Hostname: page-component-77c89778f8-m8s7h Total loading time: 0 Render date: 2024-07-23T05:24:07.893Z Has data issue: false hasContentIssue false

Hospital Costs of Nosocomial Infections: A Prospective Three-Month Study In a Community Hospital

Published online by Cambridge University Press:  04 April 2016

William E. Scheckler*
Affiliation:
Department of Family Medicine and Practice, University of Wisconsin, Environment and Infection Control Committee of St. Mary's Hospital Medical Center, Madison, Wisconsin
*
Department of Family Medicine, University of Wisconsin, Center for Health Sciences, 777 S, Mills Street, Madison, W1 53715

Abstract

A prospective three-month study of the hospital costs associated with nosocomial infections was done in a 390-bed, 30-bassinet community-teaching hospital early in 1978. All hospital charges for diagnostic and therapeutic services required by nosocomial infections, and added length of stay due to the infections, were recorded. During the study period 123 infections occurred in 104 patients (a 2.7% incidence, considering the 4,485 patients discharged during this time). The average length of stay was prolonged 3.0 days for all nosocomial infections; this accounted for about half of the $636 average hospital charges for each nosocomial infection. The 65 nosocomial urinary tract infections prolonged the length of stay an average of 0.6 days and the total hospital charges were $146 for each infection, leading us to believe that the proportion of nosocomial infections at any given site may greatly alter the “average” cost of nosocomial infections. Our data from a community hospital show a shorter prolongation of length of stay and lower hospital costs when compared with the few other studies in the literature.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1980

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Schaffner, W. The ongoing problems of hospital infections. In: Advances in Internal Medicine, Vol 21, Chicago, Year Book Medical Publishers, Inc. 1976;175-87.Google Scholar
2. Spengler, RF, Greenough, WB. Hospital costs and mortality attributed to nosocomial bacteremias. JAMA 1978;240:245558.CrossRefGoogle ScholarPubMed
3. Freeman, J, Rosner, BA, McGowan, JE. Adverse effects of nosocomial infection. J Infect Dis 1979;140:732–40.CrossRefGoogle ScholarPubMed
4. Polakavetz, SH, Dunn, ME, Cook, JS. Nosocomial infection: The hidden cost in health care. Hospitals J.A.H.A. 1978;52:101–06.Google ScholarPubMed
5. Scheckler, WE. Septicemia and nosocomial infections in a community hospital. Ann Intern Med 1978; (Part 2):754-56.CrossRefGoogle Scholar
6. Dixon, RE. Effect of infections on hospital care. Ann Intern Med 89 1978; (Part 2):749-53.CrossRefGoogle ScholarPubMed
7. Scheckler, WE. Nosocomial infections in a community hospital, 1972 through 1976. Arch Intern Med 1978;138:179294.CrossRefGoogle Scholar
8. Length of Stay in Professional Activities Study, by Surgical Procedure United States North Central Region, 1977 and Length of Slay in Professional Activities Study, by Diagnosis United States North Central Region, 1977. Ann Arbor, Michigan, Commission on Professional and Hospital Activities, March 1979.Google Scholar
9. Scheckler, WE. Septicemia in a community hospital, 1970 through 1973. JAMA 1977;237:193841.CrossRefGoogle Scholar