Estimation of antimicrobial costs in cases of surgical site infection

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202429942%20

Keywords:

Surgical wound infection, Antimicrobial stewardship, Hospital costs, Health care costing systems, Health care costs

Abstract

Objective: To estimate the costs of antimicrobials in patients with surgical site infections (SSI). Method: This is a descriptive, cross-sectional study with retrospective documentary analysis conducted at a tertiary public hospital with seven surgical rooms, averaging 750 surgeries per month. The micro-costing method used was the average direct cost of antibiotics, excluding intraoperative prophylactic antibiotics. Hospital infection investigation records were analyzed, and the study included records of patients diagnosed with confirmed surgical site infections (n=79) in 2021. Clinical data and direct costs of antimicrobials were examined. Results: The infection rate in this study was 6.76%. The specialties with the highest representation were digestive system and urological surgeries. Vancomycin was the most used antimicrobial, resulting in a total expenditure of R$ 7,345.68. Tigecycline incurred the highest total cost, amounting to R$ 79,655.52. Antimicrobials used to treat the 79 confirmed cases of SSIs totaled R$ 211,790.21 in costs. Conclusion: The average cost of antimicrobials per patient with SSI, considering total hospitalization days, was R$ 2,680.88, a significant component of total treatment costs. It is recommended to include cost analysis in the planning of hospital infection protocols.

Author Biographies

Esther Franciny Candido, Universidade Estadual de Londrina – Londrina (PR), Brazil.

Enfermeira – Universidade Estadual de Londrina UEL

Cibele Cristina Tramontini Fuganti, Universidade Estadual de Londrina – Londrina (PR), Brazil.

Professora Adjunto do Departamento de Enfermagem da Saúde, da Universidade

Isabela Fernanda Larios Fracarolli, Universidade Estadual de Londrina – Londrina (PR), Brazil.

Professora temporária do Departamento de Enfermagem  da Universidade Estadual de Londrina

Mariana Corturato Pontel, Universidade Estadual de Londrina – Londrina (PR), Brazil.

Residente de Farmácia da Universidade Estadual de Londrina

Karine Maria Boll, Universidade Estadual de Londrina – Londrina (PR), Brazil.

Farmacêutica Clinica do Hospital Universitário da Universidade Estadual de Londrina

References

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Published

2024-08-09

How to Cite

Nogueira, D. N. G., Candido, E. F., Fuganti, C. C. T., Fracarolli, I. F. L., Pontel, M. C., & Boll, K. M. (2024). Estimation of antimicrobial costs in cases of surgical site infection. Revista SOBECC, 29. https://doi.org/10.5327/Z1414-4425202429942

Issue

Vol. 29 (2024)

Section

ORIGINAL ARTICLES

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Copyright (c) 2024 Danielly Negrão Guassú Nogueira, Esther Franciny Candido, Cibele Cristina Tramontini Fuganti, Isabela Fernanda Larios Fracarolli, Mariana Corturato Pontel, Karine Maria Boll

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