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手术部位感染的成本和资源利用模式:从法国,德国,西班牙和英国的COVID-19前的角度来看
J Salmanton-García1, C Bruns1, J Rutz2
1Faculty of Medicine and University Hospital Cologne, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, Cologne, Germany; Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn-Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology, University of Cologne, Cologne, Germany; German Centre for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany.
黄金葡萄球菌 (Staphylococcus aureus) 手术部位感染 (SSIs) 在欧洲显著增加医疗保健成本,因为住院和再接收费用更高. 实施感染控制措施可以减少这种经济负担.
科学领域:
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 在欧洲,由黄金葡萄球菌引起的手术部位感染 (SSI) 构成了相当大的经济负担.
- 耐药菌株,如耐美西林黄金色杆菌 (MRSA),加剧治疗成本,增加死亡率.
- 关键疾病导致长时间住院和更高的医疗保健支出.
研究的目的:
- 评估S. aureus SSI对成年手术患者的经济影响.
- 确定法国,德国,西班牙和英国S. aureus SSI的整体和程序特定的经济负担.
- 分析与S. aureus SSI相关的医疗保健成本增加的因素.
主要方法:
- 进行了一项跨国,回顾性队列研究 (SALT研究),并进行了嵌套病例控制分析.
- 分析了2016年法国,德国,意大利,西班牙和英国侵袭性手术患者的数据.
- 使用微成本方法来评估健康经济因素,将黄金色杆菌SSI病例与对照进行匹配.
主要成果:
- 2016年,在178,904名外科手术患者中,有764人患有黄金菌SSI.
- 在一年内,S. aureus SSI病例的立即住院费用 (8,810欧元与6,032欧元) 和再入院费用 (7,961.6欧元与5,298.6欧元) 较高.
- 增加的成本与立即住院,12个月内首次入院ICU和12个月内再次入院有关.
结论:
- 黄金菌SSI显著增加住院,ICU入院和再入院,突出显示其严重程度.
- 这些感染对医疗保健系统造成了相当大的经济负担.
- 基于证据的感染控制和改进的患者护理对于减轻黄金菌SSI的经济影响至关重要.
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