Objective To study the direct economic loss of nosocomial infection and to improve the attention of medical staff to nosocomial infection management. Methods Simple random sampling method was applied to select patients with nosocomial infection in lower respiratory tract,urinary tract,gastrointestinal tract and surgical site(50 cases in each group) from a comprehensive hospital in Inner Mongolia in 2016,and 200 patients were included in the case group. A case-control study was conducted and 1:1 matching was applied to incorporate patients without nosocomial infection in the control group. Two groups of patients were compared regarding basic information,hospitalization time,hospitalization expenses,hospital infection diagnosis and discharge diagnosis. Statistical analysis of the survey data was conducted. Results The hospital infection caused 8 572.16 yuan of economic loss. Among all the medical expenses,the cost of diagnosis increased most(1 638.23 yuan),followed by drug(903.21 yuan) and medical treatment expenses(876.34 yuan). The economic loss caused by lower respiratory tract infection was significantly higher than that of other parts. The average hospitalization time of the case group was higher than that of the control group. Conclusion Active prevention and control of nosocomial infection can achieve significant economic and social benefits.%目的 研究医院感染的直接经济损失,提高医务人员对医院感染管理工作的重视程度.方法 采用随机抽样的方法,抽取内蒙古某三甲综合医院2016年度下呼吸道、泌尿道、消化道、手术部位医院感染患者各50例,共200例医院感染患者作为病例组.采用病例对照研究方法,根据1:1的匹配原则,选择未发生医院感染的患者作为对照组.对两组患者的基本信息、住院时间、住院期间各项费用、医院感染诊断、出院诊断等进行比较分析.结果 医院感染所导致的经济损失为8572.16元,各项医疗费用支出中,诊断费用增加排名第一,为1638.23元,药物和治疗费用增加排名第二和第三,分别为903.21元和876.34元.下呼吸道感染所导致的经济损失明显高于其他部位.病例组患者平均住院时间高于对照组.结论 积极开展医院感染预防控制工作能取得明显的经济效益和社会效益.
展开▼
