A Hospital Neurologist Hospital Infection In Patients With Risk Factors Analysis And Direct Economic Losses Caused By Research

Objectives:This research through to a hospital inpatients nosocomial infection risk factors for quantitative analysis, the direct economic losses caused by research evaluation, in order to make clear the key departments of hospital infection monitoring and the significance of the hospital infection control work importance, reduce the incidence rate of hospital infection and mortality rate, reduce the additional medical and health resources expenditures for hospital, obtain greater social benefit and economic benefit.Methods:The investigation with case-control study, in January2008to December3104cases,2009neurology discharged Patients with matching ratio of1:1, conducted a retrospective survey.129cases of patients with of nosocomial infection occurred during this period as the case group did not occur, patients with nosocomial infection as a in the control group. In according to with the hospitalization department, the first diagnosis at discharge final diagnosis, age, same sex, same payment method for a1:1match, a total of77pairs. After finishing the establishment of a database with EXCEL, SPSS13.0software on the survey data for statistical analysis and databases, the data rate of this survey were compared using the χ2test, paired T-test to compare the mean.Results:Institute in January2008to December2009. the neurologist discharged from hospital were3104cases.129were nosocomial infections, according to strict ratio of the conditions of matching77pairs, Which129cases of nosocomial infection, hospital infection rate was4.15%, infections cases times160cases, case NI rate was5.15%. lower respiratory tract infections the highest proportion of total of72cases, accounting for45.00%of infection site highest proportion, followed by upper respiratory tract infection, urinary tract infection, intracranial infections and surgical wound infection, blood, skin, accounting for12.5%,11.87%, respectively,10.62%,3.75%.3.12%.. the basis of disease, age and duration of hospitalization, invasive procedures are of nosocomial infection risk factors for various diseases between hospital infection differences in economic losses have significantly higher Neurosurgery infection with the control group the average daily medical cost differences significant (19996.87±48064.18) was statistically significant (p<0.05).77cases group average hospital cost was48.516.07yuan, the in the control group the average hospital charge of18215.24yuan. The case group was2.66times the in the control group, infected patients per person average expenditure of30300.83yuan difference between the two is significant (t=4.34, P<0.05). of nosocomial infection of hospital days, the case group of patients the average length of stay the number of days to34.77days and17.71days in the control group was significantly higher, extending an average of17.05days, a statistical analysis, the difference was significant (P <0.05). The average length of stay comparison of the different sites of infection, the patient group was significantly higher than more than twice the exception of blood. Skin infections and other parts, other parts of the infection in the case group and in the control group, there are significant differences (P<0.05); the results showed that the infection group of patients increased medical costs, mainly due to the extension of the number of days in the hospital, along with western medicine costs are also significantly higher, each patient were the average Western medicine fee increase of15498.66yuan (P<0.05),51.15%of the total economic loss; direct economic losses caused by the different sites of infection, the patient group was significantly higher. The average hospital charge of the in the control group more than twice, because the site of infection, which led to the nosocomial infection caused by the additional costs will vary considerably. This survey is a urinary tract infection caused by the highest economic losses, followed by upper respiratory tractConclusion:Occurrence of no socomial infections, while the inevitable but we should be aware of the medical staff, hospital infections at the same time reduce the patient’s quality of life, to extend the time during hospitalization will bring additional financial burden and the invisible great mental stress, we should be protection of vulnerable populations, aggressive treatment of primary disease and underlying disease, strict compliance with the aseptic your point of order, take the key departments to focus on monitoring, and take effective isolation of key patient protection measures. Again, the hospital environment to produce cross-infection should be given in the attention. Strict control of the disposal of medical waste destruction.