Gundeslioglu Özlem O, Tekin Recep, Cevik Saliha, Palanci Yılmaz, Yazıcıoglu Atilla
Diyarbakır Children's Hospital, Diyarbakır, Turkey.
J Infect Dev Ctries. 2016 Feb 28;10(2):163-7. doi: 10.3855/jidc.5591.
In this study, the goal was to evaluate the impact of nosocomial rotavirus gastroenteritis in pediatric patients by determining the incidence of nosocomial rotavirus gastroenteritis, the resulting duration of hospital stay, and direct cost. To our knowledge, this is the first study in Turkey that evaluates the impact of pediatric nosocomial rotavirus gastroenteritis on duration of hospital stay and calculates the direct cost.
Forty-nine patients who were diagnosed with nosocomial rotavirus gastroenteritis and hospitalized were included in the study. Nosocomial infection rates, organ systems affected by the nosocomial infections, and patients who had nosocomial rotavirus gastroenteritis were identified. A direct cost analysis of patients who were diagnosed with nosocomial rotavirus gastroenteritis was performed using copies of the invoices for the hospital bills.
During the study period, there were 49 cases of nosocomial rotavirus gastroenteritis. The length of hospitalization was extended, on average, by more than 6.3 days in cases of nosocomial rotavirus gastroenteritis. The cost of hospitalization for patients with nosocomial rotavirus gastroenteritis was on average 1,554 ± 2,067 US dollars, compared to a cost of only 244 ± 103 US dollars for patients who did not have nosocomial rotavirus gastroenteritis. This difference in cost was statistically significant (p < 0.05).
Nosocomial rotavirus gastroenteritis is important because it significantly prolongs hospital stay and increases the social and economic burden of the hospitalization. Nosocomial rotavirus gastroenteritis can be reduced with prevention measures such as handwashing, isolation, and cohorting.
在本研究中，目标是通过确定医院获得性轮状病毒胃肠炎的发病率、由此导致的住院时间以及直接成本，来评估其对儿科患者的影响。据我们所知，这是土耳其第一项评估儿科医院获得性轮状病毒胃肠炎对住院时间的影响并计算直接成本的研究。
本研究纳入了49例被诊断为医院获得性轮状病毒胃肠炎并住院的患者。确定医院感染率、医院感染所影响的器官系统以及患有医院获得性轮状病毒胃肠炎的患者。使用医院账单发票副本对被诊断为医院获得性轮状病毒胃肠炎的患者进行直接成本分析。
在研究期间，有49例医院获得性轮状病毒胃肠炎病例。医院获得性轮状病毒胃肠炎病例的住院时间平均延长超过6.3天。医院获得性轮状病毒胃肠炎患者的住院费用平均为1554±2067美元，而没有医院获得性轮状病毒胃肠炎的患者住院费用仅为244±103美元。这种成本差异具有统计学意义（p<0.05）。
医院获得性轮状病毒胃肠炎很重要，因为它会显著延长住院时间并增加住院的社会和经济负担。可以通过洗手、隔离和分组等预防措施来减少医院获得性轮状病毒胃肠炎。
