Excess costs of hospital care associated with neonatal candidemia.

Excess costs of hospital care associated with neonatal candidemia. Research Abstract Details 

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Excess costs of hospital care associated with neonatal candidemia. Abstract Text:

P Brian Smith,Juliette Morgan,J Daniel K Benjamin,Scott K Fridkin,Laurie Thomson Sanza,Lee H Harrison,Andre N Sofair,Sharon Huie-White,Daniel K Benjamin,

BACKGROUND: Nosocomial bloodstream infections are associated with increased hospital costs in adult and pediatric patients. Candida is an increasingly important nosocomial pathogen within intensive care nurseries. The purpose of this study was to determine the attributable cost of candidemia in neonates. METHODS: This case-control study included all neonates with candidemia receiving care in hospitals in Connecticut and in Baltimore County and the city of Baltimore, MD. We identified 47 cases and 130 control patients. Multivariable linear regression was used to control for state, birth weight and mortality to determine the effect of candidemia on length of stay, cost per day and total hospital costs. RESULTS: Candidemia was associated with a $28,000 increase in total hospital costs in multivariable analysis. This increase in total cost was the result of both an increase in costs per day and length of hospital stay. Other cost-increasing variables included in the analysis were: state of origin (Connecticut), survival and decreasing birth weight. CONCLUSIONS: This represents the first study of the adjusted costs of candidemia in neonates. In addition to high mortality, candidemia was associated with increased hospital costs. This cost analysis could be helpful in determining the financial benefits of preventing candidemia in high risk neonates.

Excess costs of hospital care associated with neonatal candidemia. Publishing Authors By Initials

PB Smith,J Morgan,JD Benjamin,SK Fridkin,LT Sanza,LH Harrison,AN Sofair,S Huie-White,DK Benjamin,

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Excess costs of hospital care associated with neonatal candidemia. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Pediatric infectious disease journal

VOLUME: 26

Page Numbers: 197-200

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ISSN: 0891-3668

DAY: 3

MONTH: Mar

YEAR: 2007

Excess costs of hospital care associated with neonatal candidemia. Information

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LANGUAGE: eng

NlmUniqueID: 8701858

Excess costs of hospital care associated with neonatal candidemia. Keywords Mesh Terms:

KEYWORDS: Male

MESH TERMS: epidemiology

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Grant and Affiliation Information for Excess costs of hospital care associated with neonatal candidemia.

AFFILIATION: Department of Pediatrics, 3179 Duke University Medical Center, Durham NC, 27710, USA. smith466@mc.duke.edu

Country: United States

AGENCY: United States NIAID

GRANT: T32 AI 052080

ACRONYM: AI

MEDLINETA: Pediatr Infect Dis J

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