Economic burden of methicillin-resistant Staphylococcus aureus bacteremia in critical care patients in hospitals in Bogotá
Abstract
Introduction: Resistant infections, especially those involving the bloodstream, are associated with a greater use of resources. Their estimates are variable and depend on the methodology used. Staphylococcus aureus is the main pathogen isolated in blood in our hospitals. There is no consolidated data about economic implications of methicillin-resistant S. aureus infection.
Objective: To describe the cost of care of methicillin-resistant S. aureus bacteremia in a reference population from nine hospitals in Bogotá.
Materials y methods: A multicenter cohort study included 204 patients in a 1:1 ratio according to resistance. Direct medical costs were calculated from hospitalization bills, while the bacteremia period was calculated by applying microcosting based on standard fares.
Results: We found no significant differences between groups in demographic and clinical characteristics, except for resistance risk factors. Fifty-three percent of patients died during hospitalization. Hospital stay and total invoiced value during hospitalization were significantly higher in the group with methicillin-resistant S. aureus bacteremia. For this group, higher costs in ICU stay, antibiotics use, intravenous fluids, laboratory tests and respiratory support were recorded. A crude increase of 31% and an adjusted increase of 70% in care costs associated with methicillin resistance were registered.
Conclusion: Our study supports decision makers in finding and funding infection prevention programs, especially those infections caused by resistant organisms.
Downloads
Some similar items:
- Ana María Perilla, Camilo González, Sandra Liliana Valderrama, Natasha Vanegas, Bibiana Chavarro, Luis Carlos Triana, José Roberto Támara, Carlos Arturo Álvarez, Necrotizing pneumonia by community-acquired, methicillin-resistant Staphylococcus aureus in Colombia , Biomedica: Vol. 29 No. 4 (2009)
- Yolanda Lucía López, Claudia González, Berta Natalia Gallego, Ana Lida Moreno, Stewardship of public health surveillance in the health system in Colombia: a cases study , Biomedica: Vol. 29 No. 4 (2009)
- Oscar Fernando Herrán, María F. Ardila, Categories of alcohol consumers and the criteria for classification , Biomedica: Vol. 29 No. 4 (2009)
- Ingrid Yamile Pulido, José Ramón Mantilla, Emilia María Valenzuela, María Teresa Reguero, Elsa Beatriz González, Distribution of extended spectrum β-lactamases-codifying genes in Klebsiella pneumoniae isolates from hospitals of Bogota, D.C., Colombia , Biomedica: Vol. 31 No. 1 (2011)
- Greizy López, Nancy Yaneth Gelvez, Martalucía Tamayo, Mutational frequencies in usherin (USH2A gene) in 26 Colombian individuals with Usher syndrome type II , Biomedica: Vol. 31 No. 1 (2011)
- Jhon Carlos Castaño, Fidel Ángel Núñez, María Mercedes González, Germán Téllez, María Isabel Giraldo, First case report of Mammomonogamus (Syngamus) laryngeus human infection in Colombia , Biomedica: Vol. 26 No. 3 (2006)
- Andrés F. Londoño, Silvana Levis, Juan D. Rodas, Hantavirus as important emerging agents in South America , Biomedica: Vol. 31 No. 3 (2011)
- Jefferson Antonio Buendía, Attitudes, knowledge and beliefs of patient about anti-hypertensive drugs , Biomedica: Vol. 32 No. 4 (2012)
- Mauricio Beltrán, Maritza Berrío-Pérez, María Isabel Bermúdez, Gloria Rey-Benito, Bernardo Camacho, Patricia Forero, Gloria Cristina Molina, Orlando Fals, Isabel Pisciotti, Yulieth Oliveros, Armando Cortés, Fernando De La Hoz, Absence of occult hepatitis B in Colombian blood donors , Biomedica: Vol. 31 No. 4 (2011)
- Pablo Chaparro, Edison Soto, Julio Padilla, Daniel Vargas, Estimation of the underreporting of malaria measurement in ten municipalities of the Pacific coast of Nariño during 2009 , Biomedica: Vol. 32 (2012): Suplemento 1, Malaria
Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |