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http://dspace.udla.edu.ec/handle/33000/881| Tipo de material : | bachelorThesis |
| Título : | Comparación del costo de tratamiento de infecciones asociadas a la atención de salud en neonatos versus el costo de medidas preventivas, en el Hospital Un Canto a la Vida de la ciudad de Quito, durante el periodo de enero 2016 a diciembre del 2018 |
| Autor : | Medina Borja, Melany Denise |
| Tutor : | Ayala Herrera, José Luis |
| Palabras clave : | ATENCIÓN HOSPITALARIA;INFECCIÓN HOSPITALARIA;SEPSIS NEONATAL |
| Fecha de publicación : | 2020 |
| Editorial : | Quito: Universidad de las Américas, 2020 |
| Citación : | Medina Borja, M. D. (2020). Comparación del costo de tratamiento de infecciones asociadas a la atención de salud en neonatos versus el costo de medidas preventivas, en el Hospital Un Canto a la Vida de la ciudad de Quito, durante el periodo de enero 2016 a diciembre del 2018 (Tesis de pregrado). Universidad de las Américas, Quito. |
| Resumen : | Introducción: Las infecciones asociadas a la atención en salud (IAAS) se adquieren durante la atención sanitaria; el riesgo de contagio dependerá del huésped (inmunidad), ambiente hospitalario (prevalencia local de patógenos) y personal de salud (cumplimiento de políticas preventivas y uso racional de antibióticos)... |
| Descripción : | Introduction: infections associated with health care (IAAS) are acquired during health care; the risk of infection will depend on the host (immunity), hospital environment (local prevalence of pathogens) and health personnel (compliance with preventive policies and rational use of antibiotics). The management of the IAAS per se implies excessive costs for the state, hospital and patient-family. These resources can be reinvested in improving service delivery and quality of care. The study aims to demonstrate the existence of an excess of costs attributable to IAAS, compared to the costs of applying bundle type preventive measures. Method: a case-control study with a random sample of 10 patients by type of infection presented at the Neonatology Service of the Hospital a Canto a la Vida de Quito, in the period January 2016 to December 2018. The cost estimates were supported on the Protocolto calculate the cost of infections developed by PAHO. The cost of five indicators (cultures, antibiotic therapy, days of hospitalization, days in NICU and surgical interventions) between the case group and the control group was compared to determine the excess expense attributable to each type of infection and compare it with the cost of a bundle of preventive measures. The infections studied due to their prevalence were late sepsis and necrotizing enterocolitis. Results: the average excess cost per case of $ 8,382.4 (±5801,10); for enterocolitis, an average excess cost of $ 7,032.72 (±5965,43) per case was calculated. The average cost difference between sepsis cases and their respective controls was significative (p=0,005), similar analysis of the average cost difference between cases of necrotizing enterocolitis and its controls (p=0.006). The total excess of expenses for both infections was $ 154,152.14 in the study period, which gives an annual excess of $ 77,076.07 equivalent to the cost of 90,042.13 hand washes per year, 246 hand washes per day or 10.2 hand washes per hour. Conclusion: the correct and timely establishment of preventive measures reduces mortality by infections associated with health care, use of laboratory assistants, hospital stay and clinical-surgical treatment. |
| URI : | http://localhost:8080/handle/33000/881 |
| Aparece en las colecciones: | Medicina |
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| Fichero | Descripción | Tamaño | Formato | |
|---|---|---|---|---|
| UDLA-EC-TMC-2020-03.pdf | 5,13 MB | Adobe PDF | Visualizar/Abrir |
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