Skip to main content
SpringerLink
Log in

Kosten durch Harnweginfektionen in Deutschland

Eine Hochrechung der Daten des Krankenhaus-Infektions-Surveillance-Systems

Costs due to urinary tract infections in Germany

An estimation based on the data from the German National Nosocomial Infections Surveillance System

  • Originalien
  • Published:
Der Urologe Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Basierend auf den Daten des „Krankenhaus-Infektions-Surveillance-Systems“ (KISS) wurde das Einsparungspotential für nosokomiale Harnweginfektionen (HWI) in Deutschland hochgerechnet.

Material und Methoden

Die HWI-Inzidenz wurde den KISS-Referenzdaten entnommen. Die Gesamtzahl aller Patiententage wurde über das Statistische Bundesamt bezogen. Die zu erwartenden Kosten für ein Krankenhaus pro HWI wurden durch eine Literaturrecherche ermittelt.

Ergebnisse

Auf Intensivstationen (ITS) ereignen sich im Mittel 1,87 HWI und auf peripheren Stationen 0,81 HWI pro 1000 Patiententage. 4,5% der jährlichen 146,1 Mio. Patiententage in Deutschland entfallen auf ITS. Insgesamt ereignen sich jährlich etwa 155.000 nosokomiale HWI. Jede HWI kostet etwa 1000 Euro. 20% aller nosokomialen Infektionen sind vermeidbar.

Schlussfolgerungen

Ein Krankenhaus in Deutschland könnte durch verbesserte Hygiene – nur für vermiedene HWI – jährlich 14.500 Euro einsparen.

Abstract

Background

We estimated the avoidable costs due to nosocomial urinary tract infections (UTI) based on the data of the German National Nosocomial Infections Surveillance System (KISS).

Methods

The incidence of nosocomial UTI derived from KISS reference data. The overall number of patient days was obtained from the “Statistische Bundesamt” (German Federal Office of Statistics). Expected costs for a single UTI were estimated according to data published in the medical literature.

Results

On average, there were 1.87 UTI on intensive care units (ICU) and 0.81 UTI on peripheral wards per 1,000 patient days; 4.5% of the annual 146.1 million patient days in German hospitals were contributed by ICUs. In total, there are approximately 155,000 nosocomial UTI every year. Each UTI leads to costs of about 1,000 euros; 20% of all nosocomial infections are preventable.

Conclusions

Just for nosocomial UTI, appropriate infection control measures may reduce the annual health care costs by 14,500 euros for every German hospital.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2

Literatur

  1. Askarian M, Gooran NR (2003) National nosocomial infection surveillance system-based study in Iran: additional hospital stay attributable to nosocomial infections. Am J Infect Control 31: 465–468

    Article  PubMed  Google Scholar 

  2. Beyersmann J, Gastmeier P, Grundmann H et al. (2006) Use of multistate models to assess prolongation of intensive care unit stay due to nosocomial infection. Infect Control Hosp Epidemiol 27: 493–499

    Article  PubMed  CAS  Google Scholar 

  3. Coello R, Glenister H, Fereres J et al. (1993) The cost of infection in surgical patients: a case-control study. J Hosp Infect 25: 239–250

    Article  PubMed  CAS  Google Scholar 

  4. Emori TG, Culver DH, Horan TC et al. (1991) National nosocomial infections surveillance system (NNIS): description of surveillance methods. Am J Infect Control 19: 19–35

    Article  PubMed  CAS  Google Scholar 

  5. Frank U (2006) Kosten nosokomialer Infektionen. In: Daschner, Dettenkofer, Frank, Scherrer (Hrsg) Praktische Krankenhausygiene und Umweltschutz, 3. Aufl. Springer, Berlin Heidelberg New York, S 298–304

  6. Garibaldi RA, Burke JP, Dickman ML, Smith CB (1974) Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 291: 215–219

    Article  PubMed  CAS  Google Scholar 

  7. Garner JS, Jarvis WR, Emori TG et al. (1988) CDC definitions for nosocomial infections, 1988. Am J Infect Control 16: 128–140

    Article  PubMed  CAS  Google Scholar 

  8. Gastmeier P, Brauer H, Sohr D et al. (2001) Converting incidence and prevalence data of nosocomial infections: results from eight hospitals. Infect Control Hosp Epidemiol 22: 31–34

    Article  PubMed  CAS  Google Scholar 

  9. Gastmeier P, Geffers C, Brandt C et al. (2006) Effectiveness of a nationwide nosocomial infection surveillance system for reducing nosocomial infections. J Hosp Infect 64: 16–22

    Article  PubMed  CAS  Google Scholar 

  10. Gastmeier P, Geffers C, Sohr D et al. (2003) Five years working with the German nosocomial infection surveillance system (Krankenhaus Infektions Surveillance System). Am J Infect Control 31: 316–321

    Article  PubMed  Google Scholar 

  11. Getliffe K, Newton T (2006) Catheter-associated urinary tract infection in primary and community health care. Age Ageing 35: 477–481

    Article  PubMed  Google Scholar 

  12. Givens CD, Wenzel RP (1980) Catheter-associated urinary tract infections in surgical patients: a controlled study on the excess morbidity and costs. J Urol 124: 646–648

    PubMed  CAS  Google Scholar 

  13. Grundmann H, Barwolff S, Tami A et al. (2005) How many infections are caused by patient-to-patient transmission in intensive care units? Crit Care Med 33: 946–951

