Publication

Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF)

van Rijt, A. M., Dik, J-W. H., Lokate, M., Postma, M. J. & Friedrich, A. W., 26-Nov-2018, In : PLoS ONE. 13, 11, 12 p., e0208092.

Research output: Contribution to journalArticleAcademicpeer-review

APA

van Rijt, A. M., Dik, J-W. H., Lokate, M., Postma, M. J., & Friedrich, A. W. (2018). Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF). PLoS ONE, 13(11), [e0208092]. https://doi.org/10.1371/journal.pone.0208092

Author

van Rijt, Antonius M ; Dik, Jan-Willem H ; Lokate, Mariëtte ; Postma, Maarten J ; Friedrich, Alex W. / Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF). In: PLoS ONE. 2018 ; Vol. 13, No. 11.

Harvard

van Rijt, AM, Dik, J-WH, Lokate, M, Postma, MJ & Friedrich, AW 2018, 'Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF)', PLoS ONE, vol. 13, no. 11, e0208092. https://doi.org/10.1371/journal.pone.0208092

Standard

Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF). / van Rijt, Antonius M; Dik, Jan-Willem H; Lokate, Mariëtte; Postma, Maarten J; Friedrich, Alex W.

In: PLoS ONE, Vol. 13, No. 11, e0208092, 26.11.2018.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

van Rijt AM, Dik J-WH, Lokate M, Postma MJ, Friedrich AW. Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF). PLoS ONE. 2018 Nov 26;13(11). e0208092. https://doi.org/10.1371/journal.pone.0208092


BibTeX

@article{8570cb26745940f4b577f33601591654,
title = "Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF)",
abstract = "ObjectivesHighly resistant microorganisms (HRMOs) are of high concern worldwide and are becoming increasingly less susceptible for antibiotics. To study the cost effectiveness of infection prevention measures in long-term care, it is essential to first fully understand the impact of HRMOs. The objective of this study is to identify the costs associated with outbreaks caused by Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF).MethodsAfter an outbreak of MRSA, Dutch LTCF can submit a reimbursement form to the Dutch Healthcare Authority ({"}Nederlandse Zorgautoriteit{"}; NZa) to get a part of the total costs reimbursed. In this study, we requested NZa forms for financial impact analysis. Details regarding the costs of the outbreak have been extracted from these forms and additionally specific LTCF have been visited in person to validate the data. Results34 complete reimbursement forms from the period between 2011 and 2016 were received from the NZa and have been included. The median cost per patient per day was estimated at (sic)83.80, varying between (sic)16.89 and (sic)1,820.09. We validated five reimbursement forms by visiting the facility and recalculating the costs. We found a non-significant positive difference of (sic)26.07 compared with the original data (p = 0.068).ConclusionsThis study is to our knowledge the first to give a national overview of total costs associated with an MRSA outbreak in LTCF in the Netherlands. Overall, costs per patient per day seem lower than in a hospital setting, although total costs are much higher due to the long term of care.",
keywords = "INFECTION PREVENTION, NURSING-HOMES, INTEGRATED STEWARDSHIP, LOW-PREVALENCE, SETTINGS, SPREAD",
author = "{van Rijt}, {Antonius M} and Dik, {Jan-Willem H} and Mari{\"e}tte Lokate and Postma, {Maarten J} and Friedrich, {Alex W}",
year = "2018",
month = nov,
day = "26",
doi = "10.1371/journal.pone.0208092",
language = "English",
volume = "13",
journal = "PLOS-One",
issn = "1932-6203",
publisher = "PUBLIC LIBRARY SCIENCE",
number = "11",

}

RIS

TY - JOUR

T1 - Cost analysis of outbreaks with Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF)

AU - van Rijt, Antonius M

AU - Dik, Jan-Willem H

AU - Lokate, Mariëtte

AU - Postma, Maarten J

AU - Friedrich, Alex W

PY - 2018/11/26

Y1 - 2018/11/26

N2 - ObjectivesHighly resistant microorganisms (HRMOs) are of high concern worldwide and are becoming increasingly less susceptible for antibiotics. To study the cost effectiveness of infection prevention measures in long-term care, it is essential to first fully understand the impact of HRMOs. The objective of this study is to identify the costs associated with outbreaks caused by Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF).MethodsAfter an outbreak of MRSA, Dutch LTCF can submit a reimbursement form to the Dutch Healthcare Authority ("Nederlandse Zorgautoriteit"; NZa) to get a part of the total costs reimbursed. In this study, we requested NZa forms for financial impact analysis. Details regarding the costs of the outbreak have been extracted from these forms and additionally specific LTCF have been visited in person to validate the data. Results34 complete reimbursement forms from the period between 2011 and 2016 were received from the NZa and have been included. The median cost per patient per day was estimated at (sic)83.80, varying between (sic)16.89 and (sic)1,820.09. We validated five reimbursement forms by visiting the facility and recalculating the costs. We found a non-significant positive difference of (sic)26.07 compared with the original data (p = 0.068).ConclusionsThis study is to our knowledge the first to give a national overview of total costs associated with an MRSA outbreak in LTCF in the Netherlands. Overall, costs per patient per day seem lower than in a hospital setting, although total costs are much higher due to the long term of care.

AB - ObjectivesHighly resistant microorganisms (HRMOs) are of high concern worldwide and are becoming increasingly less susceptible for antibiotics. To study the cost effectiveness of infection prevention measures in long-term care, it is essential to first fully understand the impact of HRMOs. The objective of this study is to identify the costs associated with outbreaks caused by Methicillin-resistant Staphylococcus aureus (MRSA) in Dutch long-term care facilities (LTCF).MethodsAfter an outbreak of MRSA, Dutch LTCF can submit a reimbursement form to the Dutch Healthcare Authority ("Nederlandse Zorgautoriteit"; NZa) to get a part of the total costs reimbursed. In this study, we requested NZa forms for financial impact analysis. Details regarding the costs of the outbreak have been extracted from these forms and additionally specific LTCF have been visited in person to validate the data. Results34 complete reimbursement forms from the period between 2011 and 2016 were received from the NZa and have been included. The median cost per patient per day was estimated at (sic)83.80, varying between (sic)16.89 and (sic)1,820.09. We validated five reimbursement forms by visiting the facility and recalculating the costs. We found a non-significant positive difference of (sic)26.07 compared with the original data (p = 0.068).ConclusionsThis study is to our knowledge the first to give a national overview of total costs associated with an MRSA outbreak in LTCF in the Netherlands. Overall, costs per patient per day seem lower than in a hospital setting, although total costs are much higher due to the long term of care.

KW - INFECTION PREVENTION

KW - NURSING-HOMES

KW - INTEGRATED STEWARDSHIP

KW - LOW-PREVALENCE

KW - SETTINGS

KW - SPREAD

U2 - 10.1371/journal.pone.0208092

DO - 10.1371/journal.pone.0208092

M3 - Article

C2 - 30475904

VL - 13

JO - PLOS-One

JF - PLOS-One

SN - 1932-6203

IS - 11

M1 - e0208092

ER -

ID: 71327179