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Cost-Analysis of Seven Nosocomial Outbreaks in an Academic Hospital

PloS one, 2016-02, Vol.11 (2), p.e0149226-e0149226 [Peer Reviewed Journal]

COPYRIGHT 2016 Public Library of Science ;COPYRIGHT 2016 Public Library of Science ;2016 Dik et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2016 Dik et al 2016 Dik et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0149226 ;PMID: 26863145

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Title:
Cost-Analysis of Seven Nosocomial Outbreaks in an Academic Hospital
Author: Dik, Jan-Willem H ; Dinkelacker, Ariane G ; Vemer, Pepijn ; Lo-Ten-Foe, Jerome R ; Lokate, Mariëtte ; Sinha, Bhanu ; Friedrich, Alex W ; Postma, Maarten J
Baud, Olivier
Subjects: Academic Medical Centers ; Adult ; Aged ; Analysis ; Bacterial Infections - economics ; Biology and life sciences ; Cost analysis ; Cost control ; Costs ; Costs and Cost Analysis ; Cross Infection - economics ; Disease control ; Disease Outbreaks - economics ; Division ; Economic aspects ; Economics, Hospital ; Epidemics ; Epidemiology ; Female ; Health aspects ; Health care ; Health Care Costs ; Health care expenditures ; Hospital Costs ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infection control ; Infection Control - methods ; Institutions ; Male ; Medical care, Cost of ; Medical diagnosis ; Medicine and Health Sciences ; Microbiology ; Microorganisms ; Middle Aged ; Morbidity ; Netherlands ; Nosocomial infection ; Nosocomial infections ; Opportunity costs ; Outbreaks ; Pharmacoeconomics ; Pharmacy ; Prevention ; Prices ; Social Sciences ; Staphylococcus aureus ; Staphylococcus infections ; Surveillance
Is Part Of: PloS one, 2016-02, Vol.11 (2), p.e0149226-e0149226
Description: Nosocomial outbreaks, especially with (multi-)resistant microorganisms, are a major problem for health care institutions. They can cause morbidity and mortality for patients and controlling these costs substantial amounts of funds and resources. However, how much is unclear. This study sets out to provide a comparable overview of the costs of multiple outbreaks in a single academic hospital in the Netherlands. Based on interviews with the involved staff, multiple databases and stored records from the Infection Prevention Division all actions undertaken, extra staff employment, use of resources, bed-occupancy rates, and other miscellaneous cost drivers during different outbreaks were scored and quantified into Euros. This led to total costs per outbreak and an estimated average cost per positive patient per outbreak day. Seven outbreaks that occurred between 2012 and 2014 in the hospital were evaluated. Total costs for the hospital ranged between €10,778 and €356,754. Costs per positive patient per outbreak day, ranged between €10 and €1,369 (95% CI: €49-€1,042), with a mean of €546 and a median of €519. Majority of the costs (50%) were made because of closed beds. This analysis is the first to give a comparable overview of various outbreaks, caused by different microorganisms, in the same hospital and all analyzed with the same method. It shows a large variation within the average costs due to different factors (e.g. closure of wards, type of ward). All outbreaks however cost considerable amounts of efforts and money (up to €356,754), including missed revenue and control measures.
Publisher: United States: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0149226
PMID: 26863145
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
Public Library of Science (PLoS)
ProQuest Central
DOAJ Directory of Open Access Journals

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Cost-Analysis of Seven Nosocomial Outbreaks in an Academic Hospital

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