Cost Improvements Through the Establishment of prudent Infection Control Practices in a Brazilian General Hospital, 1986–1989
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Published:1991-11
Issue:11
Volume:12
Page:649-653
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ISSN:0899-823X
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Container-title:Infection Control & Hospital Epidemiology
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language:en
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Short-container-title:Infect. Control Hosp. Epidemiol.
Author:
Cavalcante M.D.A.,Braga O.B.,Teofilo C.H.,Oliveira E.N.,Alves A.
Abstract
AbstractObjectives: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.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Microbiology (medical),Epidemiology
Reference20 articles.
1. 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.
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