[1]林 苗,陈坛鹏,方 芳,等.金黄色葡萄球菌感染患者临床特征及直接经济负担分析[J].医学信息,2023,36(14):91-94.[doi:10.3969/j.issn.1006-1959.2023.14.017]
 LIN Miao,CHEN Tan-peng,FANG Fang,et al.Analysis of Clinical Characteristics and Direct Economic Burden of Patients with Staphylococcus Aureus Infection[J].Journal of Medical Information,2023,36(14):91-94.[doi:10.3969/j.issn.1006-1959.2023.14.017]
点击复制

金黄色葡萄球菌感染患者临床特征及直接经济负担分析()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年14期
页码:
91-94
栏目:
公共卫生信息学
出版日期:
2023-07-15

文章信息/Info

Title:
Analysis of Clinical Characteristics and Direct Economic Burden of Patients with Staphylococcus Aureus Infection
文章编号:
1006-1959(2023)14-0091-04
作者:
林 苗陈坛鹏方 芳
(华中科技大学协和深圳医院全科,广东 深圳 518000)
Author(s):
LIN MiaoCHEN Tan-pengFANG Fanget al.
(Department of General Practice,Xiehe Shenzhen Hospital of Huazhong University of Science and Technology,Shenzhen 518000,Guangdong,China)
关键词:
金黄色葡萄球菌临床特征经济分析
Keywords:
Staphylococcus aureusClinical featuresEconomic analysis
分类号:
R446.5
DOI:
10.3969/j.issn.1006-1959.2023.14.017
文献标志码:
A
摘要:
目的 观察金黄色葡萄球菌感染患者临床特征,并对其直接经济负担进行分析,为临床合理选择抗生素以及减少患者经济负担提供一定指导意义。方法 回顾性分析于2020年6月-2022年6月就诊于我院的100例金黄色葡萄球菌感染患者,对以上患者的临床特征及经济负担进行分析。结果 不同性别、职业、婚姻状况、手术情况、医院感染情况、是否部分病种、是否抢救病人、是否月内再次住院以及付款方式比较,差异有统计学意义(P<0.05);金黄色葡萄球菌感染患者直接经济负担花费占比最多是西药费,其次是临床物理治疗费以及其他费用。结论 金黄色葡萄球菌感染为患者造成严重直接经济负担,且受多种客观因素影响,临床应最大程度缩短用药治疗时间,为患者减轻经济压力。
Abstract:
Objective To observe the clinical characteristics of patients with Staphylococcus aureus infection and analyze their direct economic burden, so as to provide some guidance for rational selection of antibiotics and reduction of patients’ economic burden.Methods A retrospective analysis was performed on 100 patients with Staphylococcus aureus infection who were admitted to our hospital from June 2020 to June 2022. The clinical characteristics and economic burden of the above patients were analyzed.Results There were statistically significant differences in gender, occupation, marital status, operation status, hospital infection, whether some diseases, whether to rescue patients, whether to be hospitalized again within a month, and payment methods (P<0.05). The direct economic burden of patients with Staphylococcus aureus infection accounted for the largest proportion of Western medicine costs, followed by clinical physical treatment costs and other costs.Conclusion Staphylococcus aureus infection causes serious direct economic burden to patients, and is affected by many objective factors. The clinical treatment time should be shortened to the greatest extent to reduce the economic pressure for patients.

参考文献/References:

