Authors
David RM Smith, Koen B Pouwels, Susan Hopkins, Nichola R Naylor, Timo Smieszek, Julie V Robotham
Publication date
2019/9/1
Journal
Journal of Hospital Infection
Volume
103
Issue
1
Pages
44-54
Publisher
WB Saunders
Description
Background
Catheter-associated urinary tract infection (CAUTI) and bloodstream infection (CABSI) are leading causes of healthcare-associated infection in England's National Health Service (NHS), but health-economic evidence to inform investment in prevention is lacking.
Aims
To quantify the health-economic burden and value of prevention of urinary-catheter-associated infection among adult inpatients admitted to NHS trusts in 2016/17.
Methods
A decision-analytic model was developed to estimate the annual prevalence of CAUTI and CABSI, and their associated excess health burdens [quality-adjusted life-years (QALYs)] and economic costs (£ 2017). Patient-level datasets and literature were synthesized to estimate population structure, model parameters and associated uncertainty. Health and economic benefits of catheter prevention were estimated. Scenario and probabilistic sensitivity analyses were …
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