TY - JOUR
T1 - Laboratory-confirmed, health care-associated bloodstream infections in Jordan
T2 - A matched cost and length of stay study
AU - Al-Rawajfah, Omar M.
AU - Cheema, Jehanzeb
AU - Hewitt, Jeanne Beauchamp
AU - Hweidi, Issa M.
AU - Musallam, Eyad
N1 - Funding Information:
Supported by the Deanship of Academic Research at Al al-Bayt University .
PY - 2013/7
Y1 - 2013/7
N2 - Background: No studies have been carried out in Jordan to examine length of stay (LOS) and extra cost associated with health care-associated bloodstream infections (HCABSIs). This study aims to estimate the extra LOS and cost associated with HCABSIs among adult hospitalized Jordanian patients. Methods: Five-year data were retrieved from 1 large university-affiliated hospital in Jordan. Matched case-control design was used in this study. Cases were determined based on confirmed positive blood culture after 48 hours of admission. Matching criteria were age (±5 years), gender, admission diagnosis, and LOS in comparison group equal to the LOS (±5%) before blood culture for the case group. Results: Of the total 445 infected patients 125 (28.1%) were matched with uninfected patients. The mean LOS after infection for cases was 12.1 days (standard deviation [SD] = 17.2) compared with 8.3 (SD = 7.9) days for the controls (P =.02). The total mean inflation-adjusted charges for cases was M (mean) = US $7,426, SD = $7,252 compared with M = $3,274, SD = $4,209 for controls, P <.001. Using multiple regression modeling, LOS after acquiring HCABSIs, admission to critical care units, and being infected with HCABSIs were significant predictors of patients' total charges. Conclusion: Figures generated from this can be used to inform health care researchers, policy makers, and professionals about the impact of HCABSIs.
AB - Background: No studies have been carried out in Jordan to examine length of stay (LOS) and extra cost associated with health care-associated bloodstream infections (HCABSIs). This study aims to estimate the extra LOS and cost associated with HCABSIs among adult hospitalized Jordanian patients. Methods: Five-year data were retrieved from 1 large university-affiliated hospital in Jordan. Matched case-control design was used in this study. Cases were determined based on confirmed positive blood culture after 48 hours of admission. Matching criteria were age (±5 years), gender, admission diagnosis, and LOS in comparison group equal to the LOS (±5%) before blood culture for the case group. Results: Of the total 445 infected patients 125 (28.1%) were matched with uninfected patients. The mean LOS after infection for cases was 12.1 days (standard deviation [SD] = 17.2) compared with 8.3 (SD = 7.9) days for the controls (P =.02). The total mean inflation-adjusted charges for cases was M (mean) = US $7,426, SD = $7,252 compared with M = $3,274, SD = $4,209 for controls, P <.001. Using multiple regression modeling, LOS after acquiring HCABSIs, admission to critical care units, and being infected with HCABSIs were significant predictors of patients' total charges. Conclusion: Figures generated from this can be used to inform health care researchers, policy makers, and professionals about the impact of HCABSIs.
KW - Bloodstream infections
KW - Charges
KW - Health care costs
KW - Length of stay
KW - Nosocomial
KW - Risk factors
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U2 - 10.1016/j.ajic.2012.08.014
DO - 10.1016/j.ajic.2012.08.014
M3 - Article
C2 - 23332723
AN - SCOPUS:84879502686
SN - 0196-6553
VL - 41
SP - 607
EP - 611
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 7
ER -
