Cost of Healthcare-associated Infections Developing After Endourologic Surgery and the Efficacy of Control Measures in a Turkish University Hospital
Journal Title: JOURNAL OF UROLOGICAL SURGERY - Year 2018, Vol 5, Issue 4
Abstract
Objective: The study aimed to determine additional costs of healthcare-associated infections (HAIs) in patients undergoing endourologic surgery. It also aimed to evaluate the effect of infection control measures on costs of HAIs. Materials and Methods: This interventional study carried out in patients admitted to the Department of Urology at Osmangazi University Hospital between January 2014 and October 2015. All surgeries were examined in the pre-intervention period for six months and then, a prevention package and education period, which intended to reduce hospital infections, were implemented. In the post-intervention period, all endourological operations were examined for 2 months. Results: The prevalence of HAIs in the pre-intervention and post-intervention periods was 10.1% and 4.9%, respectively. Patients who had healthcare-related infections before or after the intervention had higher costs compared to those who did not get infections. It was found that HAIs decreased by 51% after the intervention (relative risk: 0.49, 95% confidence interval: 0.28-0.86). Thus, an additional cost of 146.332.8±139.29 TL was saved. Conclusion: It is concluded that monitoring and reporting of HAIs regularly by using a simple but effective and evidence-based infection control practices and education programs could decrease the frequency of infection, high additional costs and length of hospital stay.
Authors and Affiliations
Mehmet Enes Gökler, Burhanettin Işıklı, Barbaros Başeskioğlu
Keywords
Related Articles
- EP ID EP421300
- DOI 10.4274/jus.1910
- Views 89
- Downloads 0
Re: Fertility Outcomes After Extended Searches for Ejaculated Spermatozoa in Men with Virtual Azoospermia
.
Current Approaches to Surgical Antimicrobial Prophylaxis and Use of Antimicrobial Prophylaxis in Urological Procedures
Surgical site infections (SSIs) are the most common and preventable type of healthcare-associated infections in low and middle-income countries and affect one-third of patients that have undergone surgical procedures. As...
New Assessment of Gleason Grading System in Prostatic Adenocarcinoma
.
Re: The Who, How and What of Real-World Penile Implantation in 2015: The PROPPER Registry Baseline Data
.
Perivascular Epithelioid Cell Tumor of the Kidney: A Rare Case Report
Perivascular epithelioid cell tumors are rare mesenchymal tumors composed of histologically and immunohistochemically distinctive perivascular epithelioid cells. They are mostly benign, however, malignant tumors with agg...