Do cost savings from reductions in nosocomial infections justify additional costs of single-bed rooms in intensive care units? A simulation case study

Sadatsafavi, Hessam; Niknejad, Bahar; Zadeh, Rana Sagha; Sadatsafavi, Mohsen

doi:10.1016/j.jcrc.2015.10.010

Cited by 17 publications

(24 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For this reason, numerous studies about the economic and social impact of HAI have been performed over the years [2][3][4]. For example, a European survey from 2011-2012 estimated that the total annual number of patients with HAI in European acute care hospitals was 3.2 million [5].…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial and wear performance of Cu-Zr-Al metallic glass composites

et al. 2017

View full text Add to dashboard Cite

The antimicrobial and wear behaviour of metallic glass composites corresponding to the Cu 50+x (Zr 44 Al 6 ) 50-x system with x=(0, 3 and 6) has been studied. The three compositions consist of crystalline phases embedded in an amorphous matrix and they exhibit crystallinity increase with increasing Cu content, i.e., decrease of the glass-forming ability. The wear resistance also increases with the addition of Cu as indirectly assessed from H/E r and H

show abstract

Section: Introductionmentioning

confidence: 99%

Antimicrobial and wear performance of Cu-Zr-Al metallic glass composites

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Despite concerted efforts in preventing nosocomial infections (i.e., hospital-acquired infections), the total annual number of patients with healthcare-associated infections (HAI) in European hospitals was around 3.2 million in 2011–2012 [2,3,4,5], while in the USA approximately 2 million patients suffer from a HAI, of whom about 90,000 die per year [6]. …”

Section: Introductionmentioning

confidence: 99%

Tuning the Mechanical and Antimicrobial Performance of a Cu-Based Metallic Glass Composite through Cooling Rate Control and Annealing

et al. 2017

View full text Add to dashboard Cite

The influence of cooling rate on the wear and antimicrobial performance of a Cu52Z41Al7 (at. %) bulk metallic glass (BMG) composite was studied and the results compared to those of the annealed sample (850 °C for 48 h) and to pure copper. The aim of this basic research is to explore the potential use of the material in preventing the spread of infections. The cooling rate is controlled by changing the mould diameter (2 mm and 3 mm) upon suction casting and controlling the mould temperature (chiller on and off). For the highest cooling rate conditions CuZr is formed but CuZr2 starts to crystallise as the cooling rate decreases, resulting in an increase in the wear resistance and brittleness, as measured by scratch tests. A decrease in the cooling rate also increases the antimicrobial performance, as shown by different methodologies (European, American and Japanese standards). Annealing leads to the formation of new intermetallic phases (Cu10Zr7 and Cu2ZrAl) resulting in maximum scratch hardness and antimicrobial performance. However, the annealed sample corrodes during the antimicrobial tests (within 1 h of contact with broth). The antibacterial activity of copper was proved to be higher than that of any of the other materials tested but it exhibits very poor wear properties. Cu-rich BMG composites with optimised microstructure would be preferable for some applications where the durability requirements are higher than the antimicrobial needs.

show abstract

“…Ausbruchsgeschehen erhöhen [19,26,27]. Erste Daten belegen, dass eine Versorgung von Patienten in Einzelzimmern zu einer deutlichen Kosteneinsparung in Intensivpflegebereichen führen können [28]. Trotz der unzureichenden räumlichen Voraussetzung werden nach Angaben der befragten Zentren die geforderten Basishygienemaßnahmen umgesetzt.…”

Section: Strukturelle Und Organisatorische Parameterunclassified

Infektionsprävention bei Früh- und Neugeborenen in Thüringen: Umsetzung der Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO)

Dawczynski

Schleußner

Dobermann

et al. 2016

Z Geburtshilfe Neonatol

View full text Add to dashboard Cite

Systematic recording of practical implementation of current recommendations of KRINKO for the prevention of nosocomial infections in premature and newborn infants in children's hospitals in Thuringia. All neonatal treatment centers in Thuringia (n=18) were included in this survey. Answer were received from 83% (15/18). Degree of compliance was 100% in level-1 (3/3) and level-2 centers (5/5), and 70% in level-3 centers (7/10). The aim of the questionnaire was to evaluate infection prevention measures as well as structural/organizational parameters in neonatal centers in Thuringia. Preventive measures as well as weekly screening for colonization was fully performed in patients with a birth weight <1 500 g (n=205) at all centers. Additionally, prolonged screening and colonization surveillance measures were performed in 60% of all units until discharge from the hospital. Results related to structural/organizational parameters and especially structural conditions in neonatal centers in Thuringia pointed up challenges (2 m minimum distance between incubators in 27% (n=4/15), isolation in single room in 53% (n=8/15)). Insufficient number of staff also hamper the complete implementation of KRINKO recommendations (intensive care unit: patient/staff ratio (MW±SD) 2.5±1.1; newborn area 4.3±0.9). Analysis shows actual rate of implementation of KRINKO recommendations as well as structural/organizational parameters in neonatal treatment centers in Thuringia. It provides important points for discussion regarding necessary staff numbers and structural conditions. Analysis could also be used for future surveys in other regions in Germany.

show abstract

Do cost savings from reductions in nosocomial infections justify additional costs of single-bed rooms in intensive care units? A simulation case study

Cited by 17 publications

References 46 publications

Antimicrobial and wear performance of Cu-Zr-Al metallic glass composites

Antimicrobial and wear performance of Cu-Zr-Al metallic glass composites

Tuning the Mechanical and Antimicrobial Performance of a Cu-Based Metallic Glass Composite through Cooling Rate Control and Annealing

Infektionsprävention bei Früh- und Neugeborenen in Thüringen: Umsetzung der Empfehlung der Kommission für Krankenhaushygiene und Infektionsprävention (KRINKO)

Contact Info

Product

Resources

About