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A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States

Published online by Cambridge University Press:  17 August 2023

Helen L. Zhang*
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina
Linda Crane
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Andrea Lynn Cromer
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Amanda Green
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Polly Padgette
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Valerie C. Payne
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Linda Roach
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Brittain Wood
Affiliation:
Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
Deverick J. Anderson*
Affiliation:
Duke Center for Antimicrobial Stewardship and Infection Prevention, Division of Infectious Diseases, Duke University Medical Center, Durham, North Carolina Duke Infection Control Outreach Network, Duke University Medical Center, Durham, North Carolina
*
Corresponding author: Helen L. Zhang; Email: helen.l.zhang@duke.edu. Or Deverick J. Anderson; Email: deverick.anderson@duke.edu
Corresponding author: Helen L. Zhang; Email: helen.l.zhang@duke.edu. Or Deverick J. Anderson; Email: deverick.anderson@duke.edu

Abstract

We calculated the attributable cost of several healthcare-associated infections in a community hospital network: central-line–associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), hospital-onset Clostridioides difficile infections (CDI-HOs) (43 hospitals); surgical site infections (SSIs) (40 hospitals). From 2016 to 2022, the total cost of CLABSIs, CAUTIs, CDI-HOs, and SSIs was $420,012,025.

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Magill, SS, O’Leary, E, Janelle, SJ, et al. Changes in prevalence of healthcare-associated infections in US hospitals. N Engl J Med 2018;379:17321744.CrossRefGoogle Scholar
Forrester, JD, Maggio, PM, Tennakoon, L. Cost of Health Care-Associated Infections in the United States. J Patient Saf 2022;18:e477e479.CrossRefGoogle ScholarPubMed
Scott, R. The direct medical costs of healthcare-associated infections in us hospitals and the benefits of prevention. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf. Published 2009. Accessed July 23, 2023.Google Scholar
Anderson, DJ, Miller, BA, Chen, LF, et al. The network approach for prevention of healthcare-associated infections: long-term effect of participation in the Duke Infection Control Outreach Network. Infect Control Hosp Epidemiol 2011;32:315322.CrossRefGoogle Scholar
Estimating the additional hospital inpatient cost and mortality associated with selected hospital-acquired conditions. Agency for Healthcare Research and Quality website. https://www.ahrq.gov/hai/pfp/haccost2017-results.html. Published 2017. Accessed July 22, 2023.Google Scholar
Producer price-index industry data. US Bureau of Labor Statistics website. https://data.bls.gov/cgi-bin/dsrv. Accessed January 23, 2023.Google Scholar
Anderson, DJ, Kirkland, KB, Kaye, KS, et al. Underresourced hospital infection control and prevention programs: penny wise, pound foolish? Infect Control Hosp Epidemiol 2007;28:767773.CrossRefGoogle ScholarPubMed
Harbarth, S, Sax, H, Gastmeier, P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect 2003;54:258266.CrossRefGoogle ScholarPubMed
Lastinger, LM, Alvarez, CR, Kofman, A, et al. Continued increases in the incidence of healthcare-associated infection (HAI) during the second year of the coronavirus disease 2019 (COVID-19) pandemic. Infect Control Hosp Epidemiol 2023;44:9971001.CrossRefGoogle ScholarPubMed
Giuliano, KK, Baker, D, Quinn, B. The epidemiology of nonventilator hospital-acquired pneumonia in the United States. Am J Infect Control 2018;46:322327.CrossRefGoogle ScholarPubMed