    Article  PubMed  Google Scholar 

  14. Haley RW, Schaberg DR, Crossley KB et al. (1981) Extra charges and prolongation of stay attributable to nosocomial infections: a prospective interhospital comparison. Am J Med 70: 51–58

    Article  PubMed  CAS  Google Scholar 

  15. Harbarth S, Sax H, Gastmeier P (2003) The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect 54: 258–266

    Article  PubMed  CAS  Google Scholar 

  16. Kommission für Krankenhaushygiene und Infektionsprävention am Robert Koch-Institut (1999) Empfehlungen zur Prävention und Kontrolle Katheter-assoziierter Harnwegsinfektionen. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz 42: 806–809

    Article  Google Scholar 

  17. Medina M, Martinez-Gallego G, Sillero-Arenas M, Delgado-Rodriguez M (1997) Risk factors and length of stay attributable to hospital infections of the urinary tract in general surgery patients. Enferm Infecc Microbiol Clin 15: 310–314

    PubMed  CAS  Google Scholar 

  18. Moris DIT, Fernandez MP, Antuna EA et al. (2003) Estimating the costs associated with nosocomial urinary tract infection. A case-control study. Rev Clin Esp 203: 119–124

    Article  Google Scholar 

  19. Naber KG, Bishop MC, Bjerklund-Johansen TE et al. (2006) In: Guidelines on the management of urinary and male genital tract infections (2006 Edition). Europ Assoc Urol 13: 1–126

    Google Scholar 

  20. Nicolle LE, Bradley S, Colgan R et al. (2005) Infectious Diseases Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 40: 643–654

    Article  PubMed  Google Scholar 

  21. Pipe TB, Wellik KE, Buchda VL et al. (2005) Implementing evidence-based nursing practice. Urol Nurs 25: 365–370

    PubMed  Google Scholar 

  22. Plowman R, Graves N, Griffin MA et al. (2001) The rate and cost of hospital-acquired infections occurring in patients admitted to selected specialties of a district general hospital in England and the national burden imposed. J Hosp Infect 47: 198–209

    Article  PubMed  CAS  Google Scholar 

  23. Robertson-Malt S, Chapman Y, Ingram G (2006) Putting the evidence into practice: the King Faisal Specialist Hospital and Research Centre experience. Int J Nurs Pract 12: 35–41

    Article  PubMed  Google Scholar 

  24. Rosenthal VD, Guzman S, Orellano PW (2003) Nosocomial infections in medical-surgical intensive care units in Argentina: attributable mortality and length of stay. Am J Infect Control 31: 291–295

    Article  PubMed  Google Scholar 

  25. Rubinstein E, Green M, Modan M et al. (1982) The effects of nosocomial infections on the length and costs of hospital stay. J Antimicrob Chemother 9(Suppl A): 93–100

    PubMed  Google Scholar 

  26. Rucker G, Schoop R, Beyersmann J et al. (2006) Are KISS data representative of German intensive care units? Statistical issues. Methods Inf Med 45: 424–429

    PubMed  CAS  Google Scholar 

  27. Ruden H, Gastmeier P, Daschner FD, Schumacher M (1997) Nosocomial and community-acquired infections in Germany. Summary of the results of the First National Prevalence Study (NIDEP). Infection 25: 199–202

    Article  PubMed  CAS  Google Scholar 

  28. Saint S (2000) Clinical and economic consequences of nosocomial catheter-related bacteriuria. Am J Infect Control 28: 68–75

    Article  PubMed  CAS  Google Scholar 

  29. Scheckler WE (1980) Hospital costs of nosocomial infections: a prospective three-month study in a community hospital. Infect Control 1: 150–152

    PubMed  CAS  Google Scholar 

  30. Tambyah PA, Knasinski V, Maki DG (2002) The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care. Infect Control Hosp Epidemiol 23: 27–31

    Article  PubMed  Google Scholar 

  31. Vonberg RP, Behnke M, Geffers C et al. (2006) Device-associated infection rates for non-intensive care unit patients. Infect Control Hosp Epidemiol 27: 357–361

    Article  PubMed  Google Scholar 

  32. Vonberg RP, Groneberg K, Geffers C et al. (2005) Infection control measures in intensive care units. Results of the German Nosocomial Infection Surveillance System (KISS). Anaesthesist 54: 975–982

    Article  PubMed  Google Scholar 

  33. Wenzler S, Sommerkamp H, Ruden H, Dasschner F (2003) Proven and unproven hygiene measures in urology. Urologe A 42: 56–62

    PubMed  CAS  Google Scholar 

  34. Wong ES (1983) Guideline for prevention of catheter-associated urinary tract infections. Am J Infect Control 11: 28–36

    Article  PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland

    R.-P. Vonberg & P. Gastmeier

  2. Institut für Hygiene und Umweltmedizin, Charité – Universitätsmedizin, Freie Universität und Humboldt Universität Berlin, Berlin, Deutschland

    M. Behnke & H. Rüden

  3. Nationales Referenzzentrum (NRZ) für die Surveillance von nosokomialen Infektionen, Charité - Universitätsmedizin Berlin, Berlin, Deutschland

    R.-P. Vonberg, M. Behnke, H. Rüden & P. Gastmeier

Authors
  1. R.-P. Vonberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Behnke
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. H. Rüden
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Gastmeier
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R.-P. Vonberg.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vonberg, RP., Behnke, M., Rüden, H. et al. Kosten durch Harnweginfektionen in Deutschland. Urologe 47, 54–58 (2008). https://doi.org/10.1007/s00120-007-1597-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00120-007-1597-x

Schlüsselwörter

Keywords

Search

Navigation