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目的评价住院患儿发生医院轮状病毒感染所造成的经济负担。方法采用1:1病例对照研究的方法,分析2010～2011年医院感染轮状病毒的直接、间接经济负担和增加的住院天数,共89对(治愈组62对,好转组27对)。结果治愈组的医院轮状病毒感染额外增加的经济损失为平均每例1 112.09元,其中增加的治疗费用中位数为640.09元;好转组增加的经济损失与治愈组较接近(增加的治疗费用中位数为627.47元)。治愈的病例组住院天数为6.62d,对照组为4.25d,每例增加住院天数2.37d,两组比较差异有统计学意义(t=4.58,P<0.05)。结论医院感染轮状病毒增加了患儿经济负担,延长住院时间,预防和控制院内轮状病毒感染可有效减轻患儿经济负担。
Objective To evaluate the economic burden caused by hospital rotavirus infection in hospitalized children. Methods A 1: 1 case-control study was conducted to analyze the direct and indirect economic burden of hospital-acquired rotavirus and the number of days of hospitalization increased from 2010 to 2011, with a total of 89 pairs (62 pairs in cure group and 27 pairs in improvement group). Results In the cured group, the additional economic loss of hospital rotavirus infection was 1 112.09 yuan per case on average, with the median increase of treatment cost being 640.09 yuan. The economic losses increased in the improved group were closer to those in the cured group (increased treatment costs Median 627.47 yuan). The cured cases were 6.62 days in hospital, 4.25 days in control and 2.37 days in hospital. The difference between the two groups was statistically significant (t = 4.58, P <0.05). Conclusion Hospital infection with rotavirus increases the economic burden of children and prolongs the length of hospital stay. Prevention and control of nosocomial rotavirus infection can effectively reduce the economic burden of children.