The Cost of Responding to an Acinetobacter Outbreak in Critically Ill Surgical Patients
The Cost of Responding to an Acinetobacter Outbreak in Critically Ill Surgical Patients
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DOI：
10.1089/sur.2015.036
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发表时间：
2016-01-01
影响因子：
2
通讯作者：
Jayaraman, Sudha P.
中科院分区：
文献类型：
--
作者：
Jiang, Yushan;Resch, Stephen;Jayaraman, Sudha P.
背景：2011年，我们机构爆发了一次多重耐药不动杆菌（MDRA）疫情。我们从医院的角度分析了应对此次疫情的成本。方法：我们回顾性地估计了一个主要学术医疗中心与 MDRA 疫情应对相关的超额成本，包括人员配备、用品、管理时间、深度清洁和环境测试的成本。使用 Student t 检验分析了 2011 年 MDRA 爆发之前和期间平均成本的差异。结果：2011 年疫情应对期间产生的总体超额成本为 371,079 美元。最大的贡献者是两个重症监护病房 (ICU) 的人员和清洁所需的额外资源 (78%)。在普外科 ICU 中，疫情期间正常工作时间的平均每周护理费用增加 13,276 美元（+15%；p
Background: Our institution had an outbreak of multi-drug-resistant Acinetobacter (MDRA) in 2011. We analyzed the costs of responding to this outbreak from the hospital's perspective. Methods: We estimated retrospectively the excess costs associated with an MDRA outbreak response at a major academic medical center, including the costs of staffing, supplies, administrative time, deep cleaning, and environmental testing. Differences in mean costs before and during the 2011 MDRA outbreak were analyzed using the Student t-test. Results: The overall excess cost incurred during the outbreak response was $371,079 in 2011 U.S. dollars. The largest contributors were the extra resources needed to staff and clean the two intensive care units (ICUs) (78%). In the general surgery ICU, the mean weekly cost of nursing during the outbreak was $13,276 more for regular hours (+15%; p