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恶性肿瘤医院感染医疗费用及抗感染药物分析 被引量:9

Analysis of Medical Costs and Application of Antimicrobial Drugs with Nosocomial Infection in Malignant Tumor
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摘要 目的 了解恶性肿瘤医院感染的医疗费用、住院日及抗感染药物应用情况。方法 对在 910例恶性肿瘤发生医院感染 115例中选择的 95例感染与非感染病例进行配对分析。结果 医疗费用病例组是对照组的1.87倍 ,除颅脑肿瘤外各部位肿瘤医院感染病例费用均较对照组增加显著 (P <0 .0 0 1) ,其中以恶性血液病、腹部肿瘤为最。住院日平均每例感染延长 35 .6天 ,各部位肿瘤平均住院日两组比较差异显著。抗感染药物应用率、用药种类、疗程及费用病例组比对照组明显增高。结论 恶性肿瘤发生医院感染显著增加病人的经济负担 ,严重影响预后。 Objective To investigate the medical costs and application of antimicrobial drugs with nosocomial infections in malignant tumor. Methods 95 infected patients selected from 115 cases of nosocomial infections in malignant tumor were assayed and compared with non infected ones. Results The applied rate?sort?course of treatment and expenses of antimicrobial drugs of infected patients was significantly higher than that of non infected ones, The infected patients′ medical costs were 1.87 higher than that of non infected ones, especially in malignant blood diseases and abdominal tumors ( P <0.001). The average hospitalization days of each infected patient prolonged 36.5 d, and the difference in different region′s tumor was remarkably significant. Conclusion Nosocomial infections of malignant tumor could apparently produce a great economic loss for patients and severely influence their prognosis.
出处 《中国医院统计》 2002年第1期21-23,共3页 Chinese Journal of Hospital Statistics
关键词 恶性肿瘤 医院内感染 医疗费用 抗感染药物 Malignant tumor Nosocomial infection Medical costs
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