某三级综合性医院下呼吸道医院感染直接经济损失研究  

Direct economic loss of lower respiratory tract healthcare-associated infection in a tertiary general hospital

作　　者：付应敏 黄继峥[2] 周彩凤[1] 张晴晴 牛克[1] 江秀 FU Ying-min;HUANG Ji-zheng;ZHOU Cai-feng;ZHANG Qing-qing;NIU Ke;JIANG Xiu(Department of Healthcare-associated Infection Management,Linquan County People’s Hospital,Fuyang 236400,China;Department of Healthcare-associated Infection Management,Fuyang Second People’s Hospital,Fuyang 236400,China)

机构地区：[1]临泉县人民医院医院感染管理科,安徽阜阳236400 [2]阜阳市第二人民医院医院感染管理科,安徽阜阳236400

出　　处：《中国感染控制杂志》2022年第2期153-158,共6页Chinese Journal of Infection Control

基　　金：阜阳市“新型冠状病毒肺炎”科研课题(FY2020xg06)。

摘　　要：目的了解下呼吸道医院感染的直接经济损失。方法采用回顾性调查方法,选取阜阳市某三级综合性医院2018年5月1日—2020年5月31日住院患者中50例下呼吸道医院感染患者为病例组,采用病例1∶1配对研究的方法,设置配对条件,将同期未发生下呼吸道医院感染且未发生其他部位医院感染、入院及出院第一诊断相同的50例住院患者设为对照组,比较下呼吸道医院感染造成的直接经济损失。结果病例组住院总费用、日均住院费用中位数分别为64858.5、2128.6元;对照组为26728.0、1477.5元,下呼吸道医院感染造成的直接经济损失为38130.5元/例,主要为药费、其他(材料)费、诊疗费、护理费,其中药费最高。病例组各分项医疗费用中除手术费外,其他均高于对照组,差异有统计学意义(均P<0.05)。病例组和对照组比较,增加的主要费用为抗菌药物费用、炎症指标费用、影像学检查费用,中位数差值分别为2962.0、180.0、444.0、1288.5元,差异均有统计学意义(均P<0.01)。住院日数病例组为(29.3±15.2)d,对照组为(14.9±7.5)d,两组比较差异有统计学意义(P<0.001)。结论下呼吸道医院感染造成的直接经济损失严重,总费用及日均住院费用均增加,且延长住院时间,应高度重视,并及早采取预防与控制措施。Objective To understand the direct economic loss of lower respiratory tract(LRT)healthcare-associa-ted infection(HAI).Methods 50 patients with LRT HAI in a tertiary general hospital in Fuyang City from May 1,2018 to May 31,2020 were selected as case group,a 1∶1 matching study was adopted,50 inpatients who had no LRT HAI and no other sites HAI during the same period,had the same initial diagnosis at admission and discharge were in control group,direct economic loss caused by LRT HAI was compared.Results The median of total hospitalization expense and average daily hospitalization expense in case group were 64858.5 Yuan and 2128.6 Yuan respectively;in control group were 26728.0 Yuan and 1477.5 Yuan respectively.The direct economic loss caused by LRT HAI was 38130.5 Yuan/case,mainly expense of medicine,other(material),diagnosis and treatment,and nursing,expense of medicine was the highest.Except for the operation expense,the other medical expenses in case group were all higher than those in control group,differences were all significant(all P<0.05).Compared with control group,the main increased expenses in case group were antimicrobial agents,inflammatory indicators and imaging examination.Differences of median were 2962.0,180.0,444.0 and 1288.5 Yuan respectively,differences were all significant(all P<0.01).Length of hospitalization stay in case group and control group were(29.3±15.2)days and(14.9±7.5)days respectively,there was significant difference between two groups(P<0.001).Conclusion Direct economic loss caused by LRT HAI is serious,the total expense and daily average hospitalization expense increased,and length of hospital stay is prolonged,much attention should be paid,prevention and control measures should be taken as early as possible.

关 键 词：下呼吸道感染 医院感染 经济损失 住院费用 

分 类 号：R181.32[医药卫生—流行病学]