云南医药2024年第45卷第2期·调查研究·［摘要］目的分析耐碳青霉烯类细菌医院感染患者住院日数、日均费用等，评价耐碳青霉烯类细菌医院感染对患者的直接经济影响，提高医务人员对耐碳青霉烯类细菌的防控意识。方法调查2015年12月－2022年12月同期住院患者，选取61例对耐碳青霉烯类细菌和非耐碳青霉烯类细菌医院感染患者，采用秩和检验比较患者的住院日数、日均费用及总费用。结果耐碳青霉烯类细菌医院感染组和非耐碳青霉烯类细菌医院感染组住院日数、日均费用、总费用的差异有统计学意义（P<0.001）。不同种类耐碳青霉烯类细菌感染患者住院日数、日均费用、总费用的差异无统计学意义（P>0.05）。结论防控耐碳青霉烯类细菌医院感染的发生能够降低患者的经济负担。【关键词］耐碳青霉烯类细菌；医院感染；住院日数；日均费用；总费用［中图分类号］R446.5；R197.323AnalysisoneconomicburdenofpatientswithnosocomialinfectionXULin,PUWenli,HEBitao,ZHONGLing,WANGLei,XIAXuelian(DepartmentofInfectionManagement,YunnanHonghePrefectureSouthernYunnanCentralHospital,GejuYunnan661000,China)Abstract:ObjectiveToanalyzethehospitalizationdaysandaveragedailycostofpatientswithnosocomialinfectionofcarbapenem-resistantbacteria,evaluatethedirecteconomicimpactofnosocomialinfectionofcarbapenem-resistantbacteria,andtoimprovethepreventionandcontrolawarenessofmedicalstaf.MethodsThehospitalizationdaysandaveragedailycostofpatientswithnosocomialinfectionofcarbapenem-resistantbacteriawereanalyzedtoevaluatethedirecteconomicimpactonpatientswithnosocomialinfectionofcarbapenem-resistantbacteria,soastoimprovethepreventionandcontrolawarenessofmedicalstaff.ResultsTherewerestatisticalsignificanceinhospitaldays,averagedailycostandtotalcostbetweenthepatientswithcarbapenem-resistantbacteriaandnon-carbapenem-resistantbacteria(P<0.001).Therewasnostatisticalsignificanceinhospitalizationdays,averagedailycostandtotalcostamongpatientsinfectedwithvarietyclassesofcarbapenem-resistantbacteriainfection(P>0.005).ConclusionsPreventionandcontrolofnosocomialinfectionofcarbapenem-resistantbacteriacanreducetheeconomicburdenofpatients.Keywords:carbapenem-resistantbacteria,nosocomialinfe...
