Reilly J, Twaddle S, McIntosh J, Kean L
Lanarkshire Acute Hospital NHS Trust, UK.
J Hosp Infect. 2001 Dec;49(4):245-9. doi: 10.1053/jhin.2001.1086.
Audit of surgical wound infection is not only an outcome indicator, but also an important aspect of infection control. The literature suggests an expensive 'gold standard' involving a full-time audit nurse collecting prospective data, including a 30-day follow-up into the community.Our study indicates that the cost of surgical wound infection is three-fold: cost to the hospital, the community services and the patient. Although the greatest costs were due to prolonged stay or re-admission to hospital (just under pound90 000), costs to the community and patient cannot be ignored. Hospital expenditure varied according to the type of operation. The study clearly demonstrated the potential cost savings to be highlighted by this type of audit.
手术伤口感染审计不仅是一个结果指标，也是感染控制的一个重要方面。文献表明，一种昂贵的“金标准”涉及一名全职审计护士收集前瞻性数据，包括对社区进行30天的随访。我们的研究表明，手术伤口感染的成本有三个方面：医院成本、社区服务成本和患者成本。尽管最大的成本是由于住院时间延长或再次入院（略低于9万英镑），但社区和患者的成本也不容忽视。医院支出因手术类型而异。该研究清楚地表明了这种审计方式所能带来的潜在成本节约。
