Khan M M, Celik Y
International Center for Health and Population Research, Dhaka, Bangladesh.
Health Serv Manage Res. 2001 Feb;14(1):49-54. doi: 10.1258/0951484011912528.
Nosocomial infections significantly affect the resource needs of hospitalized patients. They increase the mortality and morbidity of affected individuals and expose hospital staff to increased risk of infection. To estimate the additional resources needed in the hospital sector to deal with such infections, a sample of infection cases was selected from the Hacettepe University Hospital in Ankara, Turkey. Each case of nosocomial infection was matched with a noninfected case after controlling for age, sex, clinical diagnosis etc. of the patients. The empirical results indicate that hospital infection increases the average hospital stay by about four days. Total cost of an infected case, on average, was found to be $442 higher than that for a matched noninfected case. Using this incremental cost estimate, projections for Turkey implies that the hospital sector had to spend an additional $48 million in 1995 for medical management of nosocomial infections. The benefit: cost ratio for a hospital-based infection control programme is found to be about 4.6. Clearly, a programme for preventing nosocomial infections will not only pay for itself but also will generate other direct and indirect benefits to patients and society as a whole.
医院感染严重影响住院患者的资源需求。它们增加了受影响个体的死亡率和发病率，并使医院工作人员面临更高的感染风险。为了估计医院部门应对此类感染所需的额外资源，从土耳其安卡拉的哈杰泰佩大学医院选取了一组感染病例样本。在控制患者的年龄、性别、临床诊断等因素后，将每例医院感染病例与一例未感染病例进行匹配。实证结果表明，医院感染使平均住院时间增加约四天。平均而言，感染病例的总成本比匹配的未感染病例高出442美元。根据这一增量成本估计，对土耳其的预测表明，1995年医院部门为医院感染的医疗管理不得不额外支出4800万美元。基于医院的感染控制项目的效益成本比约为4.6。显然，预防医院感染的项目不仅会收回成本，还会为患者和整个社会带来其他直接和间接的益处。
