HOSPITAL-ACQUIRED INFECTIONS IN BELGIAN ACUTE-CARE HOSPITALS: FINANCIAL BURDEN OF DISEASE AND POTENTIAL COST SAVINGS

2013 ◽  
Vol 68 (3) ◽  
pp. 199-205 ◽  
Author(s):  
J Trybou ◽  
E Spaepen ◽  
B Vermeulen ◽  
L Porrez ◽  
L Annemans
2013 ◽  
Vol 34 (6) ◽  
pp. 605-610 ◽  
Author(s):  
Giulio DiDiodato

Design.Prospective, observational, ecological, time series, cross-sectional study examining the association between hand hygiene compliance (HHC) rates and the incidence of hospital-acquired infections.Setting.Acute care hospitals (N = 166) located in the province of Ontario, Canada.Methods.All data were extracted from the Ontario patient safety indicator database (http://www.hqontario.ca/public-reporting/patient-safety). Complete data were available for 166 acute care hospitals from October 1, 2008, to December 31, 2011. The rates of Clostridium difficile infection (CDI) are reported monthly, methicillin-resistant Staphylococcus aureus (MRSA) bacteremia quarterly, and HHC rates yearly. Trends and associations for each indicator were evaluated by ordinary least squares regression (HHC), zero-inflated Poisson regression (MRSA bacteremia), or Poisson regression (CDI). Dependent variables included in the regression analyses were extracted from the same database and included year, healthcare region, and type of hospital (teaching or small or large community).Results.Compared to those in 2008, reported HHC rates improved every year both before and after environment/patient contact (range, 10.6%–25.3%). Compared to those in 2008, there was no corresponding change in the rates of MRSA bacteremia; however, the rates of CDI decreased in 2009 but were not statistically significantly decreased from baseline in either 2010 or 2011. No consistent association was demonstrated between changes in the rates of HHC and these two healthcare-associated infections (HAIs).Conclusions.Despite significant improvements in reported rates of HHC among healthcare personnel in Ontario's hospitals, we could not demonstrate a positive ecological impact on rates of these two HAIs.


2011 ◽  
Vol 140 (1) ◽  
pp. 126-136 ◽  
Author(s):  
F. VRIJENS ◽  
F. HULSTAERT ◽  
S. DEVRIESE ◽  
S. VAN DE SANDE

SUMMARYAssessing the overall burden of disease which can be attributed to hospital-acquired infections (HAIs) remains a challenge. A matched cohort study was performed to estimate excess mortality, length of stay and costs attributable to HAIs in Belgian acute-care hospitals, using six matching factors (hospital, diagnosis-related group, age, ward, Charlson score, estimated length of stay prior to infection). Information was combined from different sources on the epidemiology and burden of HAIs to estimate the impact at national level. The total number of patients affected by a HAI each year was 125 000 (per 10·9 million inhabitants). The excess mortality was 2·8% and excess length of stay was 7·3 days, corresponding to a public healthcare cost of €290 million. A large burden was observed outside the intensive-care unit setting (87% of patients infected and extra costs, 73% of excess deaths).


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Perla Sarai Solis-Hernandez ◽  
Melissa Vidales-Reyes ◽  
Elvira Garza-Gonzalez ◽  
Guillermo Guajardo-Alvarez ◽  
Susana Chavez-Moreno ◽  
...  

2020 ◽  
Author(s):  
Marietta M. Squire ◽  
Megashnee Munsamy ◽  
Gary Lin ◽  
Arnesh Telukdarie ◽  
Takeru Igusa

The objective of this study was to assess the energy demand and economic cost of two hospital-based COVID-19 infection control interventions. The intervention control measures evaluated include use of negative pressure (NP) treatment rooms and xenon pulsed ultraviolet (XP-UV) infection control equipment. After projecting COVID-19 hospitalizations, a Hospital Energy Model and Infection De-escalation Models are applied to quantify increases in energy demand and reductions in secondary infections. The scope of the interventions consisted of implementing NP in 11, 22, and 44 rooms (at small, medium, and large hospitals) while the XP-UV equipment was used eight, nine, and ten hours a day, respectively. The annum kilowatt-hours (kWh) for NP (and costs were at $0.1015 per kWh) were 116,700 ($11,845), 332,530 ($33,752), 795,675 ($80,761) for small, medium, and large hospitals ($1,077, $1,534, $1,836 added annum energy cost per NP room). For XP-UV, the annum kilowatt-hours and costs were 438 ($45), 493 ($50), 548 ($56) for small, medium, and large hospitals. There are other initial costs associated with the purchase and installation of the equipment, with XP-UV having a higher initial cost. XP-UV had a greater reduction in secondary COVID-19 infections in large and medium hospitals. NP rooms had a greater reduction in secondary SARS-CoV-2 transmission in small hospitals. Early implementation of interventions can result in realized cost savings through reduced hospital-acquired infections.


2013 ◽  
Vol 36 (2) ◽  
pp. 171-180 ◽  
Author(s):  
Jianghua He ◽  
Vincent S. Staggs ◽  
Sandra Bergquist-Beringer ◽  
Nancy Dunton

2000 ◽  
Vol 46 (1) ◽  
pp. 36-42 ◽  
Author(s):  
A.J Mintjes-de Groot ◽  
C.A.N van Hassel ◽  
J.A Kaan ◽  
R.P Verkooyen ◽  
H.A Verbrugh

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