Objective:To analyze the direct economic loss and influencing factors of nosocomial infection of inpatient in a comprehensive hospital. Methods:The hospitalization time and cost in 50 nosocomial infection patients ( case group ) and 50 non-nosocomial infection patients( control group) were retrospectively analyzed using the 1:1 case-control method. The direct economic loss of nosocomial infection was calculated. Results:The hospitalization time and cost in case group(27 ± 18) days and(42669 ± 36845) Yuanweresignificantlyhigherthanthoseincontrolgroup(15±7) daysand(19541±14653)Yuan,respectively(P<0.01).The direct economic loss of lower respiratory tract,urinary tract,gastrontestinal,surgical site and bloodstream infections in case group was significantly worse than those in control group(P<0. 01). Conclusions:The occurrence of nosocomial infection obviously increases the hospitalization time and cost of patients,which can cause the direct economic loss of patients.%目的:分析某综合性医院住院患者发生医院感染其影响因素所造成的直接经济损失.方法:采用1:1病例对照研究法,回顾性调查50对医院感染患者(病例组)及非医院感染患者(对照组)的住院时间和住院费用差异,计算医院感染造成的直接经济损失.结果:病例组患者住院时间为(27±18)d,医疗费用为(42669±36845)元,均明显高于对照组住院时间(15±7)d和医疗费用(19541±14653)元(P<0.01);病例组下呼吸道感染、胃肠道感染、手术部位感染、血流感染所造成的直接经济损失均明显高于对照组(P<0.01).结论:医院感染的发生明显增加患者住院时间及医疗费用,给患者造成直接经济损失.
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