Economic burden of nosocomial pneumonia in non-intensive care clinics

E, Çakir Edis; On, Hatipoğlu; Yılmam, İlker; N, Süt

doi:10.5578/tt.8725

Cited by 8 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En el análisis inferencial de los costos directos no sanitarios y costos indirectos, el grupo con NN presentó los valores más elevados, resultando significativos. El estudio de Çakır-Edis et al presentó resultados semejantes a nuestros hallazgos (22) . Lenz-Alcayaga establece una metodología cuantitativa de la determinación de los costos de tan solo aquellos en que las intervenciones difieren; su ventaja consiste en reducir el trabajo de análisis de costos, pero sin afectar la calidad de la evaluación (23) .…”

Section: Resultsunclassified

Estimación de costos económicos en la atención de la neumonía nosocomial en un hospital regional peruano, 2009 al 2011

Dámaso-Mata

Chirinos-Cáceres

Menacho-Villafuerte

2016

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

a Médico internista, doctor en Medicina; b médico internista, doctor en Salud Publica; c enfermera salubrista. Recibido: 12/10/2015 Aprobado: 06/04/2016 Citar como: Dámaso-Mata B, Chirinos-Cáceres J, Menacho-Villafuerte L. Estimación de costos económicos en la atención de la neumonía nosocomial en un hospital regional peruano, 2009 al 2011. Rev Peru Med Exp Salud Publica. 2016;33(2):233-40. RESUMENObjetivos. Estimar los costos económicos en la atención de la neumonía nosocomial al compararlo con el grupo sin neumonía nosocomial en Hospital II Huánuco EsSalud, 2009 -2011. Materiales y métodos. Evaluación económica parcial. Diseño de casos y controles pareado. Se empleó una ficha de recolección. Variable dependiente: neumonía nosocomial. Variables independientes: costos directos sanitarios, costos directos no sanitarios, costos indirectos, ocupación, comorbilidad, procedencia y grado de instrucción. Se realizó análisis bivariado. Resultados. Se identificaron 40 pares de casos y controles. Los casos estuvieron hospitalizados más de dos semanas y emplearon más de dos antibióticos. Los costos directos sanitarios asociados fueron por hospitalización, antibióticos, exámenes auxiliares, evaluaciones especializadas y otras medicaciones. Los costos directos no sanitarios y los costos indirectos asociados fueron por transporte, alimentación, alojamiento, ingresos por planilla dejados de percibir, ingresos por honorarios profesionales dejados de percibir, gastos extrainstitucionales, pago a cuidadores durante hospitalización y por telefonía. Conclusiones. Los costos directos sanitarios en neumonía nosocomial fueron más del triple, mientras los costos directos no sanitarios y costos indirectos fueron más del doble al compararlo con el grupo sin infección. Se identificaron variables con mayor impacto en los costos. ABSTRACT Objectives.To estimate and compare the economic costs for the care of patients with and without nosocomial pneumonia at Hospital II Huánuco EsSalud during 2009-2011, in Peru. Materials and Methods. This was a partial economic evaluation of paired cases and controls. A collection sheet was used. Dependent variable: nosocomial pneumonia. Independent variables: direct health costs, direct non-health costs, indirect costs, occupation, age, comorbidities, sex, origin, and education level. A bivariate analysis was performed. Results. Forty pairs of cases and controls were identified. These patients were hospitalized for >2 weeks and prescribed more than two antibiotics. The associated direct health costs included those for hospitalization, antibiotics, auxiliary examinations, specialized assessments, and other medications. The direct non-health costs and associated indirect costs included those for transportation, food, housing, foregone payroll revenue, foregone professional fee revenue, extra-institutional expenses, and payment to caregivers during hospitalization and by telephone. Conclusions. The direct health costs for nosocomial pneumonia patients were more than three times and the indirect costs were more ...

show abstract

Section: Resultsunclassified

Estimación de costos económicos en la atención de la neumonía nosocomial en un hospital regional peruano, 2009 al 2011

Dámaso-Mata

Chirinos-Cáceres

Menacho-Villafuerte

2016

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

show abstract

“…An NP diagnosis increases hospital length of stay (LOS) by 7–10 days, and VAP prolongs mechanical ventilation times as well as ICU LOS (16). Also, hospital costs have been shown to rise by a factor of 5 in non‐ICU patients with a diagnosis of HAP (17). Therefore, early detection of a disturbed oropharyngeal microbiota, along with preservation of a normal oropharyngeal microbiota, may be a way to reduce the occurrence of NP to the benefit of the patient, the health care system and society.…”

mentioning

confidence: 99%

Disturbance in the oropharyngeal microbiota in relation to antibiotic and proton pump inhibitor medication and length of hospital stay

Tranberg

Samuelsson

Klarin

2020

APMIS

View full text Add to dashboard Cite

The aim of this study was to investigate the appearance of a disturbed oropharyngeal microbiota during hospitalization and explore the patient characteristics that maybe associated with such a disturbance. Oropharyngeal swabs were collected from 134 patients at hospital admission and every 3-4 days thereafter. The samples were cultivated to determine the presence of a disturbed microbiota, which, in turn, was subcategorized into respiratory tract pathogens, gut microbiota and yeast species. Demographics, medical history data and hospitalization events were compared. The percentage of disturbed oropharyngeal microbiota increased significantly with length of stay (LOS). Receiving antibiotic treatment during the hospitalization tended to be associated with a disturbed microbiota (OR 2.75 [0.99-7.60]). Proton pump inhibitor (PPI) medication and receiving antibiotics before hospitalization were associated with the development of a disturbed oropharyngeal microbiota with colonization of gut pathogens (OR 3.49 [1.19-10.2] and OR 4.52 [1.13-18.1], respectively), while acute hospital admission was associated with a lower risk of colonization of gut pathogens (OR: 0.23 [0.074-0.72]). The risk of developing a disturbed oropharyngeal microbiota increased with LOS in hospitalized patients. PPI medication and receiving antibiotics before hospitalization were independent risk factors for developing oropharyngeal colonization of gut pathogens.

show abstract