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The economic inpact of nosocomial infection on hospital management

医院感染对医院管理的经济影响

基本信息

批准号：
08672709
负责人：
TANAKA Michiko
金额：
$ 1.09万
依托单位：
Juntendo Medical College of Nursing
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1996
资助国家：
日本
起止时间：
1996 至 1998
项目状态：
已结题

项目摘要

In order to clarify the economic impact of nosocomial infection on hospital management, we studied the cost of MRSA testing and treatment, and concomitantly the costs necessary to cover methicillin-resistant Staphylococcus aureus (MRSA) infection control in general hospital (114beds).The subjects of the study were 15 patients infected with MRSA during the hospital stay and several members of the nursing staff charged with their care. Examination of the background of the 15 patients showed that they were elderly, ranging in age from 60 to 94 years (mean age ; 79 years), and that they were bedfast with diabetes mellitus, cerebrovascular disease, or heart disease, etc. In addition, most of them had been admited for treatment of pneumonia, and developed MRSA pneumonia as a complication.Total cost for MRSA infection control was calculated from the sum of expendable suppulies per patient per day, from a nurse's wages per patient per day, and from the average duration in days of a patient's s … More tay in an isolation room.The sum of expendable supplies, including extra charge for an isolation room, was 19,070 yen per patient per day, and the nurse's wages 2,214 yen per patient per day. The average isolation period was 75 days, such that the total cost for MRSA infection control was calculated to be 1.6 million yen per patient. Since there were 46 new cases of MRSA infection during the year, the total cost for the year was 73 million yen.The cost of the testing and treatment for MRSA infection was 1.3 million yen per patient, making the total cost for the year was 60 million yen.Based on the above findings, it was learned that many costs which do not appear in the clinical care fees are needed in the management of MRSA infected patients. It was also exhibited thath the ordinary private room charge is not obtained because of isolation, and that this has a great impact on hospital management. In the future we would like to assess measures for preventing MRSA infection in elderly pneumonia patients. Less

为了明确医院感染对医院管理的经济影响，我们研究了MRSA检测和治疗的费用，以及综合医院（114个床位）耐甲氧西林金黄色葡萄球菌（MRSA）感染控制所需的费用。研究对象是15名住院期间感染MRSA的患者和几名负责护理的护理人员。对这15名患者的背景检查显示，他们均为老年人，年龄在60岁至94岁之间（平均年龄79岁），患有糖尿病、脑血管疾病或心脏病等卧床不起。此外，他们中的大多数人因肺炎入院治疗，并出现了MRSA肺炎并发症。控制MRSA感染的总费用是根据以下总和计算的：每个病人每天的消耗品，来自每个病人每天护士的工资，以及病人在隔离室的平均停留天数。消耗品的总和，包括隔离室的额外费用，是每个病人每天 19,070 日元，护士的工资是每个病人每天 2,214 日元。平均隔离期为75天，因此计算出每名患者控制MRSA感染的总成本为160万日元。由于年内新增 MRSA 感染病例 46 例，全年总费用为 7300 万日元。MRSA 感染的检查和治疗费用为每名患者 130 万日元，全年总费用为 6000 万日元。根据上述调查结果，了解到在 MRSA 感染患者的管理中需要许多临床护理费用中没有出现的费用。还显示，普通包间费用因隔离而无法获得，这对医院管理造成很大影响。未来我们希望评估预防老年肺炎患者 MRSA 感染的措施。较少的