中国感染控制杂志2017，Vol.16Issue(4)：318-321,4.DOI:10.3969/j.issn.1671-9638.2017.04.007
手卫生对医院感染成本效益的影响
Effect of hand hygiene on cost-effectiveness of healthcare-associated infection
摘要
Abstract
Objective To understand hand hygiene(HH) compliance among health care workers(HCWs) and incidence of healthcare-associated infection(HAI) in surgical patients before and after the intervention, analyze the effect of HH on cost-effectiveness of HAI.Methods From December 2012-June 2014, 78 HCWs in the department of neurosurgery of a hospital were as the intervention objects of HH compliance, 325 patients who underwent craniocerebral clean operation were as the surveyed objects, HH compliance among HCWs, incidence of HAI in surgical patients, cost of HH, and hospitalization expense before and after intervention were compared respectively.Results HH compliance among HCWs before and after intervention were 35.24% (216/613) and 73.75%(486/659)respectively (X2=180.091,P<0.001);incidence of HAI in surgical patients before and after intervention were 31.85%(50/157)and 18.45%(31/168)respectively(X2=7.782,P<0.001).Hospitalization expense before and after intervention were (89 524.90±38 856.70)￥ and (61 401.00±29 237.80)￥ respectively;average length of hospital stay before and after intervention were 36.70 days and 26.90 days respectively(t=3.296, 3.511,respectively, both P<0.01).Conclusion Improving HH compliance among HCWs can reduce the incidence of HAI and hospitalization cost, and shorten the average length of hospital stay of patients.关键词
手卫生/医院感染/成本效益分析Key words
hand hygiene/healthcare-associated infection/cost-effectiveness analysis分类
医药卫生引用本文复制引用
周霞,杨金霞,刘新平,王良俊..手卫生对医院感染成本效益的影响[J].中国感染控制杂志,2017,16(4):318-321,4.基金项目
中华医院感染控制研究基金(ZHYY2015-0031) （ZHYY2015-0031）
