烧伤创面感染直接经济损失病例对照研究  

Direct economic losses during burn wound infection:a case-control study

作　　者：黄慧敏[1] 穆小苏[1] 李亚楠[1] 尹诺 沈小玥[1] 尹湘毅[1] 黄静波[2] 徐晓莉[1] 

机构地区：[1] 南京军区南京总医院 感染管理科,南京210002 [2] 南京军区南京总医院 烧伤整形科,南京210002

出　　处：《中华老年多器官疾病杂志》2016年第9期650-652,共3页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：全军后勤科研计划课题(CNJ14L004);军区医学科技创新课题(14MS106);中华医院感染控制研究基金(ZHYG2014-0037)~~

摘　　要：目的：评估烧伤患者发生创面感染的经济损失。方法回顾性地分析2012年1月1日至2015年12月31日南京军区南京总医院烧伤整形科烧伤创面发生感染患者44例（病例组），对照组为同期入院未发生创面感染的44例患者，通过病例对照研究方法分析两组患者住院费用和住院天数的差异。结果病例组住院总费用81079．85（39093．33，198185．38）元，对照组住院总费用61735．40（32167．43，131382．55）元，两组患者总费用和药费、治疗费、化验费、检查费、手术费、伙食费、护理费差异均有统计学意义（P＜0.05）。病例组患者住院天数多于对照组患者[45（23，56） vs 32（21，45）d]，且差异有统计学意义（ P＜0.05）。结论烧伤患者是医院感染监控管理的重点目标，发生烧伤创面感染会给患者和医院造成不同程度的经济损失，应努力降低烧伤患者创面感染发生率，减少患者的经济损失。Objective To evaluate the direct economic losses in the burn patients with wound infection.Methods A retrospective case-control study was carried out on 44 burn patients with wound infection and 44 matched burn patients but without wound infection admitted in our hospital during the period of January 2012 and December 2015.Hospital expense and length of hospital stay were recorded and compared between the 2 groups.Results The median expense was 81 079.85 （39 093.33, 198 185.38）RMB Yuan in the patients with wound infection during hospitalization.The median expense was 61 735.40 （32 167.43, 131 382.55） RMB Yuan in the patients without wound infection during hospitalization.There were significant differences in the total expense and the costs in medication, treatment, laboratory, examination, surgery, board expense and care services between the 2 groups of patients （P〈0.05）.The burn patients with wound infection had significantly longer length of hospital stay than those without infection [45（23,56） vs 32 （21,45） d, P 〈0.05].Conclusion Burn patients are the key target for nosocomial infection control and management.Wound infection will cause economic losses at different extents for the patients and the hospital.Reducing the incidence of wound infection in the burn patients can decrease their economic losses.

关 键 词：烧伤 创面感染 经济损失 病例对照研究 

分 类 号：R644[医药卫生—外科学]