血液透析患者医院感染直接经济损失调查研究  

Research on Direct Economic Losses Due to Nosocomial Infection among Hem Dialysis Patients

作　　者：王书会[1] 鲜万华[2] 王海燕[1] 付敬[2] 王静娜[1] 

机构地区：[1]山东大学齐鲁医院感染管理处,济南250012 [2]山东大学齐鲁医院血液透析病房,济南250012

出　　处：《中国卫生经济》2013年第3期43-44,共2页Chinese Health Economics

基　　金：山东大学自主创新基金项目(IFW10070)

摘　　要：目的:调查血液透析患者因为医院感染所造成的直接经济损失。方法:应用前瞻性监测方法,调查2008年1月1日至2011年12月31日某省级教学医院血液透析病房住院患者910例,发生医院感染117例,分析因为医院感染造成的直接经济损失。结果:发生医院感染后平均直接经济损失中位数为2 497.12元,下呼吸道医院感染平均直接经济损失中位数为4 798.22元,尿路感染平均直接经济损失中位数为1 883.66元,血管相关医院感染平均直接经济损失中位数为4126.51元。结论:医院感染增加了血液透析患者的医疗费用,增加了患者和医院的经济负担,浪费了医疗资源,应采取有效措施控制医院感染发生,避免卫生资源的浪费。Objective： To evaluate the direct economic losses of nosocomial infection among hem Dialysis patients. Methods： Using the prospective monitor method, 910 hem dialysis patients in a provincial teaching hospital from January 1, 2008 to December 31, 2011 were investigated. 117 patients had nosocomial infection and the direct costs of nosocomial infection were analyzed. Results： After nosocomial infection occurred, the median of average cost of the direct economic losses was 2 497.12 yuan, the median of average cost of the direct economic losses in lower respiratory tract infection was 4 798.22 yuan, and I 883.66 yuan for the economic loss caused by urinary tract infection and vascular-related nosocomial infection median average direct economic losses was 4 126.51 yuan. Conclusion： Nosocomial infection in hem dialysis patients increased the medical expense and financial burden on patients and hospitals, and waste of medical resources. Effective measures shouht be taken to control nosocomial infection and avoid the health resources being wasted.

关 键 词：血液透析 医院感染 直接经济损失 

分 类 号：R459.5[医药卫生—治疗学]