Outcomes of Healthcare Associated Infection in Intensive Care Units of A Tertiary Care Hospital
DOI:
https://doi.org/10.51253/pafmj.v75iSUPPL-6.8284Keywords:
Healthcare associated infection, health care costs, intensive care units, length of stay.Abstract
Objectives: To determine the extra costs, excess length of stay and mortality attributable to healthcare associated infection among critically ill patients.
Study Design: Prospective longitudinal study
Place and Duration of Study: Surgical, Medical and Cardiac Intensive Care Units of Combined Military Hospital, Lahore between January 2021 and December 2021.
Methodology: Successive 339 adult patients, having Simplified Acute Physiology Score II < 70, remained admitted to the intensive care units for a minimum of 48 hours were included. Patients were followed up for healthcare associated infections and related parameters on daily basis. Patients with and without healthcare associated infection were compared for mean age, gender, severity of disease score, length of stay, mortality and mean overall expenditures.
Results: Out of 339 total patients, 103(30.4%) acquired infection during their stay in intensive care unit. The patients with healthcare associated infections had 12 days longer mean overall length of stay, 21.9% higher mortality rate and $4340 extra overall cost per patient comparatively to patients without healthcare associated infection.
Conclusion: In this study, patients with healthcare associated infection experienced remarkable prolongation of hospitalization, higher attributable mortality and an increased use of healthcare costs. These outcomes indicate the necessity of implementation of efficient and flawless infection control program.
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