logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Economical saving due to prophylaxis in the prevention of surgical wound infection.

    Article - En anglais

    The objective was to know the principal risk factors that influence in the development of surgical would infection, and the economical saving achieved with the control of a single variable, that is, right prophylaxis.

    A prospective study was carried out at the Traumatology Department of La Paz Hospital.

    A total of 5260 patients operated during 1990-1993 are included.

    Active epidemiological surveillance was used to check patients ; logistic regression was used in the multivariant analysis.

    The principal risk factors found were : immunodeficiency (OR=8.67), incorrect healing (OR=14.42), reoperated patient (patients who needed more than one surgical procedure while they are admitted ; reoperations) (OR=3.57), type of surgery (OR=4.71) and wrong prophylaxis (OR=6.36).

    Making constant all the variables except for prophylaxis, we calculated the percentage of infections prevented by a right prophylaxis, and the cost was calculated starting from the number of extra days of infection.

    The number of infections prevented during the four years was 310, saving a total of 194 million pesetas (1.5 million dollars), due to right prophylaxis.

    Cost-benefice ratio=1/17.

    We consider of special importance to control this manipulable risk factor, in order to avoid the development of infections.

    Mots-clés Pascal : Infection nosocomiale, Postopératoire, Chirurgie, Complication, Chimiothérapie, Prévention, Homme, Economie santé, Analyse avantage coût, Epidémiologie, Espagne, Europe, Antibactérien, Hôpital, Hygiène, Chimioprophylaxie

    Mots-clés Pascal anglais : Nosocomial infection, Postoperative, Surgery, Complication, Chemotherapy, Prevention, Human, Health economy, Cost benefit analysis, Epidemiology, Spain, Europe, Antibacterial agent, Hospital, Hygiene, Chemoprophylaxis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0486558

    Code Inist : 002B02S02. Création : 10/04/1997.