Pediatric urinary tract infections: an analysis of hospitalizations, charges, and costs in the USA

Abstract

This study evaluates the impact of pediatric uninary tract infection (UTI)s on the economy and inpatient healthcare utilization in the USA. A retrospective analysis of patient demographics and hospital economics was performed on children less than 18 years of age admitted with a UTI between 2000 and 2006 using the Healthcare Cost and Utilization Project Kids’ Inpatient Database. Our results were stratified as follows. Hospital admissions—nearly 50,000 children/year were admitted with a UTI. Pediatric UTIs represented 1.8% of all pediatric hospitalizations. Seventy-three percent of patients were female and 40% were under 1 year of age. Payer information—from 2000 to 2006, pediatric insurance coverage shifted from the private sector to the public sector. Hospital cost—in 2000, estimated hospital costs for UTIs were $2,858 per hospitalization and rose to $3,838 by 2006. Mean hospital charges increased from $6,279 to $10,489 per stay. By 2006, aggregate hospital charges exceeded $520 million. Our results indicate that UTIs are among the most common pediatric admission diagnoses. Hospitalization is more common in females and younger children. Since 2000, hospital charges for UTIs increased disproportionately to hospital costs. Over time, more children hospitalized with a UTI depend on public agencies to cover healthcare expense. More efforts are needed to evaluate cost-effective strategies for evaluation and treatment of UTIs.

Bacteriological Profile of Urinary Tract Infection in Infants

“…UTI, one of the most frequently occurring bacterial infections in infants and is a serious global health problem affecting millions of infants every year (Spencer et al, 2010). Majority of infants present with febrile illness with no other obvious symptom of UTI (Downs S., 1999).…”

Asociación entre el reflujo vesicoureteral y la nefroesclerosis en las infecciones urinarias

“…Entre los tres grupos que participaron de este estudio -156 pacientes-, la proporción de mujeres fue mayor, en consonancia con la bibliografía relevante. 6 Por lo tanto, consideramos que es necesaria una evaluación urológica en las mujeres, incluso cuando se les diagnostica fiebre con un foco diferente.…”

“…5 Se ha informado que la lesión renal detectada por g a m m a g r a f í a c o n D M S A e n e l transcurso de una pielonefritis aguda, o después de esta, está estrechamente asociada con los resultados clínicos y de laboratorio al inicio de la enfermedad. 6 A pesar de la disponibilidad de pruebas y técnicas de tratamiento avanzadas, es importante realizar u n s e g u i m i e n t o a t e n t o d e l a s infecciones en los pacientes con IU a Artículo original una edad temprana porque pueden producirse complicaciones graves. El objetivo de este estudio fue investigar la relación entre el RVU y la lesión renal en pacientes con IU sin fiebre, una primera IU febril e IU recurrente.…”

“…5 Se ha informado que la lesión renal detectada por g a m m a g r a f í a c o n D M S A e n e l transcurso de una pielonefritis aguda, o después de esta, está estrechamente asociada con los resultados clínicos y de laboratorio al inicio de la enfermedad. 6 A pesar de la disponibilidad de pruebas y técnicas de tratamiento avanzadas, es importante realizar u n s e g u i m i e n t o a t e n t o d e l a s infecciones en los pacientes con IU a …”

Predictors of Long Length of Stay in Infants Hospitalized With Urinary Tract Infection

“…3 UTI accounts for ∼8% of infant infectious disease hospitalizations and ∼2% of all pediatric hospitalizations. 4,5 Although rates and duration of hospitalization for UTI have remained fairly constant over the past decade, hospital costs have risen by ∼34% and continue to impose a signifi cant fi nancial burden on the health care system. 5 To use health care resources optimally and reduce costs wherever possible, it is important to identify factors contributing to costs through hospitalization.…”