Bed-days and costs associated with the inpatient burden of healthcare-associated infection in the UK

BackgroundHealthcare-associated infection (HAI) is associated with increased morbidity and mortality resulting in excess costs.AimTo investigate the impact of all types HAI on inpatient cost using different approaches.MethodsThe incidence, HAI, length stay were estimated data collected as part Evaluation Cost Nosocomial Infection (ECONI) study. Scottish NHS reference costs used to estimate unit for bed-days. Variable (cash) prevention control (IPC) measures treatment calculated each type overall. The presented terms bed-days lost, bed-day costs, cash costs.FindingsIn Scotland 58,010 (95% confidence interval: 41,730–74,840) be lost during 2018/19, costing £46.4 million (19m–129m). total annual UK £774 (328m–2,192m). Bloodstream pneumonia most costly per case. Cash are a small proportion contributing 2.4% costs.ConclusionReliable estimates burden management important assessing cost-effectiveness IPC programmes. This unique study presents robust economic data, demonstrating that remains capture majority costs. These findings can inform evaluation decision analytic modelling competing programmes at local national level. Healthcare-associated To approaches. In Reliable