6种疾病住院患者医院感染的经济损失
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何文英

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R197.322

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Economic loss due to nosocomial infection in patients with 6 kinds of diseases
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    摘要:

    目的探讨单纯性阑尾炎、胆囊结石伴胆囊炎、剖宫产、子宫肌瘤、支气管肺炎、甲状腺功能亢进(甲亢)6种疾病住院患者医院感染造成的经济损失。方法依照分层随机抽样的原则,对新疆不同级别30 所医院的42 324份病历资料进行回顾性调查。结果从个案角度观察,不同疾病医院感染经济损失以单纯性阑尾炎最高,平均每例患者多支出人民币1 508.89元;不同部位医院感染额外支出的直接医疗费用以下呼吸道感染最高,平均3 229.95元。但是,从社会角度观察,不同疾病医院感染经济损失以剖宫产最高,达364 279.02元;不同部位医院感染经济损失以上呼吸道感染最高,达1 738 870元。结论医院感染造成了巨大的经济损失,预防和控制医院感染的发生具有重大的经济效益和社会效益。

    Abstract:

    ObjectiveTo explore the economic loss caused by nosocomial infection (NI) in patients with 6 kinds of diseases (simple appendicitis, cholecystolithiasis with cholecystitis,cesarean section, hysteromyoma, bronchopneumonia, and hyperthyroidism). MethodsBased on stratified random sampling, 42 324 case data from 30 differentlevel hospitals in Xinjiang were reviewed retrospectively. ResultsFrom point of disease, NI of appendicitis brought about the highest economic loss among the different diseases ,each patient spent extra ¥1 508.89 yuan; and the direct extra medical cost due to lower respiratory tract infection was the highest among all sites of infection (average ¥3 299.95 yuan); from social point of view, economic loss due to NI of cesarean section was the highest, which were ¥364 279.02 yuan ; from the point of different site, economic loss caused by upper respiratory infection was the highest (¥1 738 870 yuan). ConclusionEconomic loss caused by NI are remarkable, it is of great economic and social benefit to prevent and control NI.

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何文英,黄新玲,史晨辉,等.6种疾病住院患者医院感染的经济损失[J]. 中国感染控制杂志,2011,10(6):423-425.
HE Wenying, HUANG Xinling, SHI Chenhui, et al. Economic loss due to nosocomial infection in patients with 6 kinds of diseases[J]. Chin J Infect Control, 2011,10(6):423-425.

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  • 收稿日期:2010-03-12
  • 最后修改日期:2010-06-02
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  • 在线发布日期: 2011-11-30
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