Abstract：
BACKGROUND:Little is known about the direct economic burden associated with health care-associated infection (HAI) in patients undergoing colorectal cancer surgery in China. This study aims to fill this knowledge gap. METHODS:This study was a prospective monitoring case-control study. The direct economic burden was presented as the median of the 1:1 pair differences of various hospitalization fees and hospital length of stay. Wilcoxon signed-rank tests were used to explore the differences in the direct economic burden. RESULTS:Out of 448 patients, 38 had acquired HAIs, with the infection incidence being 8.93%. The total direct economic burden of HAIs was $1,589.30 (P <.05). Among various infection sites, deep surgical site infection had the highest direct economic burden of $8,654.44, followed by multisite infections ($5,946.52). When it comes to various hospitalization costs, the cost for Western medicine ($846.13) constituted the highest proportion of economic burden followed by treatment cost ($145.73) and bed charge ($126.75). On average, the length of hospital stay in the infection group was 6 days longer than that in the control group (P <.05). CONCLUSIONS:HAI was associated with considerable economic burden for patients who underwent colorectal cancer surgery in China. The study highlights the necessity of taking effective measures to decrease incidence of HAIs to reduce economic burden.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Liu Y,Xiao W,Wang S,Chan CWHdoi
10.1016/j.ajic.2017.08.003subject
Has Abstractpub_date
2018-01-01 00:00:00pages
34-38issue
1eissn
0196-6553issn
1527-3296pii
S0196-6553(17)30950-1journal_volume
46pub_type
杂志文章abstract：BACKGROUND:The genetic relatedness of Staphylococcus epidermidis associated with infections in infants and cultured from the hands of nurses was assessed. METHODS:From March 2001 to January 2002, infections caused by S. epidermidis were prospectively monitored. Participating nurses had hand cultures performed quarterl...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2005.02.003
更新日期：2005-08-01 00:00:00
abstract：BACKGROUND:Surgical site infection (SSI) is an important clinical indicator of quality of patient care and infection control; therefore, we aimed to assess risk factors SSI in colon and gastric surgeries. METHODS:SSI was assessed according to the National Nosocomial Infection Surveillance (NNIS) system (1999). Risk fa...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.12.011
更新日期：2008-12-01 00:00:00
abstract：:Clinical practice protocols for the control and prevention of respiratory infections in rehabilitation settings, especially regarding pediatric tracheostomized patients, are currently lacking. To tackle this issue, we conducted a systematization of our clinical management protocols, aiming at defining a decisional alg...
journal_title：American journal of infection control
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更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:The role of the infection preventionist (IP) has become increasingly complex, underscoring the need for rapid mechanisms of knowledge acquisition. One mechanism for knowledge acquisition is knowledge-sharing through social networks. In a state such as Kentucky with predominantly rural health care facilities,...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.05.018
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Infection preventionists (IPs) play key roles in preventing health care-associated infections and ensuring quality of care. To develop strategies to support comprehensive infection prevention practice, it is critical to understand key aspects of their practice. METHODS:A task force of expert IPs, staff repr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.12.012
更新日期：2017-06-01 00:00:00
abstract：:This article is an executive summary of the APIC Elimination Guide for methicillin-resistant Staphylococcus aureus infection in long-term care facilities. Infection preventionists are encouraged to obtain the original, full-length APIC Elimination Guides for more thorough coverage of methicillin-resistant Staphylococc...
journal_title：American journal of infection control
pub_type： 杂志文章,实务指引
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更新日期：2011-04-01 00:00:00
abstract：:We report macroscopic biofilms on silver hydrogel-coated urinary catheters in 2 patients from 2 different intensive care units. The catheters were removed on observation of a white, jelly layer on the catheters, respectively, 9 and 21 days after insertion. Yeast cells and pseudohyphal structures were observed with mic...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.03.042
更新日期：2016-10-01 00:00:00
abstract：:Molecular evidence of Listeria monocytogenes cross-contamination in a nursery is presented. Listeria monocytogenes serotype 4b was isolated from the blood and the conjunctiva of a baby with neonatal sepsis who was born after septic amnionitis and premature rupture of membrane. Nine days later, the same bacterium was i...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.25
更新日期：2003-08-01 00:00:00
abstract：BACKGROUND:Postexposure prophylaxis for occupational exposure to hepatitis B virus (HBV) plays an important role in the prevention of HBV infections in health care workers (HCWs). We examined data concerning the acceptable duration between occupational exposure and administration of a hepatitis B immunoglobulin (HBIG) ...
journal_title：American journal of infection control
pub_type： 杂志文章,多中心研究
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更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Carbapenem-resistant gram-negative (CRGN) infections have been increasing in recent years and associated with significant morbidity, mortality, and health care costs. The aim of this study was to evaluate the epidemiologic and clinical risk characteristics, risk factors, and outcome of CRGN infections and to...
journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2018-02-01 00:00:00
abstract：:We evaluated the utility and usability of a spray and a wipe-based cleaner/disinfectant in a behavioral health setting where health care providers institute cleaning and disinfection procedures. The spray-based version resulted in significantly lower adenosine triphosphate readings after use compared with the wipe ver...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.028
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:To determine if ending the practice of administering prophylactic antibiotics prior to the placement of totally implantable venous access devices (TIVADs) is correlated with an increase in 30-day bloodstream infection-related TIVADs removals. METHODS:The practice of administering prophylactic antibiotics pr...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.06.028
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Hospitalized carriers of carbapenem-resistant Enterobacteriaceae (CRE) are cohorted under contact precautions, including in the days between rehospitalization and surveillance culture results. This study investigates duration of CRE carriage to define populations requiring precautions upon readmission. METH...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2012.09.020
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Although antimicrobial stewardship programs (ASPs) are uniquely positioned to improve treatment of Clostridium difficile infection (CDI) through targeted interventions, studies to date have not rigorously evaluated the influence of ASP involvement on clinical outcomes attributed to CDI. METHODS:We performed...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.05.027
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Catheter-associated urinary tract infections (CAUTIs) are the most common healthcare-acquired condition. The attributable cost of CAUTIs is frequently cited to be approximately $1,000. However, there is a paucity of recent literature that confirms this estimate. The purpose of this study was to perform a sys...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.01.015
更新日期：2018-07-01 00:00:00
abstract：BACKGROUND:The guideline for staffing infection control programs of 1 infection control professional (ICP) for every 250 occupied acute care beds has been used in many health care facilities in the United States since 1985. Since that time, the health care system, patient populations, and expectations about the work of...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2002.127930
更新日期：2002-10-01 00:00:00
abstract：BACKGROUND:Healthcare workers perform hand hygiene much more frequently than workers in other fields. As a result, healthcare workers have a higher exposure to topical antiseptic products. METHODS:Five tertiary care facilities were equipped with an electronic hand hygiene compliance monitoring system. Alcohol-based ha...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.04.205
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:There is a large and growing body of evidence that methicillin-resistant Staphylococcus aureus (MRSA) screening programs are cost effective, but such screening represents a significant cost burden for hospitals. This study investigates the clinical, patient experience and cost impacts of performing active su...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2014.07.011
更新日期：2014-10-01 00:00:00
abstract：:Pet-assisted therapy in the nursing home setting, as a vital component of the Eden Alternative or Human Habitat program, is gaining widespread recognition and implementation. Programs such as this help to improve the quality of life of nursing home residents by offsetting resident loneliness, helplessness, and boredom...
journal_title：American journal of infection control
pub_type： 杂志文章,评审
doi：10.1067/mic.2001.115873
更新日期：2001-06-01 00:00:00
abstract：:During a 17-month period (01/11/85-05/31/86) 225 cases of nosocomial diarrhea were identified in a children's hospital. Diarrhea was considered to be nosocomial if it began at least 72 hours after the patient's hospital admission or within 3 days after discharge. One or more routine diagnostic studies for identificati...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(89)90021-7
更新日期：1989-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2010.06.022
更新日期：2010-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.04.002
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:Little is known about compliance with universal precautions (CUP) or occupational exposures to blood and body fluids among Emergency Medical Services (EMS) providers. The objective of this study was to obtain estimates of CUP and knowledge of universal precautions (KUP), occupational exposures, and needle an...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2009.05.012
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:Although hand hygiene (HH) compliance has been an important issue for years, the compliance rate is still a problem in health care today. METHODS:This was an observational, prospective, before-and-after study. We measured HH knowledge and HH compliance before (baseline), directly after (poststrategy), and 6...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.09.009
更新日期：2012-10-01 00:00:00
abstract：BACKGROUND:The aim of this study was to evaluate the performance of a focused multivector ultraviolet (FMUV) system employing shadowless delivery with a 90-second disinfection cycle for patient care equipment inside and outside the operating room (OR) suite without manual-chemical disinfection. METHODS:A 5-point multi...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.09.019
更新日期：2019-04-01 00:00:00
abstract：BACKGROUND:Because blood culture is a common test at our institution, we hoped to save money and reduce the risk of needlestick injury by modifying our current technique for the preparation of culture specimens without increasing the risk of contamination. METHODS: OBJECTIVE:To compare the contamination rates of bloo...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/s0196-6553(05)80176-2
更新日期：1992-06-01 00:00:00
abstract：BACKGROUND:Hand cleanliness is important in hospital infection control, but skin irritation from frequent alcohol-based hand rub use reduces compliance. We have compared a new copper biocide/Aloe vera-based biocidal hand rub (Xgel) with 7 commercially available hand rubs. METHODS:Hand rubs were cultured with human ski...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2008.09.011
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Medical devices inserted into the human body can be divided into single-use devices and reusable medical devices (RMDs) depending on the method of use. RMDs are applied to >1 patient, and users reprocess them prior to repeat use. Therefore, reprocessing of RMDs has become more difficult, and issues related t...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.01.017
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:Urinary tract infections (UTIs) are the most common nosocomial infection experienced by patients in United States hospitals and are responsible for significant morbidity and excess hospital costs. The purpose of this study was to determine the efficacy of a silver alloy, hydrogel-coated, urinary catheter in ...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2004.05.002
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:Clostridium difficile is the usual and most important cause of antibiotic-associated pseudomembranous enterocolitis. The source of nosocomial acquisition of the organism in nonepidemic settings has not been determined. METHODS:Epidemiologic and microbiologic studies were conducted in a community-teaching ho...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/0196-6553(94)90070-1
更新日期：1994-08-01 00:00:00
