儿童医院下呼吸道感染经济损失的病例对照研究

目的　了解儿科住院患儿发生医院下呼吸道感染所造成的直接经济损失。方法　采用 1∶1病例对照研究的方法 ,调查 1 0 1对住院患儿的医疗费用 ,计算医院感染的直接经济损失。结果　病例组的平均医疗费用为3430 .5 3元 ,对照组为 2 1 34.0 5元 ,两组比较 ,差异有显著性 (P <0 .0 5 )。中西药费占总增加费用的 4 3.0 3% ;治疗费、化验费和床位费分别占总增加费用的 2 8.1 7% ,9.31 % ,5 .79%。心血管内科医院感染病例医疗费用最高 ,平均每例增加 4 2 36 .93元 ;新生儿内科次之 ,平均每例增加 1 736 .93元。感染患者的平均住院天数为 1 3.0 9d ,比对照组的 8.1 6d高 (P <0 .0 5 )。结论　医院感染的发生增加了患儿的医疗费用 ,延长了住院日 ,降低了病床周转率 ;认真做好医院感染监控工作可获得经济效益和社会效益

Case control study on the cost of nosocomial lower respiratory tract infection in children

Objective To evaluate the direct cost resulting from nosocomial lower respiratory tract infection in children. Methods Medical expenses of 101 inpatients were investigated with the method of 1:1 case control study, and direct cost resulting from nosocomial infection was calculated. Results The average medical expenses in infection group and non infection group were 3 430.53 yuan and 2 134.05 yuan, respectively (P< 0.05 ); the expenses of medicine, treatment, laboratory test, bed accounted for 43.03% , 28.17% , 9.31% and 5.79% respectively of the total increasing cost. Cardiovascular department had the highest adding expenses ( 4 236.93 yuan/case), the next was neonatal unit ( 1 736.93 yuan /case). The average hospitalization days of patients with infection were 13.09 days, which were higher than that of control group ( 8.16 days) (P< 0.05 ). Conclusion The occurrence of nosocomial infection can increase patients' expenses and prolong hospitalization days, nosocomial infection surveillance can achieve good economic and social benefit.