Cost of Healthcare-associated Infections Developing After Endourologic Surgery and the Efficacy of Control Measures in a Turkish University Hospital/Turkiye'deki Bir Universite Hastanesinde Endourolojik Cerrahi Islem Sonrasi Gelisen Hastane Enfeksiyonlarinin Maliyeti ve Kontrol Onlemlerinin Etkisi

Objective: The study aimed to determine additional costs of healthcare-associated infections (HAIs) in patients undergoing endourologic surgery. It also aimed to evaluate the effect of infection control measures on costs of HAIs.Materials and Methods: This interventional study carried out in patients admitted to the Department of Urology at Osmangazi University Hospital between Janvary 2014 and October 2015. All surgeries were examined in the pre-intervention period for six months and then, a prevention package and education period, which intended to reduce hospital infections, were implemented. In the post-intervention period, all endourological operations were examined for 2 months.Results: The prevalence of HAIs in the pre-intervention and post-intervention periods was 10.1% and 4.9%, respectively. Patients who had healthcare-related infections before or after the intervention had higher costs compared to those who did not get infections. It was found that HAIs decreased by 51% after the intervention (relative risk: 0.49, 95% confidence interval: 0.28-0.86). Thus, an additional cost of 146.332.8[+ or -]139.29 TL was saved.Conclusion: It is concluded that monitoring and reporting of HAIs regularly by using a simple but effective and evidence-based infection control practices and education programs could decrease the frequency of infection, high additional costs and length of hospital stay.Keywords: Cost, Healthcare-associated infections, Control measures, TurkiyeAmac: Bu calisma endourolojik cerrahi girisim yapilan hastalarda olusan saglik hizmeti iliskili enfeksiyonlarin (SHE) getirdigi ilaue maliyetleri belirlemek ve yapilan mudahale ile alinan enfeksiyon kontrol onlemlerinin maliyet uzerine etkisini degerlendirmek amaci ile yapilmistir.Gerec ve Yontem: Calisma Eskisehir Osmangazi Universitesi Hastanesi Uroloji Anabilim Dali Dalinda, Ocak 2014-Ekim 2015 tarihleri arasinda yurutulen bir mudahale arastirmadir. Mudahale oncesi donemde tum endourolojik cerrahi girisimler 6 ay sure ile incelendi ve SHIE'yi azaltmaya yonelik hazirlanan onlem paketinin uygulanmasi ve yapilan egitimler tamamlandi. Mudahale sonrasi donemde de 2 ay sure ile tum endourolojik islemler incelendi.Bulgular: Mudahale oncesi donemde calisma grubundakilerin %10, SHIE tespit edilirken, mudahale sonrasinda ise %4,9 olarak saptandi. Yapilan mudahale programi ile SHE gorulme sikliginin %51,0 oraninda azaldigi saptandi (relatif risk: 0,49, %95 guuen araligi: 0,28-0,86). Mudahale oncesi ue so