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首页> 外文期刊>JAMA otolaryngology-- head & neck surgery >Socioeconomic Implications of Pediatric Cervical Methicillin-Resistant Staphylococcus aureus Infections
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Socioeconomic Implications of Pediatric Cervical Methicillin-Resistant Staphylococcus aureus Infections

机译：小儿耐甲氧西林金黄色葡萄球菌感染的社会经济意义

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Objective: To study cervical methicillin-resistant Staphylococcus aureus (MRSA) infections using a national database with the goal of providing normative data and identifying variations in resource utilization. Design: Retrospective review using a pediatric national data set (Kids' Inpatient Database 2009). Subjects: Inclusion criteria were admissions with International Classification of Diseases, Ninth Revision, Clinical Modification, codes for both MRSA and specific neck and pharyngeal infections. Results: There were 26 829 admissions with MRSA; 3571 included a head and neck infection. The mean (SE) age at admission was 7.72 (0.20) years. Most patients (65.0%) were in the lower 2 socioeconomic quartiles; the most common payer was Medicaid (53.3%). The mean total charge per admission was $20 442. The mean (SE) length of stay (LOS) was 4.39 (0.15) days; there were significant differences among age (P < .001) and racial (P < .001) groups. A total of 1671 children underwent at least 1 surgical drainage procedure; there were statistically significant differences among racial (P< .001), age (P< .001), and socioeconomic (P=.048) groups. There were no regional variations in resource utilization when LOS, number of procedures, and total hospital charges were compared. Conclusions: Cervical MRSA infections have a large socioeconomic impact across the nation. There are differences among the various races in resource utilization. Younger children have longer hospitalizations, are more likely to need surgery, and require more intubations. Children from the lowest socioeconomic group require surgery more frequently, but their LOS is not statistically different when compared with the other 3 groups. Knowledge of such characteristics for cervical MRSA infections in children can facilitate targeted clinical interventions to improve care of affected populations.
机译：目的：使用国家数据库研究耐甲氧西林的金黄色葡萄球菌（MRSA）宫颈感染，目的是提供规范性数据并确定资源利用的差异。设计：使用儿童国家数据集进行回顾性审查（儿童住院数据库2009）。受试者：入选标准为国际疾病分类，第九次修订，临床修改，MRSA和特定颈部和咽部感染的代码。结果：MRSA共入院26 829例; 3571包括头颈部感染。入院时的平均（SE）年龄为7.72（0.20）岁。大多数患者（65.0％）在较低的两个社会经济四分位数中;最常见的付款者是医疗补助（53.3％）。每次入院的平均总费用为20 442美元。平均（SE）住院天数（LOS）为4.39（0.15）天;年龄（P <.001）和种族（P <.001）组之间存在显着差异。总共1671名儿童至少接受了1次外科引流手术;种族（P <.001），年龄（P <.001）和社会经济（P = .048）组之间存在统计学差异。比较服务水平，手术次数和总医院费用时，资源利用率没有区域差异。结论：宫颈MRSA感染在全国范围内具有很大的社会经济影响。资源利用的各个种族之间存在差异。年龄较小的孩子住院时间较长，更可能需要手术并且需要更多的插管。社会经济地位最低的儿童更需要手术，但与其他3组相比，他们的LOS在统计学上没有差异。了解儿童宫颈MRSA感染的此类特征可以促进针对性的临床干预，以改善对受影响人群的护理。

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