Document Detail


The investment case for preventing NICU-associated infections.
MedLine Citation:
PMID:  22836823     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Nosocomial [hospital-associated or neonatal intensive care unit (NICU)-associated] infections occur in as many as 10 to 36% of very low-birth-weight infants cared for in NICUs.
OBJECTIVE: To determine the potentially avoidable, incremental costs of care associated with NICU-associated bloodstream infections.
STUDY DESIGN: This retrospective study included all NICU admissions of infants weighing 401 to 1500 g at birth in the greater Cincinnati region from January 1, 2005, through December 31, 2007. Nonphysician costs of care were compared between infants who developed at least one bacterial bloodstream infection prior to NICU discharge or death and infants who did not. Costs were adjusted for clinical and demographic characteristics that are present in the first 3 days of life and are known associates of infection.
RESULTS: Among 900 study infants with no congenital anomaly and no major surgery, 82 (9.1%) developed at least one bacterial bloodstream infection. On average, the cost of NICU care was $16,800 greater per infant who experienced NICU-associated bloodstream infection.
CONCLUSION: Potentially avoidable costs of care associated with bloodstream infection can be used to justify investments in the reliable implementation of evidence-based interventions designed to prevent these infections.
Authors:
Edward F Donovan; Karen Sparling; Michael R Lake; Vivek Narendran; Kurt Schibler; Beth Haberman; Barbara Rose; Jareen Meinzen-Derr;
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-07-26
Journal Detail:
Title:  American journal of perinatology     Volume:  30     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-04-08     Completed Date:  2013-12-04     Revised Date:  2014-03-19    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  179-84     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
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MeSH Terms
Descriptor/Qualifier:
Bacteremia / economics*
Cross Infection / economics*
Health Care Costs / statistics & numerical data*
Humans
Infant, Newborn
Intensive Care, Neonatal / economics*,  standards
Length of Stay / statistics & numerical data
Multivariate Analysis
Quality Improvement / economics
Retrospective Studies
Grant Support
ID/Acronym/Agency:
5U10HD027853/HD/NICHD NIH HHS; U10 HD027853/HD/NICHD NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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