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Healthcare Costs Associated with Hemodialysis Catheter–Related Infections: A Single-Center Experience

Published online by Cambridge University Press:  02 January 2015

Venkataraman Ramanathan ,
Edwin J. Chiu ,
Jim T. Thomas ,
Ahmad Khan ,
George M. Dolson  and
Rabih O. Darouiche
Venkataraman Ramanathan*
Affiliation:
Renal Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
Edwin J. Chiu
Affiliation:
Renal Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
Jim T. Thomas
Affiliation:
Renal Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
Ahmad Khan
Affiliation:
Renal Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
George M. Dolson
Affiliation:
Renal Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
Rabih O. Darouiche
Affiliation:
Infectious Diseases Section, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas Center for Prostheses Infection, Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine, Houston, Texas
*
Renal Section, MED VA Medical Center, 2002 Holcombe Blvd., 111-J, Houston, TX 77030 (ramanath@bcm.edu)
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Abstract

In patients undergoing hemodialysis, catheter-related bacteremia results in expensive hospitalizations. In our study, the mean cost was $23,451 per hospitalization. When itemized, housing (“bed-related”) costs accounted for 66% of the total; laboratory costs accounted for 4%, radiologic costs accounted for 9%, and procedure-related costs accounted for 21%. Hypoalbuminemia and bacteremia due to methicillin-resistant Staphylococcus aureus (MRSA) are associated with higher healthcare costs; bacteremia due to MRSA is also associated with poor survival rates.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 5 , May 2007 , pp. 606 - 609
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

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