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《Chinese Journal of Clinical Rational Drug Use》 2017-16
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Comparison of hospitalization stay and expense between the nosocomial infections and community infections infected with multi-drug resistant organism

HUANG Renjian;HUANG Ziyun;ZHANG Zhenfang;Department of Nosocomial Infection management,Yueyang Second People's Hospital,Hunan Province;  
Objective To compare hospitalization stay and expense between the nosocomial infections and community infections infected with multi-drug resistant organism(MDRO). Methods 173 patients with MDRO nosocomial infection(case group) from January 2015 and December 2016 were investigated,1: 3 matched 510 patients with MDRO community infections(control group) according to age,admission diagnosis,hospitalization date. The hospitalization stay and expense were compared between two groups. Results The duration of hospitalization,antibiotics use time and combined medication time were longer than those of control group,the differences were statistically significant(P 0. 01 or P 0. 05). The total cost of hospitalization was 38 874 yuan in case group,higher the 19 917 yuan in the control group,the difference was statistically significant(Z =-5. 406,P 0. 01). Conclusion Compared with MDRO community infection,MDRO nosocomial infection have prolonged hospitalization stay and the days of antibiotic use and combined use,and increased hospitalization expense. The preventive measures on MDRO infection should be taken to reduce the incidence of nosocomial infection of MDRO.
【CateGory Index】: R197.3
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