[1]中华医学会呼吸病学分会感染学组.甲氧西林耐药的金黄色葡萄球菌肺炎诊治与预防专家共识[J].中华结核和呼吸杂志,2012,35(10):734-738.[2]全国细菌耐药监测网.全国细菌耐药监测网2014-2019年细菌耐药性监测报告[J].中国感染控制杂志,2021,20(1):15-30.[3]葛涵,梁友宝,陈尧.某院2018-2020年细菌耐药结果分析[J].淮海医药,2022,40(3):289-292.[4]李双,陈超超,陈雪岚.基于万古霉素建立荧光酶联免疫吸附法检测金黄色葡萄球菌[J].生物工程学报,2018,34(9):1510-1517.[5]何倩,赵红,张昌峰,等.某综合性中医院2018-2020年耐甲氧西林金黄色葡萄球菌分布特点和医院感染监测情况分析[J].安徽医学,2022,43(2):222-227.[6]邓裕祺,蔡燕.耐甲氧西林金黄色葡萄球菌的耐药机制[J].甘肃医药,2022,41(5):392-396.[7]Ahmad-Mansour N,Loubet P,Pouget C,et al.Staphylococcus aureus Toxins: An Update on Their Pathogenic Properties and Potential Treatments[J].Toxins (Basel),2021,13(10):677.[8]L?觟ffler B,Tuchscherr L.Staphylococcus aureus Toxins: Promoter or Handicap during Infection? [J].Toxins (Basel),2021,13(4):287.[9]张燕相,周笳,谭效锋.成人金黄色葡萄球菌肺炎132例危险因素及预后分析[J].中国处方药,2022,20(4):179-181.[10]王丹,朱丹,陈虹,等.综合ICU住院患者多重耐药菌医院感染与经济负担[J].中国感染控制杂志,2019,18(7):648-653.[11]凌玲,吴伟旋,孙树梅,等.多重耐药菌医院感染直接经济负担的系统评价[J].中国感染控制杂志,2017,16(7):616-621.[12]林吉,李莉,李诗雨,等.神经外科肿瘤患者术后感染对住院日和住院费用的影响[J].中华流行病学杂志,2018,39(7):988-992.[13]秦立友,朱波涛,陈春.骨关节外科分离出金黄色葡萄球菌流行病学分析[J].中国病原生物学杂志,2019,14(11):1324-1327.[14]古旗.病种基础诊疗模块在费用管理中的应用分析——以呼吸系统感染/炎症患儿为例[J].中国医疗保险,2022(5):95-97.[15]张肖肖,王力红,仇叶龙,等.基于DRGs平台的临床医师团队医疗质量评价研究[J].中国医院,2017,21(1):31-33.[16]于波心.老年患者耐甲氧西林金黄色葡萄球菌耐药情况及感染危险因素分析[D].沈阳:中国医科大学,2019.[17]Miller LS,Fowler VG,Shukla SK,et al.Development of a vaccine against Staphylococcus aureus invasive infections: Evidence based on human immunity, genetics and bacterial evasion mechanisms[J].FEMS Microbiol Rev,2020,44(1):123-153.[18]国家重点研发项目(2018YFC2002400)课题组.高龄老年共病患者多重用药安全性管理专家共识[J].中华保健医学杂志,2021,23(5):548-554.[19]周霞霞,杨广,邢家溧,等.金黄色葡萄球菌定性定量检测中显色培养基的效果评价[J].食品安全质量检测学报,2020,11(24):9329-9335.[20]王琳琳.儿童呼吸道革兰阳性菌中金黄色葡萄球菌肺炎病原菌耐药性的临床研究[J].中国合理用药探索,2020,17(12):51-54.[21]代兆华,郭萌,贾玉凤,等.胸腺肽α1联合利奈唑胺提高耐甲氧西林金黄色葡萄球菌呼吸机相关性肺炎患者治疗效果和免疫功能[J].内科急危重症杂志,2021,27(6):480-483,500.

相似文献/References:

