Title : Tunnelled central venous catheter-related bloodstream infection in Canadian blood stem cell transplant recipients: Associated costs
Problem: Central catheter-related bloodstream infection (CRBSI) is associated with increased health care costs and patient morbidity. Thepurposeof thestudywas to estimate thedirect inpatient charges of CRBSIin Canadian blood andmarrow celltransplant recipients with a tunnelled central venous catheter (CVC).
Method: A case-controlled comparison of patientrecordsfrom a single centre was completed. Records indicating CRBSI were paired for comparison to patient records not indicating CRBSI in the following domains: length ofstay, laboratory tests, diagnostic tests, medications used, consultations to a specialty physician, catheter replacement costs, and length of stay in the intensive care unit.
Results: Cases stayed on average an extra 19.37 days in the hospital. Extra charges for diagnosing and treating CRBSI averaged $4,739.95. The total estimated burden of CRBSI in Canadian blood and marrow transplant for the 2013 fiscal year was $44,816.48 per incident. Infections also reduced the length of catheter use time by anaverage of 18.68 days.