Journal
AMERICAN JOURNAL OF INFECTION CONTROL
Volume 46, Issue 7, Pages 751-757Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.ajic.2018.01.015
Keywords
Catheter-associated urinary tract infection; Healthcare-acquired condition
Funding
- Light Line Medical, Salt Like City, UT
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Background: Catheter-associated urinary tract infections (CAUTIs) are the most common healthcare-acquired condition. The attributable cost of CAUTIs is frequently cited to be approximately $1,000. However, there is a paucity of recent literature that confirms this estimate. The purpose of this study was to perform a systematic review of the literature that estimates the attributable cost of CAUTIs in the United States. Methods: A systematic review was conducted using Pubmed. Studies conducted between the years 2000 and 2017, conducted at a facility within the United States, and that used novel patient-level cost data were included. Attributable cost estimates were adjusted for inflation to 2016 U.S. dollars using the medical care component of the Consumer Price Index. Results: Only 4 articles met our inclusion criteria. Adjusted to 2016 U.S. dollars, the attributable costs of a CAUTI as reported in these studies were: $ 876 (inpatient cost to the hospital for additional diagnostic tests and medications); $ 1,764 (inpatient cost to Medicare for non-intensive care unit [ICU] patients); $ 7,670 (inpatient and outpatient costs to Medicare); $ 8,398 (inpatient cost to the hospital for pediatric patients); and $ 10,197 (inpatient cost to Medicare for ICU patients). Conclusions: The cost of a CAUTI ranges widely depending on population, patient acuity, and cost perspective. Attributable costs likely exceed $ 1,000. Additional research is needed to assess the full economic effect of CAUTIs. (C) 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
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