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Am J Infect Control. 2018 Jul;46(7):751-757. doi: 10.1016/j.ajic.2018.01.015. Epub 2018 Feb 22.

The attributable cost of catheter-associated urinary tract infections in the United States: A systematic review.

Author information

1
The Pennsylvania State University, College of Medicine, Department of Surgery, Division of Outcomes Research and Quality, Hershey, PA. Electronic address: chollenbeak@psu.edu.
2
The Pennsylvania State University, College of Medicine, Department of Surgery, Division of Outcomes Research and Quality, Hershey, PA.

Abstract

BACKGROUND:

Catheter-associated urinary tract infections (CAUTIs) are the most common healthcare-acquired condition. The attributable cost of CAUTIs is frequently cited to be approximately $1,000. However, there is a paucity of recent literature that confirms this estimate. The purpose of this study was to perform a systematic review of the literature that estimates the attributable cost of CAUTIs in the United States.

METHODS:

A systematic review was conducted using Pubmed. Studies conducted between the years 2000 and 2017, conducted at a facility within the United States, and that used novel patient-level cost data were included. Attributable cost estimates were adjusted for inflation to 2016 U.S. dollars using the medical care component of the Consumer Price Index.

RESULTS:

Only 4 articles met our inclusion criteria. Adjusted to 2016 U.S. dollars, the attributable costs of a CAUTI as reported in these studies were: $876 (inpatient cost to the hospital for additional diagnostic tests and medications); $1,764 (inpatient cost to Medicare for non-intensive care unit [ICU] patients); $7,670 (inpatient and outpatient costs to Medicare); $8,398 (inpatient cost to the hospital for pediatric patients); and $10,197 (inpatient cost to Medicare for ICU patients).

CONCLUSIONS:

The cost of a CAUTI ranges widely depending on population, patient acuity, and cost perspective. Attributable costs likely exceed $1,000. Additional research is needed to assess the full economic effect of CAUTIs.

KEYWORDS:

Catheter-associated urinary tract infection; Healthcare-acquired condition

PMID:
29478760
DOI:
10.1016/j.ajic.2018.01.015
[Indexed for MEDLINE]

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