Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-29T05:43:40.802Z Has data issue: false hasContentIssue false
  • English
  • Français

Estimating the excess bed days and economic burden of healthcare-associated infections in Singapore public acute-care hospitals

Published online by Cambridge University Press:  21 May 2021

Yiying Cai Open the ORCID record for Yiying Cai [Opens in a new window] ,
Indumathi Venkatachalam ,
Andrea L. Kwa ,
Paul A. Tambyah ,
Li Yang Hsu ,
Kalisvar Marimuthu  and
Nicholas Graves
Yiying Cai
Affiliation:
Department of Pharmacy, Singapore General Hospital, Singapore
Indumathi Venkatachalam
Affiliation:
Department of Infectious Diseases, Singapore General Hospital, Singapore
Andrea L. Kwa
Affiliation:
Department of Pharmacy, Singapore General Hospital, Singapore Emerging Infectious Diseases, Duke-NUS Medical School, Singapore SingHealth Duke–NUS Medicine Academic Clinical Programme, Singapore
Paul A. Tambyah
Affiliation:
Division of Infectious Diseases, National University Health Systems, Singapore Yong Loo Lin School of Medicine, National University of Singapore, Singapore
Li Yang Hsu
Affiliation:
Saw Swee Hock School of Public Health, National University of Singapore and National University Health Systems, Singapore
Kalisvar Marimuthu
Affiliation:
Yong Loo Lin School of Medicine, National University of Singapore, Singapore Department of Infectious Diseases, Tan Tock Seng Hospital, Singapore HAI Surveillance Unit, National Centre for Infectious Diseases, Singapore
Nicholas Graves*
Affiliation:
Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore
*
Author for correspondence: Nicholas Graves, E-mail: n.graves@duke-nus.edu.sg
Get access Rights & Permissions [Opens in a new window]

Abstract

We estimated the annual bed days lost and economic burden of healthcare-associated infections to Singapore hospitals using Monte Carlo simulation. The mean (standard deviation) cost of a single healthcare-associated infection was S$1,809 (S$440) [or US$1,362 (US$331)]. This translated to annual lost bed days and economic burden of 55,978 (20,506) days and S$152.0 million (S$37.1 million) [or US$114.4 million (US$27.9 million)], respectively.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 9 , September 2022 , pp. 1245 - 1248
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Graves, N. Economics and preventing hospital-acquired infection. Emerg Infect Dis 2004;10:561–566.CrossRefGoogle ScholarPubMed
Graves, N, Halton, K, Lairson, D. Economics and preventing hospital-acquired infection: broadening the perspective. Infect Control Hosp Epidemiol 2007;28:178–184.CrossRefGoogle ScholarPubMed
Vasudevan, A, Memon, BI, Mukhopadhyay, A, Li, J, Tambyah, PA. The costs of nosocomial resistant gram negative intensive care unit infections among patients with the systemic inflammatory response syndrome—a propensity matched case control study. Antimicrob Resist Infect Control 2015;4:3.CrossRefGoogle ScholarPubMed
Cai, Y, Venkatachalam, I, Tee, NW, et al. Prevalence of healthcare-associated infections and antimicrobial use among adult inpatients in Singapore acute-care hospitals: results from the first national point prevalence survey. Clin Infect Dis 2017;64:S61–S67.CrossRefGoogle ScholarPubMed
Rhame, FS, Sudderth, WD. Incidence and prevalence as used in the analysis of the occurrence of nosocomial infections. Am J Epidemiol 1981;113:1–11.CrossRefGoogle ScholarPubMed
Cai, Y, Lo, JJ, Venkatachalam, I, et al. The impact of healthcare-associated infections on mortality and length of stay in Singapore—a time-varying analysis. Infect Control Hosp Epidemiol 2020;41:1315–1320.CrossRefGoogle ScholarPubMed
Schreiber, PW, Sax, H, Wolfensberger, A, Clack, L, Kuster, SP, Swissnoso. The preventable proportion of healthcare-associated infections 2005–2016: systematic review and meta-analysis. Infect Control Hosp Epidemiol 2018;39:1277–1295.CrossRefGoogle ScholarPubMed
Bed occupancy rates (BOR). Ministry of Health Singapore website. https://www.moh.gov.sg/resources-statistics/healthcare-institution-statistics/beds-occupancy-rate-(bor). Published 2020. Accessed November 15, 2020.Google Scholar
Graves, N, Harbarth, S, Beyersmann, J, Barnett, A, Halton, K, Cooper, B. Estimating the cost of healthcare-associated infections: mind your p’s and q’s. Clin Infect Dis 2010;50:1017–1021.CrossRefGoogle ScholarPubMed
Page, K, Barnett, AG, Graves, N. What is a hospital bed day worth? A contingent valuation study of hospital chief executive officers. BMC Health Serv Res 2017;17:137.CrossRefGoogle Scholar
Supplementary material: File

Cai et al. supplementary material

Appendix

Download Cai et al. supplementary material(File)
File 50.5 KB