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Practical Aspects for Cost Reduction in Hospital Infection Control

Published online by Cambridge University Press:  02 January 2015

F.D. Daschner
F.D. Daschner*
Affiliation:
Department of Hospital Epidemiology, University Hospital Freiburg, West Germany
*
Department of Hospital Epidemiology, University Hospital Freiburg, Hugstetter Str. 55, 7800 Freiburg, West Germany
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Abstract

Nosocomial infections consume a significant amount of the total hospital budget. This article describes some practical aspects for cost reduction in hospital infection control. Within one year total savings of 91.000 DM* could be achieved by discontinuing unnecessary disinfection procedures. Within six years 2,27 million DM could be saved by discontinuing unnecessary infection control procedures or employing cheaper methods. Of the total antibiotic costs 25% can be reduced by certain measures.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 5 , Issue 1 , January 1984 , pp. 32 - 35
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1984

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References

1. Daschner, F: Proven and Unproven Methods in Hospital Infection Control. New York, Gustav Fischer Verlag, 1978.Google Scholar
2. Daschner, F: Economic aspects of hospital infections. Journal of Hospital Infection 1982;3:1–4.Google Scholar
3. Haley, RW: Preliminary cost-benefit analysis of hospital infection control programs, in Daschner, F (ed): Proven and Unproven Methods in Hospital Infection Control. New York, Gustav Fischer Verlag, 1978.Google Scholar
4. McGowan, JE: Cost and benefit in control of nosocomial infection: Methods for analysis. Rev Infect Dis 1981;3:790–797.Google Scholar
5. McGowan, JE: The cost of hospital-acquired infection, in Sabri, S, Tittensor, JR (eds): Hospital Infection and Its Control. Richmond, England, Barker Publications, 1982.Google ScholarPubMed
6. Ayliffe, GAJ, Collins, BJ, Lowbury, EJL: Cleaning and disinfection of hospital floors. Br Med J 1966;2:442–445.CrossRefGoogle ScholarPubMed
7. Gable, TS: Bactericidal effectiveness of floor cleaning methods in a hospital environment. Hospitals 1966;40:107–111.Google Scholar
8. Daschner, F, Rabbenstein, G, Langmaack, H: Flächendekontamination zur Verhütung und Bekämpfung von Krankenhausinfektionen. Dtsch Med Wschr 1980;10:325–329.Google Scholar
9. Garner, JS, Emori, TG, Haley, RW: Operating room practices for the control of infection in US hospitals October 1976 to July 1977. Surg Gynecol Obstel 1982;155:873–880.Google ScholarPubMed
10. Craven, DE, Connolly, MG, Lichtenberg, DA, et al: Contamination of mechanical ventilators with tubing changes every 24 or 48 hours. N Engl J Med 1982;306:1505–1509.CrossRefGoogle ScholarPubMed
11. Langmaack, H, Mendera, C, Wenz, W, et al: Experimentelle und klinische Untersuchungen zur Frage der Wiedel Verwendbarkeit von resterilisierten intravasalen Kathetern. Radiologe 1982;22:34–37.Google Scholar
12. Ayliffe, GAJ, Collins, BJ, Taylor, LJ: Hospital-acquired Infection—Principles and Prevention. Boston, Wrigth-PSG, 1982.Google Scholar
13. Daschner, F, Weber, L, Griep, H, et al: Hygienische und ökonomische Gesichtspunkte bei der Verwendung eines sterilen Einmalver-neblers und eines Ultraschallverneblers mit sterilem Ein-malbefeuchtungsset. Hygiene & Medizin 1980;5:556–574.Google Scholar
14. Burke, JP, Garibaldi, RA, Britt, MR, et al: Prevention of catheter-associated urinary tract infections. Efficacy of daily meatal care regimens. Am J Med 1981;70:655–658.Google Scholar
15. Buxton, AE, Highsmith, AK, Garner, JS, et al: Contamination of intravenous infusion fluid: Effects of changing administration sets. Ann Intern Med 1979;90:764–768.Google Scholar
16. Cruse, PJE, Foord, R: A five-year prospective study of 23,649 surgic al wounds. Arch Surg 1973;107:206–209.Google Scholar
17. Psaila, JV, Wheeler, MH, Crosby, DL: The role of plastic wound drapes in the prevention of wound infection following abdominal surgery. Br J Surg 1977;64:729–732.Google Scholar
18. Kunin, CM: Evaluation of antibiotic usage: A comprehensive look at alternative approaches. Rev Infect Dis 1981;3:745–753.Google Scholar
19. McGowan, JE, Finland, M: Usage of antibiotics in a general hospital: Effect of requiring justification. J Infect Dis 1974;130:165–168.Google Scholar
20. Hirschmann, HV, Inui, TS: Antimicrobial prophylaxis. A critique of recent trials. Rev Infect Dis 1989; 1:2.Google Scholar