Bloodstream infections in a German paediatric oncology unit: Prolongation of inpatient treatment and additional costs

被引:31
作者
Biwersi, Christoph [1 ]
Hepping, Nico [1 ]
Bode, Udo [1 ]
Fleischhack, Gudrun [1 ]
von Renesse, Anja [2 ]
Exner, Martin [3 ]
Engelhart, Steffen [3 ]
Gieselmann, Beate [4 ]
Simon, Arne [1 ]
机构
[1] Univ Bonn, Dept Paediat Hematol & Oncol, Childrens Hosp, Med Ctr, D-53113 Bonn, Germany
[2] DRK Kliniken Westend, Childrens Hosp, Berlin, Germany
[3] Univ Bonn, Inst Hosp Hyg & Environm Hlth, D-53113 Bonn, Germany
[4] Univ Bonn, Financial Controlling Adm, Med Ctr, D-53113 Bonn, Germany
关键词
Bloodstream infection; Nosocomial infection; Cost analysis; Length of hospitalization; Pediatric cancer patients; Central venous catheter; LENGTH-OF-STAY; CANCER-PATIENTS; CHILDREN; SURVEILLANCE; HEMATOLOGY; CARE; SEPTICEMIA; RISK; LINE;
D O I
10.1016/j.ijheh.2009.01.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In this matched cohort study, clinical data from 43 paediatric cancer patients with bloodstream infection (BSI) were compared with 43 thoroughly matched control patients without BSI. BSI led to a median additional length of inpatient treatment of 12 days (IQR 8.5-16 days; P<0.001), accounting For median additional expenses of 64400 (IQR. (sic)3145-5920) per case [6.970 US Dollar (IQR 4.938-9.294)]. Thus, BSI Substantially increased financial resources required for inpatient treatment. These data compiled from a paediatric cancer unit may be utilized to estimate the cost-benefit ratio of targeted preventive measures. (C) 2009 Elsevier GmbH. All rights reserved.
引用
收藏
页码:541 / 546
页数:6
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