368 patients and 71 294 patients were respectively investigated,the variation trend of the incidence of healthcare-associated infection was analyzed,the effect of the management of healthcare-associated infection was evaluated,and the effects were transformed to the benefits by referring to the economic loss due to the healthcare-associated infections.RESULTS The control and prevention of the healthcare-associated infections have achieved significant effects and benefits,and the adjusted incidence of healthcare-associated infection dropped from 2.3%in 2008 to 1.0%in2013.The management of healthcare-associated infection has avoided totally 918 cases of healthcare-associated infection in 2013;the management of healthcare-associated infection has avoided 27.399 billion yuan of economic loss for the patients in 2013,bringing 15.527 billion yuan of economic benefits for the hospital.CONCLUSION The organized management of healthcare-associated infections can effectively reduce the incidence of healthcare-associated infection and achieve significant effect and benefit,and it is worthy to be promoted.