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长期护理机构中腺病毒性结膜炎感染的医院内暴发相关的直接成本。

Direct costs associated with a nosocomial outbreak of adenoviral conjunctivitis infection in a long-term care institution.

作者信息

Piednoir Emmanuel, Bureau-Chalot Florence, Merle Corinne, Gotzamanis Athanaze, Wuibout Jocelyne, Bajolet Odile

机构信息

Laboratoire de bactériologie-virologie-hygiène, Centre Hospitalier Universitaire, Reims cedex, France.

出版信息

Am J Infect Control. 2002 Nov;30(7):407-10. doi: 10.1067/mic.2002.125193.

Abstract

BACKGROUND

In October 2000, 41 people were infected during an outbreak of adenoviral keratoconjunctivitis. Such nosocomial outbreaks are frequently reported in long-term care institutions, even though simple measures to prevent or limit such occurrences are well documented. This study describes the significant direct costs incurred as a result of this nosocomial outbreak that involved patients and staff.

METHODS

The costs measured in this study were grouped into the following 4 categories: medical, investigative, preventive, and lost productivity. Information about costs incurred by the hospital was gathered from a number of sources.

RESULTS

The outbreak cost the hospital US $29,527 ($1085 for medical costs, $8210 for investigative costs, $3048 for preventive measures, and $17,184 for lost productivity).

CONCLUSION

This study demonstrates the substantial expense incurred by 1 hospital as a result of an outbreak of a preventable disease. The measures necessary to prevent such a costly outbreak are simple and, therefore, cost-effective.

摘要

背景

2000年10月,41人在腺病毒性角结膜炎暴发期间受到感染。尽管预防或限制此类事件发生的简单措施已有充分记录,但长期护理机构中此类医院感染暴发仍屡有报道。本研究描述了此次涉及患者和工作人员的医院感染暴发所产生的重大直接成本。

方法

本研究中测量的成本分为以下4类:医疗、调查、预防和生产力损失。医院所产生成本的信息来自多个来源。

结果

此次暴发使医院损失了29,527美元(医疗成本1085美元、调查成本8210美元、预防措施成本3048美元、生产力损失成本17,184美元)。

结论

本研究表明一家医院因可预防疾病的暴发而产生了巨额费用。预防此类代价高昂的暴发所需的措施简单,因此具有成本效益。

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