Attributable cost of nosocomial primary bloodstream infection in pediatric intensive care unit patients.

摘要: Objective. To determine the attributable cost of nosocomial primary bloodstream infections (BSIs) in PICU patients. Methods. A prospective cohort study was conducted St Louis Children9s Hospital, a 235-bed academic tertiary care center. All patients who were admitted to included unless they met following exclusion criteria: age >18 years, death within 24 hours admission, admission NICU service. Total and direct medical costs hospital stay for with without BSI measured. Results. Fifty-seven children developed 65 episodes BSIs during their stay. The rate this population 13.8 per 1000 central venous catheter days. In multiple linear regression analysis, severity illness as measured by Pediatric Risk Mortality Score III, congenital heart disease, underlying lung ventilator days, transplant (solid organ bone marrow), independent predictors costs. $45 615 $6396. Conclusions. After controlling age, illness, we found that $39 219. prevention these through specific interventions is likely be cost-effective.