COST IMPROVEMENTS THROUGH THE ESTABLISHMENT OF PRUDENT INFECTION CONTROL PRACTICES IN A BRAZILIAN GENERAL-HOSPITAL, 1986-1989

被引：12

作者：

CAVALCANTE, MDA ^{[1
]}

BRAGA, OB ^{[1
]}

TEOFILO, CH ^{[1
]}

OLIVEIRA, EN ^{[1
]}

ALVES, A ^{[1
]}

机构：

[1] HOSP FORCAS ARMADAS,BRASILIA,BRAZIL

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 1991年 / 12卷 / 11期

关键词：

D O I：

10.2307/30146897

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

OBJECTIVES: To review procedures currently practiced in a Brazilian general hospital and to eliminate ineffective and inefficient practices. To measure the resulting cost improvements based on rigid hospital financing control. DESIGN: Implementation of surveillance and control programs and prevalence surveys to detect ineffective and inefficient practices. PARTICIPANTS: The study institution is a 130-bed general care facility affiliated with the Brazilian federal government. There were approximately 4,600 admissions per year during the study period (1986-1989). RESULTS: Instituting infection control measures and eliminating ineffective practices resulted in the following: an overall decrease in wound infection rates from 24.4% in 1987 to 3.45% in 1989; a 71% reduction in the global incidence of infection in the intensive care unit; a 74% reduction in the surgical prophylactic use of antibiotics; and a total savings of approximately $2 million (US dollars). CONCLUSIONS: During the period from 1986 to 1989, the infection control committee was able to decrease the overall wound infection rate from 24.4% in 1987 to 3.45% in 1989. This eliminated special health problems and improved patient care and cost-effectiveness for our hospital.

引用

页码：649 / 653

页数：5

共 20 条

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[2]

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[3]

CAVALCANTE MDA, 1986, REV COLEGIO BRASILEI, P13

[4]

CRUSE PJE, 1980, SURG CLIN N AM, V60, P27