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Attributable Cost and Length of Stay for Patients With Central Venous Catheter–Associated Bloodstream Infection in Mexico City Intensive Care Units: A Prospective, Matched Analysis

Higuera, Francisco, Rangel-Frausto, Manuel Sigfrido, Rosenthal, Victor Daniel, Martinez Soto, Jose, Castanon, Jorge, Franco, Guillermo, Tabal-Galan, Natividad, Ruiz, Javier, Duarte, Pablo, & Graves, Nicholas (2007) Attributable Cost and Length of Stay for Patients With Central Venous Catheter–Associated Bloodstream Infection in Mexico City Intensive Care Units: A Prospective, Matched Analysis. Infection Control & Hospital Epidemiology, 28, pp. 31-35.

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Abstract

Background. No information is available about the financial impact of central venous catheter (CVC)–associated bloodstream infection (BSI) in Mexico. Objective. To calculate the costs associated with BSI in intensive care units (ICUs) in Mexico City. Design. An 18-month (June 2002 through November 2003), prospective, nested case-control study of patients with and patients without BSI. Setting. Adult ICUs in 3 hospitals in Mexico City. Patients and Methods. A total of 55 patients with BSI (case patients) and 55 patients without BSI (control patients) were compared with respect to hospital, type of ICU, year of hospital admission, length of ICU stay, sex, age, and mean severity of illness score. Information about the length of ICU stay was obtained prospectively during daily rounds. The daily cost of ICU stay was provided by the finance department of each hospital. The cost of antibiotics prescribed for BSI was provided by the hospitals' pharmacy departments. Results. For case patients, the mean extra length of stay was 6.1 days, the mean extra cost of antibiotics was $598, the mean extra hospital cost was $11,591, and the attributable extra mortality was 20%. Conclusions. In this study, the duration of ICU stay for patients with central venous catheter–associated BSI was significantly longer than that for control patients, resulting in increased healthcare costs and a higher attributable mortality. These conclusions support the need to implement preventive measures for hospitalized patients with central venous catheters in Mexico.

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ID Code: 11195
Item Type: Journal Article
DOI: 10.1086/510812
ISSN: 1559-6834
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > MEDICAL MICROBIOLOGY (110800) > Medical Infection Agents (incl. Prions) (110802)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 University of Chicago Press
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 13 Dec 2007
Last Modified: 29 Feb 2012 23:38

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