CAJ | 학술논문

目的：比较目标性干预前后重症监护室（ICU）导管相关感染患者医疗费用有无差异。方法采用回顾性调查方法，调查2010年（干预前组）、2013年（干预后组）某院 ICU 患者导管相关感染情况，比较两组患者的住院费用在干预前后的差异。结果干预后 ICU 导管相关感染患者发病率和病死率均明显下降，医院感染发病率由2010年的13．47％下降至2013年4．41％；病死率由2010年的10．36％下降至2013年的2．2％。实施目标性干预前后患者住院总费用、血费以及特殊材料费用比较，差异均有统计学意义（均 P ＜0．05）；各感染指标相关费用比较中降钙素原检测和抗菌药物使用费用经统计学分析，差异均有统计学意义（均 P ＜0．05）。结论干预后 ICU 患者发生导管相关医院感染医疗费用有下降。
목적：비교목표성간예전후중증감호실（ICU）도관상관감염환자의료비용유무차이。방법채용회고성조사방법，조사2010년（간예전조）、2013년（간예후조）모원 ICU 환자도관상관감염정황，비교량조환자적주원비용재간예전후적차이。결과간예후 ICU 도관상관감염환자발병솔화병사솔균명현하강，의원감염발병솔유2010년적13．47％하강지2013년4．41％；병사솔유2010년적10．36％하강지2013년적2．2％。실시목표성간예전후환자주원총비용、혈비이급특수재료비용비교，차이균유통계학의의（균 P ＜0．05）；각감염지표상관비용비교중강개소원검측화항균약물사용비용경통계학분석，차이균유통계학의의（균 P ＜0．05）。결론간예후 ICU 환자발생도관상관의원감염의료비용유하강。
Objective To compare whether there is a difference in medical cost of intensive care unit(ICU)pa-tients with catheter-associated infection (CAI)between before and after targeted intervention.Methods CAI in ICU patients in 2010(pre-intervention group)and 2013 (post-intervention group)were investigated by retrospective survey,hospitalization cost of two groups of patients before and after intervention was compared.Results The morbidity and mortality in patients with CAI both decreased significantly after intervention,morbidity of healthcare-associated infection(HAI)decreased from 13.47% in 2010 to 4.41 % in 2013,mortality decreased from 10.36% in 2010 to 2.2% in 2103.Total hospitalization cost,blood transfusion cost,and cost of special material before and af-ter the implementation of targeted intervention all significantly different (all P <0.05),the difference of procalcito-nin and antimicrobial agents cost were also significant(all P <0.05).Conclusion Medical cost in ICU patients with CAI decreased after intervention.