You get back what you give: Decreased hospital infections with improvement in CHG bathing, a mathematical modeling and cost analysis
| Autor: | Kaila Cooper, Kelly A Reagan, Rachel Pryor, Gonzalo Bearman, Michelle Doll, Michael P. Stevens, Emily Godbout, Robin R. Hemphill, David M. Chan, Ginger Vanhoozer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
animal structures Bathing Epidemiology 03 medical and health sciences 0302 clinical medicine Chlorhexidine gluconate medicine Humans Infection control Computer Simulation 030212 general & internal medicine Cross Infection 0303 health sciences Models Statistical 030306 microbiology business.industry Health Policy Chlorhexidine Public Health Environmental and Occupational Health virus diseases Baths Intensive Care Units Infectious Diseases Catheter-Related Infections Emergency medicine Anti-Infective Agents Local Clostridium Infections Costs and Cost Analysis Cost analysis Patient Compliance business medicine.drug |
| Zdroj: | American Journal of Infection Control. 47:1471-1473 |
| ISSN: | 0196-6553 |
| Popis: | Background Multiple studies have shown that bathing with chlorhexidine gluconate (CHG) wipes reduces hospital-acquired infections (HAIs). We employed a mathematical model to assess the impact of CHG patient bathing on central line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), and hospital-onset Clostridium difficile (C diff) infections and the associated costs. Methods Using a Markov chain, we examined the effect of CHG bathing compliance on HAI outcomes and the associated costs. Using estimates from 2 different studies on CHG bathing effectiveness for CLABSI, CAUTI, and C diff, the number of HAIs per year were estimated along with associated costs. The simulations were conducted, assuming CHG bathing at varying compliance rates. Results At 32% reduction in HAI incidence, increasing CHG bathing compliance from 60% to 90% results in 20 averted infections and $815,301.75 saved cost. Conclusions As CHG bathing compliance increases, yearly HAIs decrease, and the overall cost associated with the HAIs also decreases. |
| Databáze: | OpenAIRE |
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