Suppr超能文献

低收入和中等收入国家手术部位感染相关的医疗成本、结局及患者预后

Healthcare Cost and Outcomes Associated With Surgical Site Infection and Patient Outcomes in Low- and Middle-Income Countries.

作者信息

Costabella Fernando, Patel Keval B, Adepoju Adedimeji V, Singh Purnima, Attia Hussein Mahmoud Hussein, Zafar Awais, Patel Tirath, Watekar Ninad A, Mallesh Navya, Fawad Moiz, Sathyarajan Dily T, Abbas Kiran

机构信息

Department of Pediatrics, Hospital General Dr. Manuel Gea Gonzalez, Mexico City, MEX.

Department of Surgery, Narendra Modi Medical College, Ahmedabad, IND.

出版信息

Cureus. 2023 Jul 26;15(7):e42493. doi: 10.7759/cureus.42493. eCollection 2023 Jul.

Abstract

Surgical site infection (SSI) is a growing global concern. The principal explanation for this is its adverse clinical outcomes, such as morbidity and mortality. However, the link between the economic burden of SSIs and patient outcomes needs to be sufficiently characterized. This review aims to describe the financial implications of SSIs on patient outcomes in low- and middle-income countries (LMIC). Despite the heterogeneity in study designs from multiple LMIC countries, there is a significant correlation between SSI-associated healthcare costs from increased length of stay (LOS), readmissions, reoperations, and adverse patient outcomes. This varies based on the size, degree of infection, or other patient comorbidities. SSIs are much more prevalent in LMICs. The additional financial burden incurred in managing SSIs reinforces the need to prioritize practicing interventions to prevent this complication, which resource-limited health institutions are unequipped to do and consequently have significant adverse patient outcomes.

摘要

手术部位感染(SSI)是一个日益受到全球关注的问题。对此的主要解释是其不良的临床后果,如发病率和死亡率。然而,SSI的经济负担与患者预后之间的联系需要得到充分的描述。本综述旨在描述SSI对低收入和中等收入国家(LMIC)患者预后的财务影响。尽管来自多个LMIC国家的研究设计存在异质性,但因住院时间延长(LOS)、再次入院、再次手术以及不良患者预后导致的与SSI相关的医疗保健成本之间存在显著相关性。这会因感染的大小、程度或其他患者合并症而有所不同。SSI在LMIC中更为普遍。管理SSI所产生的额外财务负担强化了优先实施预防这种并发症的干预措施的必要性,而资源有限的医疗机构没有能力这样做,因此会导致严重的不良患者预后。

相似文献

2
Burden of Surgical Site Infections Associated with Arthroplasty and the Contribution of Staphylococcus aureus.
Surg Infect (Larchmt). 2016 Feb;17(1):78-88. doi: 10.1089/sur.2014.246. Epub 2015 Sep 25.
3
Surgical site infection and costs in low- and middle-income countries: A systematic review of the economic burden.
PLoS One. 2020 Jun 4;15(6):e0232960. doi: 10.1371/journal.pone.0232960. eCollection 2020.
4
Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries.
J Hosp Infect. 2017 May;96(1):1-15. doi: 10.1016/j.jhin.2017.03.004. Epub 2017 Mar 8.
6
Incidence and impact of surgical site infections on length of stay and cost of care for patients undergoing open procedures.
Surg Open Sci. 2022 Nov 8;11:1-18. doi: 10.1016/j.sopen.2022.10.004. eCollection 2023 Jan.
7
Financial impact of surgical site infections on hospitals: the hospital management perspective.
JAMA Surg. 2013 Oct;148(10):907-14. doi: 10.1001/jamasurg.2013.2246.
10
Risk factors and outcomes associated with surgical site infections after craniotomy or craniectomy.
J Neurosurg. 2014 Feb;120(2):509-21. doi: 10.3171/2013.9.JNS13843. Epub 2013 Nov 8.

引用本文的文献

1
Prevalence and factors of surgical site infections in surgical wards, Windhoek, Namibia.
Health SA. 2025 Jul 31;30:2930. doi: 10.4102/hsag.v30i0.2930. eCollection 2025.
2
Clinical Outcomes of Vancomycin Powder for Surgical Site Prophylaxis in Orthopedic Surgeries: A Comparative Study.
Cureus. 2025 Jul 2;17(7):e87151. doi: 10.7759/cureus.87151. eCollection 2025 Jul.
3
Risk factor analysis and predictive model development for healthcare-associated infections post-coronary artery bypass grafting.
Front Public Health. 2025 Jul 3;13:1605272. doi: 10.3389/fpubh.2025.1605272. eCollection 2025.
4
Perception and application of pre-operative surgical antibiotic prophylaxis by physicians.
Bioinformation. 2025 Apr 30;21(4):647-652. doi: 10.6026/973206300210647. eCollection 2025.
7
Knowledge and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda.
Rwanda J Med Health Sci. 2024 Mar 31;7(1):22-35. doi: 10.4314/rjmhs.v7i1.2. eCollection 2024 Mar.
8
Surgical site infections in sub-Saharan Africa: epidemiology, risk factors, and prevention strategies.
Ann Med Surg (Lond). 2025 Mar 20;87(6):3388-3392. doi: 10.1097/MS9.0000000000003188. eCollection 2025 Jun.
9
Length of hospital stay and its associated factors among women who gave birth by cesarean section in general hospitals of Sidama region, Ethiopia.
PLOS Glob Public Health. 2025 Jun 5;5(6):e0004582. doi: 10.1371/journal.pgph.0004582. eCollection 2025.
10
Effect of interventions on surgical site infections in Sub-Saharan Africa: a systematic review.
BMC Surg. 2025 May 19;25(1):216. doi: 10.1186/s12893-025-02946-1.

本文引用的文献

2
Current practices and evaluation of barriers and facilitators to surgical site infection prevention measures in Jimma, Ethiopia.
Antimicrob Steward Healthc Epidemiol. 2021 Nov 17;1(1):e51. doi: 10.1017/ash.2021.227. eCollection 2021.
4
The Socioeconomic Impact of Surgical Site Infections.
Front Public Health. 2021 Aug 4;9:712461. doi: 10.3389/fpubh.2021.712461. eCollection 2021.
5
Attributable cost and extra length of stay of surgical site infection at a Ghanaian teaching hospital.
Infect Prev Pract. 2020 Feb 17;2(2):100045. doi: 10.1016/j.infpip.2020.100045. eCollection 2020 Jun.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验