The Cost of Catheter-Related Bloodstream Infections Implications for the Value of Prevention

被引:32
作者
Hollenbeak, Christopher S. [1 ]
机构
[1] Penn State Coll Med, Dept Surg & Publ Hlth Sci, Hershey, PA USA
关键词
D O I
10.1097/NAN.0b013e3182285e43
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Catheter-related bloodstream infections (CRBSIs) are frequently observed in the intensive care unit (ICU) and are a serious cause of morbidity and mortality in the United States. This article summarizes what is currently known about the cost of CRBSIs in the ICU setting. The cost of CRBSIs is between $33 000 and $44 000 in the general adult ICU, between $54 000 and $75 000 in the adult surgical ICU, and approximately $49 000 in the pediatric ICU. Finally, CRBSIs are associated with reimbursement that is more than $26 000 less than costs. Hospital and clinical decision makers should be aware of the high cost of CRBSIs in the ICU, the relatively poor reimbursement, and the implied high value of prevention efforts.
引用
收藏
页码:309 / 313
页数:5
相关论文
共 13 条
[1]   Incidence of and Risk Factors for Nosocomial Bloodstream Infections in Adults in the United States, 2003 [J].
AL-Rawajfah, Omar M. ;
Stetzer, Frank ;
Hewitt, Jeanne Beauchamp .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2009, 30 (11) :1036-1044
[2]   Methicillin-Resistant Staphylococcus aureus Central Line-Associated Bloodstream Infections in US Intensive Care Units, 1997-2007 [J].
Burton, Deron C. ;
Edwards, Jonathan R. ;
Horan, Teresa C. ;
Jernigan, John A. ;
Fridkin, Scott K. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 301 (07) :727-736
[3]   The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive cave unit [J].
DiGiovine, B ;
Chenoweth, C ;
Watts, C ;
Higgins, M .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 160 (03) :976-981
[4]   Increased resource use associated with catheter-related bloodstream infection in the surgical intensive care unit [J].
Dimick, JB ;
Pelz, RK ;
Consunji, R ;
Swoboda, SM ;
Hendrix, CW ;
Lipsett, PA .
ARCHIVES OF SURGERY, 2001, 136 (02) :229-234
[5]   Attributable cost of nosocomial primary bloodstream infection in pediatric intensive care unit patients [J].
Elward, AM ;
Hollenbeak, CS ;
Warren, DK ;
Fraser, VJ .
PEDIATRICS, 2005, 115 (04) :868-872
[6]  
Kilgore M, 2008, AM J INFECT CONTROL, V36
[7]   Guidelines for the prevention of intravascular catheter-related infections [J].
O'Grady, NP ;
Alexander, M ;
Dellinger, EP ;
Gerberding, JL ;
Heard, SO ;
Maki, DG ;
Masur, H ;
McCormick, RD ;
Mermel, LA ;
Pearson, ML ;
Raad, II ;
Randolph, A ;
Weinstein, RA .
CLINICAL INFECTIOUS DISEASES, 2002, 35 (11) :1281-1307
[8]   NOSOCOMIAL BLOOD-STREAM INFECTION IN CRITICALLY ILL PATIENTS - EXCESS LENGTH OF STAY, EXTRA COSTS, AND ATTRIBUTABLE MORTALITY [J].
PITTET, D ;
TARARA, D ;
WENZEL, RP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (20) :1598-1601
[9]   Economics of central line-associated bloodstream infections [J].
Shannon, Richard P. ;
Patel, Bhavin ;
Cummins, Daniel ;
Shannon, Alexander H. ;
Ganguli, Gauthan ;
Lu, Yee .
AMERICAN JOURNAL OF MEDICAL QUALITY, 2006, 21 (06) :7S-16S
[10]  
Tompkins RG, 1992, INFECT BURN WOUNDS