[1]雷 锐,李 志.感染性心内膜炎患者临床特征与预后影响因素分析[J].医学信息,2018,31(08):94.[doi:10.3969/j.issn.1006-1959.2018.08.029]
 LEI Rui,LI Zhi.Analysis of Clinical Features and Prognostic Factors in Patients with Infective Endocarditis[J].Journal of Medical Information,2018,31(14):94.[doi:10.3969/j.issn.1006-1959.2018.08.029]
[2]闵晓兰,卢玉容,蔡 强.小儿典型川崎病与不完全性川崎病的临床特征分析[J].医学信息,2018,31(10):156.[doi:10.3969/j.issn.1006-1959.2018.10.054]
 MIN Xiao-lan,LU Yu-rong,CAI Qiang.Clinical Features of Typical Mucocutaneous Lymph Node Syndrome and Incomplete Mucocutaneous Lymph Node Syndrome[J].Journal of Medical Information,2018,31(14):156.[doi:10.3969/j.issn.1006-1959.2018.10.054]
[3]覃 艺,邓燕艺,赖昌生,等.554例儿童重症手足口病的临床特征分析[J].医学信息,2018,31(11):115.[doi:10.3969/j.issn.1006-1959.2018.11.036]
 QIN Yi,DENG Yan-yi,LAI Chang-sheng,et al.Analysis of Clinical Features of Severe Hand Foot and Mouth Disease in 554 Children[J].Journal of Medical Information,2018,31(14):115.[doi:10.3969/j.issn.1006-1959.2018.11.036]
[4]沈季敏,刘 欣,吴金菊.骨髓增生异常综合征患者临床特征分析[J].医学信息,2018,31(18):49.[doi:10.3969/j.issn.1006-1959.2018.18.016]
 SHEN Ji-min,LIU Xin,WU Jin-ju.Analysis of Clinical Features of Patients with Myelodysplastic Syndrome[J].Journal of Medical Information,2018,31(14):49.[doi:10.3969/j.issn.1006-1959.2018.18.016]
[5]陈倩如.大肠癌住院病例临床特征分析[J].医学信息,2019,32(02):145.[doi:10.3969/j.issn.1006-1959.2019.02.042]
 CHEN Qian-ru.Analysis of Clinical Features of Hospitalized Cases of Colorectal Cancer[J].Journal of Medical Information,2019,32(14):145.[doi:10.3969/j.issn.1006-1959.2019.02.042]
[6]曾 江,邹 燕,刘 滨.耐甲氧西林金黄色葡萄球菌的临床分布及耐药性分析[J].医学信息,2019,32(02):148.[doi:10.3969/j.issn.1006-1959.2019.02.043]
 ZENG Jiang,ZOU Yan,LIU Bin.Clinical Distribution and Drug Resistance Analysis of Methicillin-resistant Staphylococcus Aureus[J].Journal of Medical Information,2019,32(14):148.[doi:10.3969/j.issn.1006-1959.2019.02.043]
[7]解 龙,练孝春,韩 涛,等.非哺乳期乳腺炎临床特征分析[J].医学信息,2019,32(06):128.[doi:10.3969/j.issn.1006-1959.2019.06.040]
 XIE Long,LIAN Xiao-chun,HAN Tao,et al.Analysis of Clinical Features of Non-lactating Mastitis[J].Journal of Medical Information,2019,32(14):128.[doi:10.3969/j.issn.1006-1959.2019.06.040]
[8]承良凤.芜湖地区痛风急性发作诱因及临床生化特征初探[J].医学信息,2019,32(10):85.[doi:10.3969/j.issn.1006-1959.2019.10.028]
 CHENG Liang-feng.Preliminary Study on the Causes and Clinical Biochemical Characteristics of Acute Gout in Wuhu Area[J].Journal of Medical Information,2019,32(14):85.[doi:10.3969/j.issn.1006-1959.2019.10.028]
[9]张利山.缺血性脑卒中后癫痫发作的临床特点及治疗研究[J].医学信息,2019,32(18):38.[doi:10.3969/j.issn.1006-1959.2019.18.013]
 ZHANG Li-shan.Study on the Clinical Features and Treatment of Seizures after Ischemic Stroke[J].Journal of Medical Information,2019,32(14):38.[doi:10.3969/j.issn.1006-1959.2019.18.013]
[10]张成汉.夫西地酸钠和万古霉素用于ICU病房耐甲氧西林 金黄色葡萄球菌患者的疗效比较[J].医学信息,2019,32(18):149.[doi:10.3969/j.issn.1006-1959.2019.18.051]
 ZHANG Cheng-han.Efficacy Comparison of Sodium Fusidate and Vancomycin to Treat Patients with Methicillin-resistant Staphylococcus Aureus in ICU Ward[J].Journal of Medical Information,2019,32(14):149.[doi:10.3969/j.issn.1006-1959.2019.18.051]

更新日期/Last Update: 1900-01-01