单间和开放式病房对医院感染的影响....

dearhang

我们一直对医院感染的建筑布局情有独钟，但很少就医院建筑布局对医院感染的实际影响和经济学效益进行研究。最近在写这方面的文章，找到一篇文章：
J Crit Care. 2016 Feb;31(1):194-200. doi: 10.1016/j.jcrc.2015.10.010. Epub 2015 Oct 20.Do cost savings from reductions in nosocomial infections justify additional costs of single-bed rooms in intensive care units? A simulation case study.Sadatsafavi H1, Niknejad B2, Zadeh R3, Sadatsafavi M4.Author informationAbstractPURPOSE:Evidence shows that single-patient rooms can play an important role in preventing cross-transmission and reducing nosocomialinfections in intensive care units (ICUs). This case study investigated whether cost savings from reductions in nosocomial infections justify the additional construction and operation costs of single-bed rooms in ICUs.MATERIALS AND METHODS:We conducted deterministic and probabilistic return-on-investment analyses of converting the space occupied by open-bay rooms to single-bed rooms in an exemplary ICU. We used the findings of a study of an actual ICU in which the association between the locations of patients in single-bed vs open-bay rooms with infection risk was evaluated.RESULTS:Despite uncertainty in the estimates of costs, infection risks, and length of stay, the cost savings from the reduction of nosocomialinfections in single-bed rooms in this case substantially outweighed additional construction and operation expenses. The mean value of internal rate of return over a 5-year analysis period was 56.18% (95% credible interval, 55.34%-57.02%).文章中阐述重症监护室尽管单间有更高的建筑费用，以及运行成本较高，但是单间可以避免更多医院感染，使得内部收益率的平均值为56.18%，说明是符合卫生经济效益的。



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澄凤

没人顶啊,谁还可以发一些医院建筑与医院感染的文章.发文加分.....

昊爱无限

重症监护室单间管理，这是我们的理想，但是，现实是加床
。所以在我们做不到单间管理的时候，只能加强物表的清洁消毒、手卫生等接触隔离的措施了。
希望看到您更多这方面的分享

狼头

目前没有关于这方面的研究 但是我们省的有这个方面的要求和规定