多药耐药菌医院感染对患者住院日和住院费用的影响

Influence of multidrug-resistant organisms infections on length of hospital stay and hospitalization costs

  • 摘要: 目的 调查住院患者因多药耐药菌医院感染所造成的经济负担,为降低患者多药耐药菌医院感染率、减少其经济负担提供科学依据。方法 采用病例对照研究方法,调查2014年1月1日-12月31日医院住院患者共108例,将发生多药耐药菌医院感染的54例患者为感染组,未发生医院感染的54例患者为对照组,比较两组住院天数和住院费用的差异。结果 感染组患者平均住院日为39.3 d,非感染组则为19.6 d,差值为19.7 d,差异有统计学意义(P<0.05); 感染组患者平均住院费用为160 807.6元,非感染组平均住院费用为67 543.4元,两组患者住院总费用差值为93 264.2元,差异有统计学意义(P<0.05)。结论 发生多药耐药菌医院感染住院患者的平均住院日和住院费用明显多于未发生医院感染的住院患者,因此, 应积极采取有效措施, 减少多药耐药菌医院感染的发生,降低住院费用,加快床位周转。

     

    Abstract: OBJECTIVE To investigate the economic burden due to multidrug-resistant organisms (MDROs) infections in hospitalized patients so as to provide guidance for reduction of incidence of the MDROs infections and economic burden. METHODS By means of case-control study, a total of 108 patients who were hospitalized from Jan 1, 2014 to Dec 31, 2014 were enrolled in the study, 54 patients with MDROs infections were assigned as the infection group, and 54 patients without nosocomial infections were set as the control group.The length of hospital stay and hospitalization costs were observed and compared between the two groups. RESULTS The average length of hospital stay was 39.3 days in the infection group, 19.6 days in the non-infection group, with the difference value 19.7 days, and there was significant difference (P<0.05).The average hospitalization costs were 160 807.6 yuan in the infection group, 67 543.4 yuan in the non-infection group, the difference value of the total hospitalization costs was 93 264.2 yuan, and there was significant difference (P<0.05). CONCLUSION The average length of hospital stay of the hospitalized patients with MDROs infections is significantly longer than that of the hospitalized patients without nosocomial infections; the hospitalization costs of the hospitalized patients with MDROs infections are significantly more than those of the hospitalized patients without nosocomial infections.It is necessary to take effective measures so as to reduce the incidence of MDROs infections, cut the hospitalization costs, and accelerate the turnover of beds.

     

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