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Kosten nosokomialer Infektionen

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Praktische Krankenhaushygiene und Umweltschutz

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Zusammenfassung

Zwischen 3,3 und 4,5 % aller Patienten erwerben in Deutschland während ihres Krankenhausaufenthalts eine nosokomiale Infektion (Piening 2012). Knapp ein Fünftel aller nosokomialen Infektionen werden bei Intensivpatienten beobachtet. Die häufigsten Infektionen sind postoperative Wundinfektionen (24,7 %), Harnwegsinfektion (22,4 %), und untere Atemweginfektionen (21,5 %) gefolgt von Clostridium-difficile-Infektionen (CDAD, 6,6 %) und primärer Sepsis (6,0 %) (Piening 2012). Nosokomiale Infektionen resultieren in Zusatzkosten durch eine Verlängerung der Krankenhausverweildauer und zusätzliche diagnostische und therapeutische Interventionen. Darüber hinaus können sie zu einer längerfristigen Arbeitsunfähigkeit und steigenden Antibiotikaresistenzen führen. Während deutsche Krankenhäuser zumindest einen Teil der entstehenden Zusatzkosten durch eine entsprechende Kodierung und damit Vergütung abdecken können (Deutsche Gesellschaft für Hygiene und Mikrobiologie (DGHM) et al. 2004), sind Krankenkassen und Gesellschaft mit erheblichen Zusatzkosten konfrontiert. All dies misst Infektionskontrollprogrammen eine hohe Bedeutung zu.

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Authors and Affiliations

  1. Klinische Pharmazie - Pharmazeutisches Institut, Universität Bonn, An der Immenburg 4, 53121, Bonn, Deutschland

    Eva Susanne Dietrich

  2. HealthEcon AG, Steinentorstr. 19, 4001, Basel, Schweiz

    Stephan Felder

  3. Institut für Medizinische Biometrie und Medizinische Informatik, Universitätsklinikum Freiburg, Stefan-Meier-Str. 26, 79104, Freiburg, Deutschland

    Klaus Kaier

Authors
  1. Eva Susanne Dietrich
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  2. Stephan Felder
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  3. Klaus Kaier
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Correspondence to Eva Susanne Dietrich .

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Editors and Affiliations

  1. Gesundheitsverbund Landkreis Konstanz, Institut für Krankenhaushygiene & Infektionsprävention, Radolfzell, Germany

    Markus Dettenkofer

  2. Sektion Krankenhaus- und Umwelthygiene, Universitätsklinikum Heidelberg, Heidelberg, Germany

    Uwe Frank

  3. Inst. für Klinikhygiene, Klinikum Nürnberg, Nürnberg, Germany

    Heinz-Michael Just

  4. Zentralbereich für Krankenhaushygiene, Universitätsklinikum Aachen, Aachen, Germany

    Sebastian Lemmen

  5. Stabsstelle Techn. Krankenhaushygiene, Universitätsklinikum Heidelberg, Heidelberg, Germany

    Martin Scherrer

Section Editor information

  1. Institut für Krankenhaushygiene & Infektionsprävention, Gesundheitsverbund Landkreis Konstanz, Hausherrenstr. 12, 78315, Radolfzell, Deutschland

    Markus Dettenkofer

  2. Universitätsklinikum Heidelberg, Im Neuenheimer Feld 324 (Hygieneinstitut), 69120, Heidelberg, Deutschland

    Martin Scherrer

  3. Institut für Klinikhygiene, Med. Mikrobiologie und Klin. Infektiologie, Universitätsinstitut der Paracelsus Medizinischen Privatuniversität Klinikum Nürnberg, Prof.-Ernst-Nathan-Straße 1, 90419, Nürnberg, Germany

    Heinz-Michael Just

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Dietrich, E.S., Felder, S., Kaier, K. (2018). Kosten nosokomialer Infektionen. In: Dettenkofer, M., Frank, U., Just, HM., Lemmen, S., Scherrer, M. (eds) Praktische Krankenhaushygiene und Umweltschutz. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40600-3_22

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