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High cost nosocomial infections.

R W Pinner, R W Haley, B A Blumenstein

    Infection Control : IC
    |March 1, 1982
    PubMed
    Summary

    Nosocomial infections incur significant costs, with a few patients bearing a disproportionate financial burden. Surgical wound and lower respiratory tract infections are particularly expensive, especially in patients with injuries.

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    Area of Science:

    • Healthcare Economics
    • Infectious Disease Epidemiology
    • Patient Safety

    Background:

    • Nosocomial infections represent a significant financial burden on healthcare systems.
    • Understanding the cost drivers of these infections is crucial for resource allocation and prevention strategies.

    Purpose of the Study:

    • To quantify the average cost per patient of nosocomial infections.
    • To identify patient groups and infection types associated with the highest costs.

    Main Methods:

    • Analysis of charges associated with 215 nosocomial infections in 183 patients.
    • Stratification of costs by patient service (Medical/Surgical), infection site, and primary diagnosis.

    Main Results:

    • The average charge per patient was $693, with costs concentrated in a small percentage of patients.

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  • Surgical and Medical services accounted for the majority of attributable charges.
  • Surgical wound and lower respiratory tract infections were the most costly, particularly in patients with injuries.

    • Conclusions:

    • Nosocomial infections impose a substantial financial impact, with a few high-cost cases driving overall expenses.
    • Targeted interventions for surgical wound and lower respiratory tract infections in specific patient populations may yield significant cost savings.