PMID- 12646079
OWN - NLM
STAT- MEDLINE
DCOM- 20030512
LR  - 20190916
IS  - 0014-2565 (Print)
IS  - 0014-2565 (Linking)
VI  - 203
IP  - 3
DP  - 2003 Mar
TI  - [Estimating the costs associated with nosocomial urinary tract infection. A 
      case-control study].
PG  - 119-24
AB  - BACKGROUND: Nosocomial infection (NI) is associated with increased resource use. 
      The current study addressed the cost excess attributable to nosocomial urinary 
      tract infection (NUTI). METHODS: Case-control study conducted in a cohort 
      population. For matching, the Diagnostic Related Group (DRG) to which the episode 
      of case patient was ascribed was used. Then, a further search was conducted in 
      the hospital discharge database with the following parameters: DRG, gender, age, 
      admission date, department, comparison of length of stays, main diagnosis, 
      co-morbidities, number of secondary diagnoses and procedures. Matching was 
      achieved for 64 episodes (71%), and upon them an estimation of costs was 
      performed. RESULTS: The mean length of stay for cases were 15.3 (median: 12) and 
      12.3 (median: 11) days for cases and controls, respectively (p = 0.0001). The 
      excess of length of stay attributable to NUTI was 3 days (95% CI 1.6-4.7), longer 
      for patients admitted to Medical Departments (5.3 days) than for patients 
      admitted to Surgical Departments (2 days) (p = 0,03). The use of diagnostic 
      resources was significantly higher for bacteriological testing only. The use of 
      antibiotics and fluid therapy was higher among infected patients. Out of the 
      total excess of the estimated costs per episode, 132,047 ptas, 93% corresponded 
      to the increase in hospital stay. Ten patients (15.6%) were responsible for 68% 
      of the total of extra-costs. In 17 occasions (26.6%), the control patient used 
      more resources than the infected patient. CONCLUSIONS: Nosocomial urinary tract 
      infection is associated with a resource use directly related to its presence. For 
      the most part, it is related to the prolongation of hospital stay.
FAU - Moris de la Tassa, J
AU  - Moris de la Tassa J
AD  - Servicios de Medicina Interna. Hospital de Cabuenes. Gijon. Departamento de 
      Medicina. Universidad de Oviedo. Oviedo. Espana. joaquin.moris@hcabuenes.es
FAU - Fernandez Munoz, P
AU  - Fernandez Munoz P
FAU - Antuna Egocheaga, A
AU  - Antuna Egocheaga A
FAU - Gutierrez del Rio, M C
AU  - Gutierrez del Rio MC
FAU - Carton Sanchez, J A
AU  - Carton Sanchez JA
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Estimacion de los costes asociados a la infeccion urinaria nosocomial. Un estudio 
      de casos y controles.
PL  - Spain
TA  - Rev Clin Esp
JT  - Revista clinica espanola
JID - 8608576
SB  - IM
MH  - Aged
MH  - Case-Control Studies
MH  - Cross Infection/*economics
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Spain
MH  - Urinary Tract Infections/*economics
EDAT- 2003/03/21 04:00
MHDA- 2003/05/13 05:00
CRDT- 2003/03/21 04:00
PHST- 2003/03/21 04:00 [pubmed]
PHST- 2003/05/13 05:00 [medline]
PHST- 2003/03/21 04:00 [entrez]
AID - 13044920 [pii]
AID - 10.1157/13044920 [doi]
PST - ppublish
SO  - Rev Clin Esp. 2003 Mar;203(3):119-24. doi: 10.1157/13044920.