Attributable Cost of Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Infection in a Long-term Care Center.
Attributable Cost of Healthcare-Associated Methicillin-Resistant Staphylococcus aureus Infection in a Long-term Care Center.
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长期护理中心医疗保健相关的耐甲氧西林金黄色葡萄球菌感染的可归因成本。
DOI：
10.1093/cid/ciaa1582
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Stevens,VanessaW
中科院分区：
文献类型：
--
作者：
Nelson,RichardE;Lautenbach,Ebbing;Chang,Nelson;Jones,Makoto;Willson,Tina;David,Michael;Linkin,Darren;Glick,Henry;Doshi,JalpaA;Stevens,VanessaW
Background Studies have shown that healthcare-associated infections (HAIs) due to methicillin-resistant Staphylococcus aureus (MRSA) can lead to substantial healthcare costs in acute care settings. However, little is known regarding the consequences of these infections on patients in long-term care centers (LTCCs). The purpose of this study was to estimate the attributable cost of MRSA HAIs in LTCCs within the Department of Veterans Affairs (VA). Methods We performed a retrospective cohort study of patients admitted to VA LTCCs between 1 January 2009 and 30 September 2015. MRSA HAIs were defined as a positive clinical culture at least 48 hours after LTCC admission so as to exclude community-acquired infections. Positive cultures were further classified by site (sterile or nonsterile). We used multivariable generalized linear models and 2-part models to compare the LTCC and acute care costs between patients with and without an MRSA HAI. Results In our primary analysis, there was no difference in LTCC costs between patients with and without a MRSA HAI. There was, however, a significant increase in the odds of being transferred to an acute care facility (odds ratio, 4.40 95% confidence interval CI, 3.40–5.67) and in acute care costs (971195%CI, 6961–12462).ConclusionsOurfindingsofhighcostandincreasedriskoftransferfromLTCCtoacutecareareimportantbecausetheyhighlightthesubstantialclinicalandeconomicimpactofMRSAinfectionsinthispopulation.
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