Department of Paediatrics, University of Oulu, Finland.
J Hosp Infect. 2012 Jan;80(1):13-6. doi: 10.1016/j.jhin.2011.09.005. Epub 2011 Oct 28.
Viral infections are common causes of hospital-associated infections (HAIs) in paediatric patients, with most of these infections only becoming evident after discharge.
To analyse the benefits and costs of conventional and electronic surveillance methods for conducting HAI follow-ups.
A comparison was made between response rate, time required per patient and costs to the healthcare system of conventional and electronic surveillance methods (sms, e-mail, telephone call).
Altogether 1927 patients participated in the conventional followed up in 2001-2003, of whom 1175 (61%) returned the questionnaire; during the electronic surveillance period in 2005-2007, 2309 patients were followed-up in hospital, and 1940 of them (84%) returned the post-discharge information to us. The time needed by HCWs was 33 min per patient in the conventional follow-up and 13 min in the electronic follow-up, the total costs per patient being €15.07 and €13.61 respectively. A decrease of 17.1% in annual expenses was achieved with the electronic follow-up. The incidence of HAI was 8.4% in the conventional period and 12.2% in the electronic surveillance period, most cases becoming symptomatic after hospitalization.
Electronic data collection was a convenient way of implementing a continuous HAI follow-up, achieving both a higher participation rate and lower costs.
病毒感染是导致儿科患者医院获得性感染（HAI）的常见原因，其中大多数感染仅在出院后才显现出来。
分析传统和电子监测方法在进行 HAI 随访中的效果和成本。
对短信、电子邮件和电话等传统监测方法和电子监测方法（电子监测方法）的应答率、每位患者所需时间和对医疗系统的成本进行了比较。
2001-2003 年期间，共有 1927 名患者接受了传统随访，其中 1175 名（61%）患者返回了调查问卷；2005-2007 年电子监测期间，共有 2309 名患者在院接受了随访，其中 1940 名（84%）患者向我们提供了出院后的信息。传统随访中卫生保健工作者每位患者所需时间为 33 分钟，电子随访中为 13 分钟，每位患者的总费用分别为 15.07 欧元和 13.61 欧元。电子随访可使年度费用减少 17.1%。传统监测期的 HAI 发病率为 8.4%，电子监测期为 12.2%，大多数病例在住院后出现症状。
电子数据收集是实施连续 HAI 随访的一种便捷方式，既提高了参与率，又降低了成本。
