Cost-analysis of seven nosocomial outbreaks in an academic hospital
| Autor: | Pepijn Vemer, Ariane G Dinkelacker, Bhanu Sinha, Mariëtte Lokate, Maarten J. Postma, Jerome R. Lo-Ten-Foe, Alexander W. Friedrich, Jan-Willem H. Dik |
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| Přispěvatelé: | Microbes in Health and Disease (MHD), Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Real World Studies in PharmacoEpidemiology, -Genetics, -Economics and -Therapy (PEGET), Value, Affordability and Sustainability (VALUE) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
RNA viruses
Male 0301 basic medicine Pulmonology Nosocomial Infections Economics Total cost Staphylococcus lcsh:Medicine Social Sciences 030501 epidemiology Disease Outbreaks Health care Epidemiology Medicine and Health Sciences Infection control Economics Hospital Hospital Costs lcsh:Science Pathology and laboratory medicine Average cost health care economics and organizations Netherlands Academic Medical Centers Cross Infection Multidisciplinary NOSOCOMIAL INFECTION Bacterial Infections Health Care Costs Medical microbiology Middle Aged Hospitals Infectious Diseases Cost driver Viral Pathogens Viruses Costs and Cost Analysis Methicillin-resistant Staphylococcus aureus Female Pathogens 0305 other medical science OUTBREAKS Research Article Adult Staphylococcus aureus medicine.medical_specialty 030106 microbiology Microbiology Caliciviruses 03 medical and health sciences Diagnostic Medicine Environmental health medicine Humans Revenue COST ANALYSIS Intensive care medicine Aged Infection Control Biology and life sciences Bacteria business.industry lcsh:R Norovirus Organisms Infant Newborn Infant Outbreak Pneumonia Microbial pathogens Health Care NOSOCOMIAL OUTBREAKS Healthcare-Associated Infections lcsh:Q Bacterial pathogens Health Statistics Morbidity business Finance |
| Zdroj: | PLoS ONE, 11(2):e0149226. PUBLIC LIBRARY SCIENCE PLoS ONE PLoS ONE, Vol 11, Iss 2, p e0149226 (2016) |
| ISSN: | 1932-6203 |
| Popis: | ObjectivesNosocomial outbreaks, especially with (multi-)resistant microorganisms, are a major problem for health care institutions. They can cause morbidity and mortality for patients and controlling these costs substantial amounts of funds and resources. However, how much is unclear. This study sets out to provide a comparable overview of the costs of multiple outbreaks in a single academic hospital in the Netherlands.MethodsBased on interviews with the involved staff, multiple databases and stored records from the Infection Prevention Division all actions undertaken, extra staff employment, use of resources, bed-occupancy rates, and other miscellaneous cost drivers during different outbreaks were scored and quantified into Euros. This led to total costs per outbreak and an estimated average cost per positive patient per outbreak day.ResultsSeven outbreaks that occurred between 2012 and 2014 in the hospital were evaluated. Total costs for the hospital ranged between €10,778 and €356,754. Costs per positive patient per outbreak day, ranged between €10 and €1,369 (95% CI: €49-€1,042), with a mean of €546 and a median of €519. Majority of the costs (50%) were made because of closed beds.ConclusionsThis analysis is the first to give a comparable overview of various outbreaks, caused by different microorganisms, in the same hospital and all analyzed with the same method. It shows a large variation within the average costs due to different factors (e.g. closure of wards, type of ward). All outbreaks however cost considerable amounts of efforts and money (up to €356,754), including missed revenue and control measures. |
| Databáze: | OpenAIRE |
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