Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-19T11:34:59.281Z Has data issue: false hasContentIssue false
  • English
  • Français

Cost Improvements Through the Establishment of prudent Infection Control Practices in a Brazilian General Hospital, 1986–1989

Published online by Cambridge University Press:  21 June 2016

M.D.A. Cavalcante ,
O.B. Braga ,
C.H. Teofilo ,
E.N. Oliveira  and
A. Alves
M.D.A. Cavalcante*
Affiliation:
The Hospital das Forcas Armadas, Brasilia, Brazil
O.B. Braga
Affiliation:
The Hospital das Forcas Armadas, Brasilia, Brazil
C.H. Teofilo
Affiliation:
The Hospital das Forcas Armadas, Brasilia, Brazil
E.N. Oliveira
Affiliation:
The Hospital das Forcas Armadas, Brasilia, Brazil
A. Alves
Affiliation:
The Hospital das Forcas Armadas, Brasilia, Brazil
*
SQN 107, Bloco H, Apto. 506, CEP 70743, Brasilia DF, Brazil
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 12 , Issue 11 , November 1991 , pp. 649 - 653
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1991

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

1. Dashner, FO. The cost of hospital acquired infection. J Hosp Infect. 1984;5:27–33.10.1016/0195-6701(84)90027-6CrossRefGoogle Scholar
2. Haley, RW. Preliminary cost-benefit analyses of hospital infection programs (The SENIC Project). In: Proven and Unproven Methods in Hospital Infection Control: Proceedings of an International Workshop at Baierbronn, West Germany, September 24-25, 197% New York, NY: Gustav Fisher Verlag; 1978.Google Scholar
3. Haley, RW, Shaberg, DR, Von Allmen, SD, McGowan, JE. Estimating the extra charges and prolongation of hospitalization due to nosocomial infections: a comparison of methods. J Infect Dis. 1980;141:248–257.10.1093/infdis/141.2.248CrossRefGoogle ScholarPubMed
4. Zanon, U, Neves, J. Infecciones Hospitalares-Prevention, Diagnóstico e Tratamento. Rio de Janeiro, Brazil: Editora Médica e Cientifica; 1987.Google Scholar
5. Schaffner, W. The global impact of hospital acquired infections. In: Wenzel, RP, ed. Prevention and Control of Nosocomial Infections. Baltimore, MD: Williams and Wilkins; 1986.Google Scholar
6. McGowan, JE. Cost and benefit in control of nosocomial infection methods for analysis. Rev Infect Dis. 1981;3:.Google Scholar
7. Zanon, V, Neves, J, Kaplan, S, Gentille de Mello, C. Métodos epidemiológicos para o controle da infection hospitalar. I&vista Brasileira de Cirurgia. 1979;69:.Google ScholarPubMed
8. Cavalcante, MDA, Aguiar, E. Infecciones cirurgicas no hospital de base do distrito federal. Estudo prospective de 200 cases. Revista do Colégio Brasileiro de Cirurgiles. 1986;13:.Google Scholar
9. Ferraz, EM. Infeciao da ferida cirrgica: avaliacao do custo e da permanência hospital. Reuista do Colégio Brasileiro de Cirurgiles. 1989;16:.Google Scholar
10. Aguiar, E, Cavalcante, MDA. Controle no consume de antimicrobianos no Hospital de Base do Distrito Federal. Revista de Associcáo Médica Brasileira. 1986;32:118–122.Google Scholar
11. Leao, MTC. Antibióticos e controle de infeciones hospitalar. Editora: Scientia et Lubeur. Curitiba, Brazil: Universidade Federal do Par; 1987.Google Scholar
12. Stefan, IS. Criacao de servicios de farmacia hospitalar em hospitais universitarios brasileiros. Trabalho apresentado number 21 Congresso de Farmacia Hospitalar e III Congresso de OFIL, September 20, 1984, Espanha.Google Scholar
13. Haley, RW. Managing Hospital Infection Control for Cost-Effectiveness. A strategy for Reducing Infections Complications. Chicago, Ill: American Hospital Association; 1986.Google Scholar
14. Garner, JR, Simmons, BP. Guidelines for isolation precautions in hospitals. Infect Control. 1983;4:245.Google Scholar
15. Cavalcante, MDA, Oliveira, E. Isolamentos hospitalares: tipos e precauciones no Hospital das Forcas Armadas. Revista do Sistema de Savoe do Distrito Federal. 1990;1:.Google Scholar
16. Centers for Disease Control. Guidelines for prevention of surgical wound infections, 1985. MMWR. 1985 Google Scholar
17. Platt, R, Polk, BE Murdock, B, Bosner, B. Prevention of catheter associated urinary tract infection: a cost-benefit analysis. Infect Control Hosp Epidemiol. 1989;10:60–64.10.2307/30146458CrossRefGoogle ScholarPubMed
18. Cruse, PJE, Foord, M. Epidemiology of wound infections: ten-year prospective study from 62,939 wounds. Surg Clin N Am. 1980;:27–40.Google Scholar
19. Daschner, F. Cost-effectiveness in hospital infection control; lessons for the 1990s. J Hosp Infect. 1989;13:325–336.10.1016/0195-6701(89)90052-2CrossRefGoogle ScholarPubMed
20. Cruse, PJ. Proceedings of the 1st International Conference of the Hospital Infection Society. August 31-September 4, 1987, London, England.Google Scholar