住院急性呼吸道感染患儿并发医院感染的经济学损失

目的研究住院急性呼吸道感染患儿并发医院感染的直接经济损失，以及对患儿家属满意度的影响。方法选取某院2012年4月1日-2013年3月31日普通儿科病房1 039例急性呼吸道感染住院患儿的临床资料，其中发生医院感染患儿50例（病例组），按1∶1的比例选取50例未发生医院感染患儿作为对照组，比较两组患儿各项费用及患儿家属满意度调查情况。结果病例组住院总费用（P25～P75：3 095.54～4 779.48元）明显高于对照组（P25～P75：1 744.14～2 382.07元）（Z =5.89, P＜0.01）。病例组药费、检验费、诊断治疗费、护理费均高于对照组，差异均具有统计学意义（均P＜0.01）；住院天数（P25～P75： 9～15 d ）显著长于对照组（P25～P75：6～8 d）（Z=5.79, P＜0.01）。病例组患儿家属满意度明显低于对照组(Z=8.22, P＜0.01)。结论急性呼吸道感染患儿发生医院感染后，增加了住院费用，延长了住院时间；同时，造成患儿家属满意度下降。

Economic loss of healthcare associated infection in hospitalized children with acute respiratory infection

ObjectiveTo study direct economic loss of healthcare associated infection (HAI) in hospitalized children with acute respiratory infection (ARI), and  the influence in satisfaction  degree of children’ relatives. MethodsClinical data of 1 039 children with ARI in a pediatrics ward between April 1,2012 to March 31,2013 were analyzed retrospectively. 50 patients with HAI were in case group and 50 patients without HAI were in control group. The difference in medical cost and the degree of satisfaction of children’s relatives were compared between two groups. ResultsMedical cost of patients in case group was significantly  higher than  control group（［P25- P75：￥3 095.54-￥4 779.48］ vs ［P25-P75：￥1 744.14-￥2 382.07］,Z=5.89, P＜0.01). The expenses  in medicine，laboratory  examination，diagnosis and treatment，and  nursing in  case group were all higher than control group, there were significant differences between two groups（all P＜0.01）; Hospitalization day of case group was significantly longer than control group (［P25-P75： 9 d-15 d］vs［P25-P75：6 d-8 d］, Z=5.79, P＜0.01）. Satisfaction degree of patients’ relatives in case group was significantly lower than control group (Z=8.22, P＜0.01). ConclusionHAI occurred in ARI children can increase medical cost, prolong length of hospital stay and decrease satisfaction degree of patients’ relatives.