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清洁医院接触预防措施房间时增加时间的成本效益分析。

Cost-Benefit Analysis of Allowing Additional Time in Cleaning Hospital Contact Precautions Rooms.

机构信息

Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

出版信息

Hosp Top. 2021 Jul-Sep;99(3):130-139. doi: 10.1080/00185868.2021.1873083. Epub 2021 Jan 16.

Abstract

Increasing cleaning time may reduce hospital-acquired transmission of methicillin-resistant (MRSA), and vancomycin-resistant enterococcus (VRE). We constructed a cost-benefit model to estimate the impact of implementing an enhanced cleaning protocol, allowing hospital housekeepers an additional 15 minutes to terminally clean contact precautions rooms. The enhanced cleaning protocol saved the hospital $758 per terminally-cleaned room when accounting for only . Scaling up to a hospital with 100 cases of /year, and the US annual incidence, cost savings were $75,832/year and $169.8 million/year, respectively. These results may inform infection control strategic decision-making and resource allocation.

摘要

增加清洁时间可能会降低医院获得性耐甲氧西林金黄色葡萄球菌(MRSA)和万古霉素耐药肠球菌(VRE)的传播。我们构建了一个成本效益模型,以估计实施强化清洁方案的影响,该方案允许医院清洁工额外增加 15 分钟的时间对接触预防措施房间进行终末清洁。当仅考虑. 时,强化清洁方案使医院每清洁一个房间可节省 758 美元。如果将其扩展到每年有 100 例病例的医院,以及美国的年发病率,每年可节省 75832 美元,每年可节省 1.698 亿美元。这些结果可能为感染控制的战略决策和资源分配提供信息。

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